{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:20:00Z","timestamp":1771222800379,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>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\u2010month\u2010old 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\u2009months (weight 6\u2009kg). This case adds to the limited number of reports documenting CN\u2010induced positional right\u2010to\u2010left shunting in infants with DORV and underscores how meticulous echocardiography can prevent premature surgery in underweighted neonates.<\/jats:p>","DOI":"10.1002\/jcu.24097","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T01:34:36Z","timestamp":1748914476000},"page":"2172-2177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prominent Chiari Network as a Cause of Cyanosis in Infants: A Case Report and Implications for Pediatric Cardiology Practice"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9169-9876","authenticated-orcid":false,"given":"Carmen","family":"Rodr\u00edguez\u2010Barrios","sequence":"first","affiliation":[{"name":"Department of Pediatrics Puerta del Mar University Hospital  C\u00e1diz Spain"},{"name":"Biomedical Research and Innovation Institute of C\u00e1diz (INiBICA) Research Unit Puerta del Mar University Hospital  C\u00e1diz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Gutierrez\u2010Rosa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Puerta del Mar University Hospital  C\u00e1diz Spain"},{"name":"Biomedical Research and Innovation Institute of C\u00e1diz (INiBICA) Research Unit Puerta del Mar University Hospital  C\u00e1diz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5587-435X","authenticated-orcid":false,"given":"Moises","family":"Rodriguez\u2010Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Puerta del Mar University Hospital  C\u00e1diz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-020-02432-w"},{"issue":"3","key":"e_1_2_9_3_1","first-page":"917","article-title":"Outcomes of Cardiac Surgery in Infants Weighing <\u20092.5\u2009Kg","volume":"84","author":"Alsoufi B.","year":"2007","journal-title":"Annals of Thoracic Surgery"},{"key":"e_1_2_9_4_1","first-page":"1230","article-title":"Outcomes of Infants \u2264\u20093\u2009Kg Requiring Extracorporeal Membrane Oxygenation After Cardiac Surgery","volume":"94","author":"Bhat P.","year":"2012","journal-title":"Annals of Thoracic Surgery"},{"issue":"14","key":"e_1_2_9_5_1","article-title":"Chiari Network: Not Always a Harmless Structure\u2014An Unusual Case of Cyanosis in a Neonate and Review of the Literature","volume":"5","author":"Bouabsa H.","year":"2022","journal-title":"American Journal of Surgery. 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