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®.