Julia Ehab Doss

Submitted: 22 February 2026 You are already at the latest version Background: Routine cardiac catheterization has traditionally been considered mandatory prior to the bidirectional Glenn procedure in patients with single-ventricle physiology, aiming to assess pulmonary artery anatomy, pulmonary pressures, and ventricular filling. However, invasive assessment carries procedural risk and cumulative radiation exposure, while advances in non-invasive imaging have challenged this paradigm.

Submitted: 11 January 2026 You are already at the latest version Armed conflicts disrupt healthcare systems, creating profound challenges for children with congenital heart disease (CHD). Time is a critical determinant of cardiac physiology, disease progression, and surgical feasibility. This editorial highlights how delays in diagnosis and treatment transform otherwise reversible conditions into advanced, irreversible, and life-limiting disease.