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  1. Article ; Online: Hybrid closure of a large atrial septal defect using Occlutech Flex II septal occluder in a patient with interrupted inferior caval vein.

    Bani Hani, Amjad / Abdullattif, Mai / Al-Ammouri, Iyad

    Cardiology in the young

    2020  Volume 30, Issue 6, Page(s) 880–882

    Abstract: We present a case of a 31-year-old male with a large atrial septal defect, who was found to have interrupted inferior caval vein with azygous continuation to the superior caval vein, which precluded transcutaneous closure by device. The defect was ... ...

    Abstract We present a case of a 31-year-old male with a large atrial septal defect, who was found to have interrupted inferior caval vein with azygous continuation to the superior caval vein, which precluded transcutaneous closure by device. The defect was successfully closed with a 33 mm Occlutech Figula septal occluder using a sub-mammary small thoracotomy incision and per-atrial approach without using cardiopulmonary bypass. The patient was discharged home after 48 hours of procedure.
    MeSH term(s) Adult ; Cardiac Catheterization/methods ; Cardiopulmonary Bypass/methods ; Echocardiography, Transesophageal ; Heart Septal Defects, Atrial/diagnosis ; Heart Septal Defects, Atrial/surgery ; Humans ; Male ; Septal Occluder Device ; Thoracotomy ; Treatment Outcome ; Vena Cava, Inferior/abnormalities
    Language English
    Publishing date 2020-05-04
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1078466-4
    ISSN 1467-1107 ; 1047-9511
    ISSN (online) 1467-1107
    ISSN 1047-9511
    DOI 10.1017/S104795112000092X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Exploring the lived experiences of women with congenital heart disease during pregnancy: A phenomenological study.

    Al Obieat, Hanan D / Khalaf, Inaam A / Al-Ammouri, Iyad / Obeidat, Hala Mahmoud / Bawadi, Hala A / Al Momany, Maan Sh / Harb, Eman

    Midwifery

    2023  Volume 119, Page(s) 103630

    Abstract: Objective: Congenital heart diseases (CHDs) are the most common birth anomalies, and they embraced a wide range of defects ranging from mild defects to complex and life-threatening defects. Medical advancement improved children's survival, and more ... ...

    Abstract Objective: Congenital heart diseases (CHDs) are the most common birth anomalies, and they embraced a wide range of defects ranging from mild defects to complex and life-threatening defects. Medical advancement improved children's survival, and more females are reaching childbearing age. The purpose of this study was to explore and describe the lived experience of Jordanian pregnant women with CHD during pregnancy.
    Method: This study used a descriptive phenomenological design. Purposive sampling was used in recruiting 15 women from Jordan with CHD who had given birth to at least one live newborn. The study was conducted from October 2019 to April 2020. Data was collected from a public cardiac centre using face-to-face semi-structured interviews. Interviews were recorded and transcribed verbatim. Analysis was done using Colaizzi's method.
    Findings: Three themes were identified: Being a woman with CHD, being pregnant with CHD, and being a CHD patient and healthcare-seeking behaviour. The findings revealed that pregnancy experiences of women with CHD are usually associated with many difficulties, negative emotions, and challenges.
    Conclusion and implications for practice: The findings indicated the need for increased awareness and the importance of social support amongst both Jordanian women with CHD and healthcare providers. Also, the study provides new information to healthcare providers and policymakers to better understand the lived experiences of pregnant with CHD from their perspectives as it was associated with many difficulties, negative emotions, and challenges.
    MeSH term(s) Child ; Infant, Newborn ; Humans ; Female ; Pregnancy ; Qualitative Research ; Pregnant Women ; Social Support ; Heart Defects, Congenital/complications ; Parturition
    Language English
    Publishing date 2023-02-11
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1036567-9
    ISSN 1532-3099 ; 0266-6138
    ISSN (online) 1532-3099
    ISSN 0266-6138
    DOI 10.1016/j.midw.2023.103630
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Exploring the healthcare needs and experiences of pregnant women with congenital heart disease: A qualitative study.

    Harb, Eman / Obieat, Hanan D Al / Khalaf, Inaam A / Obeidat, Hala Mahmoud / Al-Ammouri, Iyad / Rn, Hala A Bawadi / Momany, Maan Sh Al

    Women and birth : journal of the Australian College of Midwives

    2023  Volume 37, Issue 1, Page(s) 223–228

    Abstract: Problem: Little is known regarding the healthcare needs and experiences of pregnant women with congenital heart disease (CHD) during pregnancy.: Background: Congenital heart diseases are the most common birth anomalies, and they embrace a wide range ... ...

    Abstract Problem: Little is known regarding the healthcare needs and experiences of pregnant women with congenital heart disease (CHD) during pregnancy.
    Background: Congenital heart diseases are the most common birth anomalies, and they embrace a wide range of defects ranging from mild to complex and life-threatening defects. Pregnancy carries many physiological and psychological changes that affect pregnant woman with CHD and need special attention and consideration.
    Aim: To explore the healthcare needs and experiences of Jordanian women with CHD during pregnancy.
    Methods: A descriptive phenomenological design was used. Utilising purposive sampling, 15 participants were recruited. Data was collected using individualised semi-structured interviews. Interviews were recorded and transcribed verbatim. Data were analyzed using Colaizzi's method.
    Findings: Three themes were identified: a) A broad spectrum of health needs during pregnancy, b) not being cared for, c) and the healthcare journey: Challenges and recommendations. Findings revealed that pregnancy in women with CHD is associated with many challenges and needs, and the lived healthcare experiences are mostly negative.
    Discussion: This study addresses the healthcare needs and experiences of pregnant women with CHD during pregnancy. Our findings shed light on healthcare needs explored hidden aspects of the experiences of this vulnerable population and gave them the chance to make their voices heard.
    Conclusion: The study concluded that pregnant women with CHD experience hardship associated with negative challenges and personal suffering. The findings highlight the importance of the basic values and the need for a holistic approach and effective teamwork to minimise suffering among pregnant women with CHD.
    MeSH term(s) Female ; Pregnancy ; Humans ; Pregnant Women/psychology ; Qualitative Research ; Delivery of Health Care ; Heart Defects, Congenital
    Language English
    Publishing date 2023-10-10
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2235085-8
    ISSN 1878-1799 ; 1871-5192
    ISSN (online) 1878-1799
    ISSN 1871-5192
    DOI 10.1016/j.wombi.2023.10.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Quality of life in Arab children with congenital heart disease.

    Dardas, Latefa Ali / Pan, Wei / Hamdan, Ahmad Imad / Abu Jabeh, Raghed Abdel Hay / Eid Ashakhanba, Ahmad / Sami Abdelhai, Omar / Naim Abid, Mohammad / Ahmad Mohammad, Hashim / Al-Ammouri, Iyad

    PloS one

    2024  Volume 19, Issue 1, Page(s) e0290306

    Abstract: Background and purpose: Management strategies for children with congenital health diseases (CHDs) should encompass more than just the medical aspect of the disease and consider how heart diseases affect their everyday activities and, subsequently, their ...

    Abstract Background and purpose: Management strategies for children with congenital health diseases (CHDs) should encompass more than just the medical aspect of the disease and consider how heart diseases affect their everyday activities and, subsequently, their quality of life (QoL). Global studies witnessed a greater emphasis on studying the QoL associated with CHD. However, there is still a great lag in such data in the Arab region. The purpose of this study was to evaluate QoL in children with CHD using an Arab sample from Jordan. The specific objectives were twofold: (1) to contrast the assessments of children's QoL reported by their parents with those reported by the children themselves, and (2) to assess the factors that influence the QoL of children with CHD.
    Methods: A total of 79 children aged 2-18 with a confirmed diagnosis of CHD were included in the study, along with their mothers. Of them, 38.0% were girls, 67.1% were diagnosed with non-cyanotic CHD, 58.2% had a severe CHD, 92.4% had undergone at least one operation, 81.0% had repaired defects, 13.9% underwent palliated procedures, and 24.1% were admitted to a neonatal intensive care unit after delivery. The Pediatric Quality of Life Inventory was used to assess QoL of children with CHD. Both children's and parents' reports of QoL were analyzed using paired-sample t-tests, ANOVAs, and multiple linear regression.
    Results: Older children reported significantly lower QoL scores, whereas there were no differences in parents-reported QoL scores across different children age groups. There was a divergence in perceptions of QoL between parents-reported and children-reported scores with parents reporting significantly lower scores. The children-reported QoL in this study seemed to be significantly associated with their gender, age, and the presence of learning difficulties, whereas the parent-reported QoL was only associated with the presence of learning difficulties.
    Conclusions: Responses from both children and parents need to be considered to understand the similarities and differences between them and to provide further insight into the optimal way to help children with CHD effectively navigate the transition into adulthood. Future research studies of outcomes for survivors of children with CHD are needed to identify high-risk survivors for worse psychosocial functioning and assess prevention measures and treatment interventions to improve their QoL.
    MeSH term(s) Child ; Female ; Infant, Newborn ; Humans ; Adolescent ; Male ; Quality of Life/psychology ; Arabs ; Heart Defects, Congenital/psychology ; Multivariate Analysis ; Linear Models ; Parents/psychology
    Language English
    Publishing date 2024-01-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0290306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Congenital Diaphragmatic Hernia at a Non-ECMO Center in Jordan.

    Al-Iede, Montaha / Badran, Eman / Al-Taher, Raed / Al-Ammouri, Iyad / Ashour, Omar / Ghazi, Tara / Zahra, Mahmoud Abu / Alhanbali, Abdulrahman / Qutishat, Hebah / Al-Zayadneh, Enas / Al-Lawama, Manar

    Indian pediatrics

    2024  Volume 61, Issue 1, Page(s) 62–65

    Abstract: Objectives: We studied the clinical characteristics and outcomes of neonates with congenital diaphragmatic hernia (CDH) admitted to a non-extracorporeal membrane oxygenation (ECMO) center.: Methods: A retrospective chart review of neonates with CDH ... ...

    Abstract Objectives: We studied the clinical characteristics and outcomes of neonates with congenital diaphragmatic hernia (CDH) admitted to a non-extracorporeal membrane oxygenation (ECMO) center.
    Methods: A retrospective chart review of neonates with CDH admitted to a University Hospital, in Amman, Jordan, between 2005 and 2019. Demographic characteristics and their management details were extracted and factors associated with survival were analyzed.
    Results: A total of 28 neonates born with CDH were included; their survival rate was 39.3%. Onset of respiratory distress, pre-operative ventilation, and length of hospitalization were significantly associated with mortality. Survival after surgery was significantly associated with a higher gestational age and a longer hospital stay.
    Conclusion: Our study showed a high mortality rate for CDH patients. Decreasing the health inequity and improved clinical interventions could improve outcomes.
    MeSH term(s) Infant, Newborn ; Humans ; Hernias, Diaphragmatic, Congenital/therapy ; Jordan/epidemiology ; Retrospective Studies ; Gestational Age ; Hospitalization
    Language English
    Publishing date 2024-01-06
    Publishing country India
    Document type Journal Article
    ZDB-ID 402594-5
    ISSN 0974-7559 ; 0019-6061
    ISSN (online) 0974-7559
    ISSN 0019-6061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital.

    Al-Ammouri, Iyad / Ayoub, Fares

    Annals of global health

    2016  Volume 82, Issue 2, Page(s) 300–306

    Abstract: Background: Since March 2011, an estimated 600,000 Syrian refugees crossed into Jordan, of which 52% were children. Demand for health care is overwhelming. The burden of heart disease in Syrian refugee children is not known. The aim of this study WAS to ...

    Abstract Background: Since March 2011, an estimated 600,000 Syrian refugees crossed into Jordan, of which 52% were children. Demand for health care is overwhelming. The burden of heart disease in Syrian refugee children is not known. The aim of this study WAS to describe heart disease in Syrian refugee children in terms of diagnoses, presentation, outcome, and funding sources for treatment.
    Methods: From April 1, 2012 to April 30, 2014, data on Syrian refugee children who were referred to the Pediatric Cardiology Department at Jordan University Hospital and were found to have heart disease was recorded. In this study, we describe diagnoses, presentations, complications, and mortality. We discuss therapeutic procedures and their funding sources. Patients were followed until July 31, 2014.
    Findings: In all, 119 children, median age 2 years (6 days to 16 years), were diagnosed with heart disease. At presentation, 37% had failure to thrive, 13% had severe complications, and 32% of cyanotic patients had severe hypoxia with oxygen saturation of <70%. Mortality rate was 14% by end of follow up. Of 73 surgical procedures recommended, only 28 were funded and performed; others have been waiting for a median of 223 days (35-534 days). Funding for procedures came from multiple sources; including the United Nations, governmental and nongovernmental organizations, and individual donations.
    Conclusion: Heart disease in Syrian refugee children constitutes a major problem for both patients and health systems of host countries. Late presentation and diagnosis, high rate of complications, suboptimal living conditions, lack of funding, shortage of specialized centers and personnel, and high mortality rates are among the major challenges facing this patient population.
    MeSH term(s) Child ; Child, Preschool ; Heart Diseases/diagnosis ; Heart Diseases/ethnology ; Hospitals, University ; Humans ; Jordan/epidemiology ; Refugees/statistics & numerical data ; Syria/ethnology
    Language English
    Publishing date 2016-06-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2821756-1
    ISSN 2214-9996 ; 2214-9996
    ISSN (online) 2214-9996
    ISSN 2214-9996
    DOI 10.1016/j.aogh.2015.02.517
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Clinical presentation, etiology, and outcome of stroke in children: A hospital-based study.

    Masri, Amira / Al-Ammouri, Iyad

    Brain & development

    2016  Volume 38, Issue 2, Page(s) 204–208

    Abstract: Aim: To describe clinical presentations, etiologies, and outcomes of stroke in Jordanian children.: Patients and methods: We retrospectively reviewed the medical records of children diagnosed with ischemic stroke who presented to our clinic from ... ...

    Abstract Aim: To describe clinical presentations, etiologies, and outcomes of stroke in Jordanian children.
    Patients and methods: We retrospectively reviewed the medical records of children diagnosed with ischemic stroke who presented to our clinic from January 2001 to June 2014. Patients with onset of stroke in the neonatal period were excluded.
    Results: Twenty-four children (12 boys and 12 girls, with a male to female ratio of 1:1) were included in this study. The follow-up period ranged from 1 month to 9 years. Age at onset of the first stroke ranged from 1 month to 13 years. The most common initial clinical presentation was hemiparesis (58.3%). A known etiology was identified in 58.3% of patients. The most common etiologies were metabolic disorders, such as mitochondrial encephalopathy lactic acidosis and stroke (MELAS) and homocystinuria (25%), cardiac disorders (17%), and coagulopathy, such as a homozygous mutation in the MTHFR gene and a factor V Leiden mutation (17%). Recurrence of both clinical and silent strokes occurred in 46% of patients, residual motor weakness occurred in 58.3%, and residual epilepsy occurred in 29.2%.
    Conclusion: Metabolic disorders, cardiac disorders, and coagulopathy are the causes of strokes in Jordanian children. Our results emphasized the importance of inherited disorders in Jordan.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Female ; Hospitals/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Jordan/epidemiology ; Male ; Retrospective Studies ; Risk Factors ; Stroke/epidemiology ; Stroke/etiology
    Language English
    Publishing date 2016-02
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604822-5
    ISSN 1872-7131 ; 0387-7604
    ISSN (online) 1872-7131
    ISSN 0387-7604
    DOI 10.1016/j.braindev.2015.08.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Angioplasty of Native Coarctation in a Very Low Birth Weight, Donor of Twin-Twin Transfusion Infant.

    Al-Ammouri, Iyad / Karasneh, Sahar / Samara, Dua / Al-Theiabat, Muath / Khriesat, Wadah M

    Pediatric cardiology

    2021  Volume 43, Issue 2, Page(s) 467–469

    Abstract: We present a case of successful balloon angioplasty of native aortic coarctation in a preterm infant, a donor of twin-twin transfusion syndrome with low birth weight. Angioplasty was done at the age of 15 days and weight of 480 g, using umbilical artery ... ...

    Abstract We present a case of successful balloon angioplasty of native aortic coarctation in a preterm infant, a donor of twin-twin transfusion syndrome with low birth weight. Angioplasty was done at the age of 15 days and weight of 480 g, using umbilical artery approach. Follow-up at 4 months of age showed no recurrence of coarctation.
    MeSH term(s) Angioplasty, Balloon ; Aortic Coarctation/surgery ; Aortic Coarctation/therapy ; Female ; Fetofetal Transfusion ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infant, Very Low Birth Weight ; Pregnancy ; Recurrence ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-10-16
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 800857-7
    ISSN 1432-1971 ; 0172-0643
    ISSN (online) 1432-1971
    ISSN 0172-0643
    DOI 10.1007/s00246-021-02752-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Myocarditis and pericarditis: Case definition and guidelines for data collection, analysis, and presentation of immunization safety data

    Sexson Tejtel, S. Kristen / Munoz, Flor M. / Al-Ammouri, Iyad / Savorgnan, Fabio / Guggilla, Rama K. / Khuri-Bulos, Najwa / Phillips, Lee / Engler, Renata J.M.

    Vaccine. 2022 Mar. 01, v. 40, no. 10

    2022  

    Abstract: Myocarditis and/or pericarditis (also known as myopericarditis) are inflammatory diseases involving the myocardium (with non-ischemic myocyte necrosis) and/or the pericardial sac. Myocarditis/pericarditis (MPC) may present with variable clinical signs, ... ...

    Abstract Myocarditis and/or pericarditis (also known as myopericarditis) are inflammatory diseases involving the myocardium (with non-ischemic myocyte necrosis) and/or the pericardial sac. Myocarditis/pericarditis (MPC) may present with variable clinical signs, symptoms, etiologies and outcomes, including acute heart failure, sudden death, and chronic dilated cardiomyopathy. Possible undiagnosed and/or subclinical acute myocarditis, with undefined potential for delayed manifestations, presents further challenges for diagnosing an acute disease and may go undetected in the setting of infection as well as adverse drug/vaccine reactions. The most common causes of MPC are viral, with non-infectious, drug/vaccine associated hypersensitivity and/or autoimmune causes being less well defined and with potentially different inflammatory mechanisms and treatment responses. Potential cardiac adverse events following immunization (AEFIs) encompass a larger scope of diagnoses such as triggering or exacerbating ischemic cardiac events, cardiomyopathy with potential heart failure, arrhythmias and sudden death. The current published experience does not support a potential causal association with vaccines based on epidemiologic evidence of relative risk increases compared with background unvaccinated incidence. The only evidence supporting a possible causal association of MPC with a vaccine comes from case reports. Hypersensitivity MPC as a drug/vaccine induced cardiac adverse event has long been a concern for post-licensure safety surveillance, as well as safety data submission for licensure. Other cardiac adverse events, such as dilated cardiomyopathy, were also defined in the CDC definitions for adverse events after smallpox vaccination in 2006. In addition, several groups have attempted to develop and improve the definition and adjudication of post-vaccination cardiovascular events. We developed the current case definitions for myocarditis and pericarditis as an AEFI building on experience and lessons learnt, as well as a comprehensive literature review. Considerations of other etiologies and causal relationships are outside the scope of this document.
    Keywords acute course ; cardiomyopathy ; data collection ; death ; heart failure ; hypersensitivity ; monitoring ; myocarditis ; myocardium ; necrosis ; pericarditis ; pericardium ; relative risk ; smallpox ; vaccination ; vaccines
    Language English
    Dates of publication 2022-0301
    Size p. 1499-1511.
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2021.11.074
    Database NAL-Catalogue (AGRICOLA)

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  10. Article ; Online: Massive intra-atrial thrombosis in an 11-year-old child with restrictive cardiomyopathy.

    Al-Ammouri, Iyad A

    Pediatric cardiology

    2010  Volume 31, Issue 5, Page(s) 735–736

    MeSH term(s) Anticoagulants/therapeutic use ; Cardiomyopathy, Restrictive/complications ; Cardiomyopathy, Restrictive/diagnosis ; Child ; Coronary Thrombosis/diagnostic imaging ; Coronary Thrombosis/etiology ; Echocardiography ; Fatal Outcome ; Female ; Heart Failure/diagnosis ; Heart Failure/drug therapy ; Heart Failure/etiology ; Humans
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2010-02-11
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 800857-7
    ISSN 1432-1971 ; 0172-0643
    ISSN (online) 1432-1971
    ISSN 0172-0643
    DOI 10.1007/s00246-010-9657-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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