Current Developments and Future Trends in Congenital Heart Diseases Interventional Cardiology and Cardiac Surgery

A special issue of Children (ISSN 2227-9067).

Deadline for manuscript submissions: 25 July 2025 | Viewed by 993

Special Issue Editors


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Guest Editor
Pediatric Cardiology Division, University of Campania "Luigi Vanvitelli", AORN "Ospedali dei Colli", Monaldi Hospital, Naples, Italy
Interests: pediatric cardiology; adult congenital heart diseases; interventional cardiology of congenital heart diseases

E-Mail Website
Guest Editor
Paediatric Cardiology Division, University of Campania “Luigi Vanvitelli”, “Ospedali dei Colli”, Monaldi Hospital, Naples, Italy
Interests: pediatric cardiology; adult congenital heart diseases; interventional cardiology of congenital heart diseases

E-Mail Website
Guest Editor
Paediatric Cardiology Division, University of Campania “Luigi Vanvitelli”, “Ospedali dei Colli”, Monaldi Hospital, Naples, Italy
Interests: pediatric cardiology; adult congenital heart diseases; interventional cardiology of congenital heart diseases

Special Issue Information

Dear Colleagues,

The advances and progress technology of interventional cardiology and cardiac surgery have improved the prognosis and the life expectancy of the patients with congenital heart diseases (CHDs). The aim and scope of this Special Issue is to highlight the current developments and future trends in congenital heart diseases interventional cardiology and cardiac surgery. This Special Issue supports high quality research in this field. The journal suggests publishing original research; however, even metanalysis, systematic review, experts’ review, or original case series are relevant. Original research on the comparison of interventional versus surgical treatment of some CHD or the long-term follow-up of recent interventional or surgical approaches is particularly relevant.

Dr. Mario Giordano
Dr. Raffaella Marzullo
Dr. Gianpiero Gaio
Guest Editors

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Keywords

  • congenital heart disease
  • cardiac surgery
  • interventional cardiology
  • pediatric cardiology

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Published Papers (2 papers)

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Research

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12 pages, 877 KiB  
Article
Predictors of Ventricular Abnormalities in Children with Idiopathic Ventricular Extrasystoles
by Rita Kunigeliene, Odeta Kinciniene, Germanas Marinskis and Vytautas Usonis
Children 2025, 12(2), 206; https://doi.org/10.3390/children12020206 - 9 Feb 2025
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Abstract
Background and Objectives: Ventricular extrasystoles, which are the most common arrhythmias in healthy children and adolescents, could be a reliable factor for the prognosis of structural heart diseases. However, extrasystoles arising in hearts with primary myocardial diseases or channelopathies might cause life-threatening events [...] Read more.
Background and Objectives: Ventricular extrasystoles, which are the most common arrhythmias in healthy children and adolescents, could be a reliable factor for the prognosis of structural heart diseases. However, extrasystoles arising in hearts with primary myocardial diseases or channelopathies might cause life-threatening events or be associated with arrhythmia-induced cardiomyopathy. The relationship between ventricular extrasystoles and ventricular abnormalities in children remains controversial. The aim of this study was to evaluate prevalence of ventricular abnormalities in children with ventricular extrasystoles. Materials and Methods: This was a retrospective cohort study of pediatric outpatients in Vilnius University Hospital Santaros Clinics because of ventricular extrasystoles. The inclusion criteria were 3–18-year-old children with more than 5% extrasystoles per 24 h. The exclusion criteria were previous diagnoses of congenital heart defects, cardiomyopathies, and channelopathies. We reviewed the results of electrocardiography, cardiac imaging, and cardiogenetic tests. Results: In total, 131 patients (55.7% males) were included from a database of 915 patients, of whom 79.4% ventricular extrasystoles were found incidentally. Ventricular extrasystoles were monomorphic—95.4%, multiform—4.6%, and consecutive—29.8%. Cardiac magnetic resonance imaging was performed on 22.9% of patients with one-third of the pathological findings (ventricular dysfunction and myocardial fibrosis). Ventricular dysfunction was associated with a higher frequency of ventricular extrasystoles, with a median highest frequency of 26.5% per 24 h. Cardiogenetic testing was performed on only five (3.8%) patients, and RyR2 mutation was detected in one. Conclusions: According to our results, ventricular dysfunction was strongly associated with a higher burden of ventricular extrasystoles. Full article
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Review

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18 pages, 9804 KiB  
Review
Transcatheter Pulmonary Valve Implantation in Congenital Heart Diseases: Current Advances and Future Prospectives
by Mario Giordano, Raffaella Marzullo, Gianpiero Gaio, Maurizio Cappelli Bigazzi, Giovanni Domenico Ciriello, Maria Teresa Palladino, Berardo Sarubbi and Maria Giovanna Russo
Children 2025, 12(5), 547; https://doi.org/10.3390/children12050547 - 24 Apr 2025
Viewed by 212
Abstract
Pulmonary disfunction is frequent in repaired congenital heart diseases. Both pulmonary regurgitation and pulmonary stenosis are possible complications over time. In the past, the surgical approach was the only feasible management but exposed the patient to a redo-surgery with its consequent risks. Nowadays, [...] Read more.
Pulmonary disfunction is frequent in repaired congenital heart diseases. Both pulmonary regurgitation and pulmonary stenosis are possible complications over time. In the past, the surgical approach was the only feasible management but exposed the patient to a redo-surgery with its consequent risks. Nowadays, the development of novel devices and techniques has made possible a transcatheter pulmonary valve implantation. The Melody Transcatheter Pulmonary Valve (TPV) (Medtronic Inc., Minneapolis, MN, USA) and the Edwards Sapien XT and S3 Transcatheter Heart Valve (Edwards Lifesciences LLC, Irvine, CA, USA) are balloon-expandable valvular bioprostheses approved for pulmonary position. Venus P-Valve (Venus Medtech, Shanghai, China) and Harmony TPV (Medtronic Inc., Minneapolis, MN, USA) are self-expandable pulmonary valves. Alterra Adaptive Prestent (Edwards Lifesciences LLC, Irvine, CA, USA) is an hourglass self-expandable stent that reduces the size of large right ventricular outflow tracts, creating a suitable landing zone to implant an Edwards Sapien S3 THV 29 mm. Novel stents and percutaneous valves are being planned and experimented with to widen the field of transcatheter approach. The aim of this review is to describe both the current approaches, strategies, and techniques as well as the future perspective to deal with the patients with significant pulmonary stenosis and/or regurgitation. Full article
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