World Journal for Pediatric and Congenital Heart Surgery最新文献_第4页

Outcomes of Transannular Repair of Tetralogy of Fallot With a Contegra^® Monocuspid Patch. 使用 Contegra® Monocuspid 修补片进行法洛氏四联症经瓣膜修复术的疗效。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-04-25 DOI: 10.1177/21501351231162902

Aleksandra Wasiak, Radoslaw Jaworski, Andrzej Pastuszko, Mariusz Birbach, Michal Kozlowski, Malgorzata Mirkowicz-Malek, Joanna Friedman-Gruszczynska, Bohdan Maruszewski, Andrzej Kansy

{"title":"Outcomes of Transannular Repair of Tetralogy of Fallot With a Contegra® Monocuspid Patch.","authors":"Aleksandra Wasiak, Radoslaw Jaworski, Andrzej Pastuszko, Mariusz Birbach, Michal Kozlowski, Malgorzata Mirkowicz-Malek, Joanna Friedman-Gruszczynska, Bohdan Maruszewski, Andrzej Kansy","doi":"10.1177/21501351231162902","DOIUrl":"10.1177/21501351231162902","url":null,"abstract":"Background: Surgical repair of tetralogy of Fallot (ToF) depends on the anatomical variations of the heart defect. A group of patients with a hypoplastic pulmonary valve annulus required a transannular patch. This study aimed to evaluate the early and late outcomes of ToF repair with a transannular Contegra® monocuspid patch in a single center.Methods: A retrospective review of medical records was conducted. This study included 224 children with a median age of 13 months who underwent ToF repair with a Contegra® transannular patch in over 20 years of observation. The primary outcomes were hospital mortality and need for early reoperations. The secondary outcomes were late death and event-free survival.Results: The hospital mortality in our group was 3.1%, whereas two patients required early reoperation. Three patients were excluded from the study because follow-up data were not available. In the remaining group of patients (212 patients), the median follow-up was 116 (range, 1-206) months. One patient died because of sudden cardiac arrest at home six months after surgery. Event-free survival was observed in 181 patients (85.4%), whereas the remaining 30 patients (14.1%) required graft replacement. The median time to reoperation was 99 (range, 4-183) months.Conclusions: Although surgical treatment of ToF has been performed for more than 60 years worldwide, the optimal approach in children with a hypoplastic pulmonary valve annulus remains debatable. Among options, the Contegra® monocuspid patch can be effectively used in transannular repair of ToF with good long-term results.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 4","pages":"427-432"},"PeriodicalIF":0.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9782083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Activated Prothrombin Complex Concentrate in Pediatric Cardiac Patients, Our Early Experience. 活化凝血酶原复合物浓缩物在小儿心脏病患者中的应用，我们的早期经验。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-06-04 DOI: 10.1177/21501351231174828

Elena Ashikhmina Swan, Nathan J Brinkman, Brian D Lahr, Michael E Nemergut, Joseph A Dearani, Elizabeth H Stephens

{"title":"Activated Prothrombin Complex Concentrate in Pediatric Cardiac Patients, Our Early Experience.","authors":"Elena Ashikhmina Swan, Nathan J Brinkman, Brian D Lahr, Michael E Nemergut, Joseph A Dearani, Elizabeth H Stephens","doi":"10.1177/21501351231174828","DOIUrl":"10.1177/21501351231174828","url":null,"abstract":"Background: Pediatric cardiac surgery is associated with abnormal coagulation, bleeding, and nearly ubiquitous transfusions. With the popularization of patient blood management, attempts are being made to decrease liberal transfusions by administering prothrombin complex concentrates (PCCs). The safety and efficacy of PCCs in adult cardiac surgery has been studied extensively, but only few reports address this in children. We performed an observational study focused on transfusion requirements after off-label use of activated PCC Factor Eight Inhibitor Bypassing Activity (FEIBA) as an adjunct to post-cardiopulmonary bypass (CPB) hemostatic protocol.Methods: We reviewed the medical records of children ≤15 kg undergoing cardiac operations with CPB between May 2018 and March 2022. A propensity score (PS) analysis was performed to identify matched pairs of patients who did and did not receive FEIBA.Results: Out of 210 patients who met the inclusion criteria, 44 patients received FEIBA. Propensity score-based analysis identified 40 matched pairs of patients with similar baseline characteristics. There was no statistically significant difference in the primary outcome-the volume of transfusion after CPB, which included all allogeneic blood products and salvaged washed red cells administered after protamine. Specifically, FEIBA patients were transfused 28 (22-34) mL/kg and controls were transfused 22 (11-49) mL/kg, P = .989. Upon arrival to ICU, the FEIBA group averaged an 8% lower international normalized ratio, compared with the controls (P = .009) and a 1.08 g/dL higher hemoglobin (P = .050). Neither difference remained significant on POD 1.Conclusions: In this exploratory study, we found no change in transfusion requirements after CPB despite FEIBA administration.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 4","pages":"417-424"},"PeriodicalIF":0.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Epicardial Devices: Early and Midterm Outcomes. 小儿心外膜装置：早期和中期结果

IF 1.1

World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-02-27 DOI: 10.1177/21501351231157374

Elaine M Griffeth, Prasad Krishnan, Joseph A Dearani, Siddharth Pahwa, Michael J Ackerman, Philip L Wackel, Austin Todd, Bryan C Cannon

{"title":"Pediatric Epicardial Devices: Early and Midterm Outcomes.","authors":"Elaine M Griffeth, Prasad Krishnan, Joseph A Dearani, Siddharth Pahwa, Michael J Ackerman, Philip L Wackel, Austin Todd, Bryan C Cannon","doi":"10.1177/21501351231157374","DOIUrl":"10.1177/21501351231157374","url":null,"abstract":"Background: Lead performance is suboptimal in young patients and a main cause of device system failure. Our objective was to assess early and midterm outcomes after epicardial device implantation in a contemporary pediatric cohort.Methods: A total of 116 consecutive pediatric patients underwent 137 epicardial device implantations from 2010 to 2019. Forty pacemakers and 97 implantable cardioverter defibrillators (ICDs) were implanted. Lead failure was defined as leads repaired, replaced, or abandoned due to fracture, dislodgement, or dysfunction. Freedom from device system failure was determined using Kaplan-Meier analysis.Results: Mean age at implantation was 10 ± 5 years, 46 (34%) were younger than 8 years old, 41 (30%) had prior cardiac surgery, and 38 (28%) had prior devices. Main indications were acquired heart block (17/40 [43%]), sinus node dysfunction (14/40 [35%]), and congenital heart block (7/40 [18%]) for pacemakers, and hypertrophic cardiomyopathy (46/97 [47%]), long QT syndrome (31/97 [32%]), and ventricular arrhythmia (17/97 [18%]) for ICDs. There were no early deaths. Three-year freedom from device system failure was 80% (95% CI 73%, 88%) for all patients and 88% (95% CI 79%, 99%) for patients <8 years old. Device system failure causes included lead fracture (20/34 [59%]), lead dysfunction (5/34 [15%]), lead dislodgement (5/34 [15%]), infection (3/34 [9%]), and pericarditis (1/34 [3%]). Reintervention was required in 26/34 (76%) device system failures.Conclusions: Epicardial device implantation is safe, shows acceptable midterm outcomes in children, and is an effective option in patients younger than 8 years old. Close device surveillance continues to be essential to detect lead failure early and ensure timely reintervention.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 4","pages":"451-458"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9790793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Managing Myocardial Bridge and Right Ventricular Outflow Tract Obstruction in an Adolescent With Hypertrophic Cardiomyopathy. 处理肥厚型心肌病青少年的心肌桥和右心室流出道阻塞。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-05-16 DOI: 10.1177/21501351231166661

Alysha Joseph, Nathanya Baez Hernandez, Ryan Davies, Weiyi Tan

引用次数: 0

Invited Commentary: Proof of Concept in Search of the Holy Grail. 特邀评论:寻找圣杯的概念证明。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 DOI: 10.1177/21501351231178270

John J Lamberti

引用次数: 0

Perioperative Care Models for Neonates With Congenital Heart Disease: Evolving Role of Neonatology Within the Cardiac Intensive Care Unit. 先天性心脏病新生儿围手术期护理模式：新生儿科在心脏重症监护病房中不断演变的角色。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-06-12 DOI: 10.1177/21501351231170772

Paulomi M Chaudhry, Shawn Sen, Martina Steurer, Victor Y Levy, Sharada Gowda, Molly K Ball, Amir Ashrafi, Sitaram M Emani, Emile A Bacha, Paul A Checchia, Philip T Levy, Ganga Krishnamurthy

{"title":"Perioperative Care Models for Neonates With Congenital Heart Disease: Evolving Role of Neonatology Within the Cardiac Intensive Care Unit.","authors":"Paulomi M Chaudhry, Shawn Sen, Martina Steurer, Victor Y Levy, Sharada Gowda, Molly K Ball, Amir Ashrafi, Sitaram M Emani, Emile A Bacha, Paul A Checchia, Philip T Levy, Ganga Krishnamurthy","doi":"10.1177/21501351231170772","DOIUrl":"10.1177/21501351231170772","url":null,"abstract":"A multidisciplinary team is needed to optimally care for infants with congenital heart disease (CHD). Different compositions of teams trained in cardiology, critical care, cardiothoracic surgery, anesthesia, and neonatology have been identified as being primarily responsible for perioperative care of this high-risk population in dedicated cardiac intensive care units (CICUs). Although the specific role of cardiac intensivists has become more well defined over the past two decades, the responsibilities of neonatologists remain highly variable in the CICU with neonatologists providing care along with a unique spectrum of primary, shared, or consultative care. The neonatologist can function as the primary physician and assume all or share responsibility with the cardiac intensivists for the management of infants with CHD. A neonatologist can provide care as a secondary consultant physician in a supportive role for the primary CICU team. Additionally, neonates with CHD can be mixed with older children in a CICU, cohorted in a dedicated space within the CICU or placed in a stand-alone infant CICU without older children. Although variations exist between centers on which model of care is deployed and the location within a CICU, characterization of current practice patterns represents the initial step required to determine optimal best practices to improve the quality of care for neonates with cardiac disease. In this manuscript, we present four models utilized in the United States in which the neonatologist provides neonatal-cardiac-focused care in a dedicated CICU. We also outline the different permutations of location where neonates can be cared for in dedicated pediatric/infant CICUs.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 4","pages":"481-489"},"PeriodicalIF":0.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Virtual Reality and Three-Dimensional Printing in the Surgical Planning of Slide Tracheoplasty. 在滑动气管成形术的手术规划中使用虚拟现实和三维打印技术。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-04-03 DOI: 10.1177/21501351231163532

Diana P Romero Lara, Carlos J Latorre-Rojas, Manuel Latorre Quintana, Martha L Velasco Morales, Leonardo S Pardo Nino, Maria L Arango

{"title":"Use of Virtual Reality and Three-Dimensional Printing in the Surgical Planning of Slide Tracheoplasty.","authors":"Diana P Romero Lara, Carlos J Latorre-Rojas, Manuel Latorre Quintana, Martha L Velasco Morales, Leonardo S Pardo Nino, Maria L Arango","doi":"10.1177/21501351231163532","DOIUrl":"10.1177/21501351231163532","url":null,"abstract":"Purpose: To describe our experience using virtual reality (VR) and three-dimensional (3D) printing as complements for the surgical planning process of slide tracheoplasty (ST) in patients with congenital tracheal stenosis (CTS). Description: VR and 3D printing are used for the surgical planning of ST as a therapeutic option in three female patients under five years of age with CTS. Evaluation: We assessed the planned surgical procedure, procedural time, postoperative complications, and outcomes, as well as the main surgeon's experience with the use of the applied technologies. Conclusions: The interaction within the VR environment allowed for collaboration of the surgical plan between surgical staff and enhancement of the radiologist-surgeon communication, while procedural simulation with 3D printing prototypes allowed for refining technical abilities for the surgical interventions. Based on our experience, the application of these technologies have added value to the surgical planning of ST and its outcomes in the treatment of CTS.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 4","pages":"503-508"},"PeriodicalIF":0.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9789638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Repair of a Rare Variant of Common Arterial Trunk, With Considerations of its Significance for Morphogenesis. 常见动脉主干罕见变异的手术修复及其对形态发生的意义。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-03-14 DOI: 10.1177/21501351231162912

Roman I Sekelyk, Ibrahim B Yusifli, Dmytro M Kozhokar, Vsevolod V Safonov, Robert H Anderson, Illya M Yemets

引用次数: 0

Surgical Experience With Nine Cases of Obstructed Right Aortic Arch. 九例右主动脉弓阻塞的手术经验

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-03-29 DOI: 10.1177/21501351231162956

W Hampton Gray, Robert A Sorabella, Luz A Padilla, David C Cleveland, Kathryn S Maxwell, Robert J Dabal

{"title":"Surgical Experience With Nine Cases of Obstructed Right Aortic Arch.","authors":"W Hampton Gray, Robert A Sorabella, Luz A Padilla, David C Cleveland, Kathryn S Maxwell, Robert J Dabal","doi":"10.1177/21501351231162956","DOIUrl":"10.1177/21501351231162956","url":null,"abstract":"Background: Right-sided aortic arch obstruction is an extremely rare congenital anomaly. A variety of surgical approaches have been described. This study reviews our institutional experience over the last 30 years.Methods: Our surgical database at the University of Alabama at Birmingham and Children's Hospital of Alabama from 1992 to 2022 was reviewed to include all patients who underwent surgical repair for right-sided aortic arch obstruction.Results: A total of nine patients underwent surgical repair for right-sided aortic arch obstruction. Surgical approach was via thoracotomy (n = 2, 22%), sternotomy (n = 5, 56%), or combined (n = 2, 22%). Primary extended end-to-end anastomosis was utilized for patients with discrete coarctation (n = 1, 11%), reverse subclavian flap for coarctation with associated distal arch hypoplasia (n = 2, 22%), GORE-TEX® tube graft for circumflex aorta (n = 1, 11%), and aortic arch advancement (n = 5, 56%) with or without patch augmentation for those with an interrupted or severely hypoplastic aortic arch. Reintervention was required in one patient (11%) for recoarctation. All patients were discharged in good condition. There was no hospital mortality and at 10.5 years (mean) follow-up there was one late death.Conclusion: Right aortic arch obstruction is a rare entity. Surgical approach should be tailored to the anatomy and associated intracardiac defects. Preoperative imaging with a CT angiogram is useful for operative planning. Sternotomy with single-stage primary repair is safe, effective, and our preferred surgical approach for patients with right aortic arch obstruction and associated intracardiac pathology.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 4","pages":"459-463"},"PeriodicalIF":0.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10148006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Pattern of Congenital Heart Diseases in School Children in Dongguan, China. 中国东莞学龄儿童先天性心脏病的患病率和模式。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-07-01 Epub Date: 2023-03-17 DOI: 10.1177/21501351231163133

GuanYang Kang, JianMin Xiao, Jieying Wang, HuiQing Zhang

{"title":"Prevalence and Pattern of Congenital Heart Diseases in School Children in Dongguan, China.","authors":"GuanYang Kang, JianMin Xiao, Jieying Wang, HuiQing Zhang","doi":"10.1177/21501351231163133","DOIUrl":"10.1177/21501351231163133","url":null,"abstract":"Background: To determine the prevalence and pattern of congenital heart disease (CHD) among elementary school children in Dongguan, China.Methods: Between November 2011 and November 2012, 540,574 school children from 449 elementary schools were screened for CHD by trained doctors in Dongguan. The school children who were suspected to have CHD were referred to a pediatric cardiologist and/or an echocardiographer for a complete evaluation.Results: The total prevalence of CHD was 2.14 per 1,000 school children (1,157/540,574). The most common form of CHD was isolated ventricular septal defect (37.77%; 437/1,157), followed by isolated atrial septal defect (20.22%; 234/1,157) and patent ductus arteriosus (9.94%; 115/1,157). With respect to sex, CHD was equally distributed between males and females.Conclusion: Our data show that the prevalence of CHD in Dongguan is not as high as expected and that isolated ventricular septal defect is the predominant pathology. Echocardiography plays a crucial role in the diagnosis of CHD.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 4","pages":"442-445"},"PeriodicalIF":0.9,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9788624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0