Paediatric cardiology consultation
The systematic paediatric cardiology consultation diagnosed a cardiac
murmur in 8 (8.5%) subjects, of which four innocent murmurs and four
congenital heart diseases: one case of minimal pulmonary valve stenosis,
one case of coarctation of the aorta in a 4-month-old child with PHACES
syndrome, one case of atrial septal defect, and one case of ventricular
septal defect. Systematic echocardiography reported increased cardiac
output for the two subjects with hepatic haemangiomas and 2 cases of
patent ductus arteriosus (PDA) in a neonate with IH and non-sustained
ventricular tachycardia (spontaneous PDA closure), and in a
six-month-old infant born at 30 weeks gestation with PIK3CA mutation and
subglottic haemangioma, who underwent percutaneous PDA closure.
The systematic echocardiography performed in the 86 remaining patients
without any cardiac symptom or neonatal condition found 19 cases of
non-significant cardiac features: patent foramen ovale (N=16), moderate
flow acceleration in the pulmonary artery branches (N=1), small
aorto-pulmonary collateral (N=1), and trivial pulmonary regurgitation
(N=1). No further follow-up was indicated by the paediatric cardiologist
in those 19 children.
The systematic ECG was normal in 93 (98.9%) cases and diagnosed
Wolff-Parkinson-White syndrome in one patient with no family history.
Overall, none of the findings
observed during the paediatric cardiology consultation resulted in any
contraindication for Hemangiol®.