Aortic valve surgery: management and outcomes in the paediatric population.

Congenital anomalies of the aortic valve frequently necessitate intervention in childhood. The most common aortic valve pathologies present in childhood are aortic stenosis and insufficiency. Presentation of aortic valve disease depends on severity and presence of concomitant syndromes and valvular disorders. Treatment options are largely categorised as medical, percutaneous repair or surgical repair and replacement. Surgical techniques have been refined over the last few years making this the mainstay of treatment in paediatric cases. Whilst repair is considered in most instances before replacement, there are substantial limitations which are reflected in the frequency of reintervention and restenosis rate. Replacements are typically undertaken with tissue or mechanical prosthesis. The current gold-standard aortic valve replacement surgery is called the Ross procedure-where replacement is undertaken with a competent pulmonic valve and a simultaneous pulmonary homograft.Conclusion: In this review, we aim to outline the various surgical options and discuss efficacy and complications of various interventions. What is Known: • Congenital aortic valve defects repair options medically and surgically What is New: • Comparisons between surgical options for aortic valve repair including efficacy, risks and long-term outcomes.

Green copper nanoparticles from a native Klebsiella pneumoniae strain alleviated oxidative stress impairment of wheat plants by reducing the chromium bioavailability and increasing the growth.

Chromium (Cr) concentration has been increasing substantially in the environment due to industrial and anthropogenic factors. Plants can absorb Cr and undergo unrestrained oxidation cascades, resulting in cell injury. The ameliorative role of biogenic copper nanoparticles to relieve wheat plants from Cr stress by supporting their growth is still unclear. The present work aims at the biosynthesis and characterization of copper nanoparticles (CuNPs) from a native Klebsiella pneumoniae strain, followed by assessment of wheat growth and physiological responses to CuNPs mixed in Cr-rich soil. The taxonomic rank of K. pneumoniae SN35 was established by the 16 S rRNA gene sequence analysis. The properties of biogenic CuNPs were elucidated by using UV-vis spectroscopy, FTIR, XRD, SEM, and TEM. It was found that 19.01-47.47 nm spherical shaped CuNPs were stabilized by different functional groups produced extracellularly by the strain SN35. The XRD data revealed the crystalline nature of CuNPs as a face-centered cubic structure. Different concentrations of CuNPs (0, 25, 50 and 100 mg kg-1 of soil) were added into the soil mixed with 3.5 mg kg-1 K2Cr2O7 and the pots were placed in a growth chamber for 30 days. The results revealed that the CuNPs, at 25 and 50 mg kg-1 of soil, augmented plant growth, biomass, and cellular antioxidants contents, whereas decreased the reactive oxygen species and Cr translocation from soil to roots and shoots as compared to control plants. Overall, the results revealed that the soil amendment of CuNPs could immobilize the Cr in the soil to prevent its translocation to the upper plant parts and support wheat growth by relieving cellular oxidative stress.