/library/oar/handle/123456789/27559 2025-11-11T09:29:33Z 2025-11-11T09:29:33Z Aquilina, Annelise Aquilina, Oscar Sammut, Marvic Grech, Victor E. /library/oar/handle/123456789/26696 2019-10-15T08:08:59Z 2017-10-01T00:00:00Z

Title: The first case of the Reveal LINQ™ Insertable Cardiac Monitor implanted in a child in Malta Authors: Aquilina, Annelise; Aquilina, Oscar; Sammut, Marvic; Grech, Victor E. Abstract: Background: The Reveal LINQ™ Insertable Cardiac Monitor (ICM) or Implantable Loop recorder (ILR), is a miniaturized, subcutaneous, single lead, electrocardiographic monitoring device which has been extensively used in the differential diagnosis of unexplained syncope and palpitations in adults. Patient Description: We describe an asymptomatic 20-month-old boy, noted to have incidental bradycardia on routine examination and in whom Holter monitoring revealed complete heart block (CHB). Over 1 year, the longest recorded pause lengthened from 1.8 seconds to 3.6 seconds. Results: The Reveal LINQ™ ICM was inserted for long-term monitoring of the CHB. The device will record the electrocardiogram (ECG) continuously for up to 3 years, freezing in its memory any significant arrhythmic events. This will enable the diagnosis of the longest pauses, confirm whether they are lengthening over time and assist with the decision of pacemaker implantation. Conclusion: The Reveal LINQ™ ICM is much smaller than the conventional loop recorder and has been shown to be ideal for close monitoring of asymptomatic yet potentially dangerous arrhythmias in young children.

2017-10-01T00:00:00Z Tomar, Munesh Parakh, Rajiv Bhan, Aparna /library/oar/handle/123456789/26683 2019-10-15T08:09:40Z 2017-10-01T00:00:00Z

Title: Mycotic aneurysm : a lesser known complication of coarctation repair in a child, managed by endovascular aneurysm repair Authors: Tomar, Munesh; Parakh, Rajiv; Bhan, Aparna Abstract: We report a 12-year-old child diagnosed with mycotic aneurysm at the site of coarctation of aorta (CoA) repair. Surgical intervention, though very high risk, is the mainstay of management. In selected cases endovascular stenting is being reported in adults. Here we report the use of an endovascular stent in a child.

2017-10-01T00:00:00Z