Evidence map›Paper›PMID 40457653›Full record

ArticleJournal of clinical ultrasound : JCU

Prominent Chiari Network as a Cause of Cyanosis in Infants: A Case Report and Implications for Pediatric Cardiology Practice.

Carmen Rodríguez-Barrios, Irene Gutierrez-Rosa, Moises Rodriguez-Gonzalez

Abstract readCase Reports
In one paragraph

Article in Journal of clinical ultrasound : JCU. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Carmen Rodríguez-BarriosDepartment of Pediatrics, Puerta del Mar University Hospital, Cádiz, Spain.ORCID https://orcid.org/0009-0009-9169-9876
Irene Gutierrez-RosaDepartment of Pediatrics, Puerta del Mar University Hospital, Cádiz, Spain.
Moises Rodriguez-GonzalezDepartment of Pediatrics, Puerta del Mar University Hospital, Cádiz, Spain.ORCID https://orcid.org/0000-0002-5587-435X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Chiari network (CN) is an embryological remnant generally regarded as a benign incidental finding. When large and mobile, it may redirect venous blood across atrial communication and provoke cyanosis. We report a 1-month-old infant referred with a presumptive diagnosis of Tetralogy of Fallot whose intermittent desaturation was ultimately attributed to a prominent CN that streamed blood across a sizable atrial septal defect (ASD) in the setting of double outlet right ventricle (DORV). Recognition of this mechanism permitted conservative management until elective repair at 6 months (weight 6 kg). This case adds to the limited number of reports documenting CN-induced positional right-to-left shunting in infants with DORV and underscores how meticulous echocardiography can prevent premature surgery in underweighted neonates.

Indexed as

CyanosisDouble Outlet Right VentricleEchocardiographyHeart Septal Defects, AtrialDiagnosis, DifferentialHeart AtriaHumansInfantTetralogy of Fallotatrial septal defectcase reportChiari networkdouble outlet right ventricleechocardiographyneonatal cyanosis

Identifiers

PMID40457653
PMCPMC12589934

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.