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All Journal Jurnal Anestesiologi Indonesia Paediatrica Indonesiana Indonesian Journal of Cardiology Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Heart Science Journal Journal of Medicine and Health
Radityo Prakoso
Departemen Kardiologi Dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia Pusat Jantung Nasional Harapan Kita, Jakarta
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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KARAKTERISTIK PASIEN PENYAKIT JANTUNG BAWAAN DI RUMAH SAKIT JANTUNG PEMBULUH DARAH NASIONAL HARAPAN KITA PERIODE TAHUN 2019–2023 Nathaniel Abednego; Desman Situmorang; Edwin Setiabudi; Olfi Lelya; Radityo Prakoso
Journal of Medicine and Health Vol 8 No 1 (2026)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v8i1.11332

Abstract

Congenital heart disease (CHD) is one of the most common congenital disorders, affecting approximately 8 per 1,000 live births in Indonesia. This study aimed to describe the demographic and clinical characteristics of pediatric patients with CHD treated at Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita from 2019 to 2023. A descriptive cross-sectional study was conducted using medical record data from 5,599 patients under the age of 18. Variables analyzed included annual case distribution, demographic characteristics, CHD classification, complications, and treatment outcomes. The highest number of cases was recorded in 2023 (1,457 cases; 26.02%). Most patients were under five years old (59.94%), with a slight female predominance (50.94%). Acyanotic CHD was more prevalent (60.33%), predominantly ventricular septal defect (53.11%), while cyanotic CHD accounted for 39.67%, dominated by Tetralogy of Fallot (59.70%). Congestive heart failure and pulmonary hypertension were the most frequent complications. Cyanotic CHD was associated with growth and developmental disorders and malnutrition, whereas acyanotic CHD generally demonstrated adequate nutritional status. The most common intervention was total repair of Tetralogy of Fallot. Surgical success rates were high in acyanotic (97.37%) and cyanotic CHD (94.73%). Mortality was higher in cyanotic CHD, particularly with delayed diagnosis. Early detection improves outcomes significantly overall.
A Big Challenge in a Tiny Heart: Right Ventricular Outflow Tract (RVOT) Stenting in a Premature Infant with Pentalogy of Fallot Adnan Rhafif; Radityo Prakoso; Aditya Agita Sembiring
Jurnal Kardiologi Indonesia Online First
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1937

Abstract

Background: Pentalogy of Fallot (POF) is a cyanotic congenital heart defect characterized by five anatomical abnormalities: Ventricular Septal Defect (VSD), pulmonary stenosis, Right Ventricular Hypertrophy (RVH), an overriding aorta, and an Atrial Septal Defect (ASD). The presence of the additional ASD alongside the classic features of Tetralogy of Fallot (TOF) can further exacerbate right-to-left shunting and worsen systemic desaturation. Management of POF in premature infants is particularly challenging due to low birth weight, underdeveloped pulmonary vasculature, and increased surgical risks. In high-risk neonates, traditional surgical options such as the modified Blalock–Taussig shunt may not be feasible. Right Ventricular Outflow Tract (RVOT) stenting has emerged as a minimally invasive palliative alternative to improve oxygenation and promote pulmonary artery growth, serving as a bridge to definitive surgical repair. This case highlights the technical considerations of RVOT stenting in high-risk neonates, emphasizing its role as a bridge to definitive surgical repair. Case Illustration: An 11-day-old premature infant presented with progressive central cyanosis, desaturation episodes (<70%), and shortness of breath. Physical examination revealed respiratory distress, central cyanosis, and an ejection systolic murmur. Imaging showed a boot-shaped heart and oligemia, while echocardiography confirmed POF with severe RVOT obstruction, hypoplastic pulmonary arteries, and reduced Right Ventricular (RV) function. The patient was initially managed for a hypoxic spell but later developed periodic apnea and cardiac arrest, prompting additional diagnosis of apnea of prematurity and admission to the Intensive Care Unit (ICU) for further management. Despite treatment, worsening respiratory effort necessitated intubation. After clinical stabilization and extubation, persistent hypoxia led to RVOT stenting at 32 days of age. After initial difficulty, balloon pre-dilation allowed successful stent deployment, resulting in improved oxygen saturation. Conclusion: This case demonstrates the feasibility and effectiveness of RVOT stenting as a palliative strategy in a premature infant with POF. The intervention led to immediate improvement in oxygenation and allowed time for clinical stabilization and potential pulmonary artery growth. This highlights that, in selected high-risk neonates where conventional surgical options may be unsuitable, catheter-based palliation can serve as a critical bridge to definitive surgical repair.
Co-Authors Aditya Agita Sembiring Adnan Rhafif Amiliana Mardiani Soesanto Anindita Soetadji Anna Ulfah Rahajoe Bahrudin - Bambang Budi Siswanto Baskoro, Adhi Gunawan Bayushi Eka Putra Budi Nagawijaya Budiyanto Nagawidjaja Danayu Sanni Prahasti Desman Situmorang Dewi H Suprobo Dewi Hapsari Suprobo Edwin Setiabudi Erika Maharani Erika Maharani Fildza Intan Rizkia Ganesja M Harimurti Hardhono Susanto Ignatius Riwanto, Ignatius Indah Kartika Murni Indriwanto Sakidjan Jusup Endang Kurniawati, Yovie Mohammad Syaifur Rohman Muhamad Faza Soelaeman Muhammad Munawar Nani Hersunarti Nathaniel Abednego Novik Budiwardhana Nurnajmia Curie Proklamartina Oktavia Lilyasari Olfi Lelya Poppy S Roebiono Prawara, Ananta Sidhi Pribadi Wiranda Busro Rina Ariani Robert E. Saragih Satyagraha, Muhammad Thifan Sefri Noventi Sofia Sisca Natalia Siagian Yoga Yuniadi Yoga Yuniadi Yunita Widyastuti