World Journal for Pediatric and Congenital Heart Surgery最新文献_第6页

Creation of a Neo-Mitral Valve With Right Atrial Appendage Tissue in an Infant. 婴儿右心房附件组织新二尖瓣的创建。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351221145180

Vinod A Sebastian, Jacob R Miller, Pirooz Eghtesady

引用次数: 0

Replacement of Obstructed Right Ventricle to Pulmonary Artery Conduits: The Modified Peel Operation. 右心室阻塞置换肺动脉导管:改良剥离手术。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351231157587

Jorge L Cervantes-Salazar, Iris P Flores-Sarria, Diego B Ortega-Zhindón, Juan Calderón-Colmenero, Antonio Benita-Bordes, Josue Martínez-Guerrero

引用次数: 1

Preoperative Computed Tomographic Angiography Can Predict Need for Branch Pulmonary Artery Intervention in Patients With Ductal-Dependent Pulmonary Blood Flow. 术前计算机断层血管造影可以预测导管依赖性肺血流患者是否需要肺动脉分支介入治疗。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351221151050

Kirsten Graff, Anthony M Hlavacek, Nicholas Aizcorbe, Scott M Bradley, Shahryar M Chowdhury

{"title":"Preoperative Computed Tomographic Angiography Can Predict Need for Branch Pulmonary Artery Intervention in Patients With Ductal-Dependent Pulmonary Blood Flow.","authors":"Kirsten Graff, Anthony M Hlavacek, Nicholas Aizcorbe, Scott M Bradley, Shahryar M Chowdhury","doi":"10.1177/21501351221151050","DOIUrl":"https://doi.org/10.1177/21501351221151050","url":null,"abstract":"Background: Neonates with ductal-dependent pulmonary blood flow (DD-PBF) are at risk for pulmonary artery (PA) stenosis. The objective of this study was to identify preoperative cardiovascular computed tomography angiography (CTA) measures that are associated with the need for branch PA intervention.Methods: We identified neonates with DD-PBF who underwent preoperative CTA at our center and were followed for 24 months. The primary outcome was requiring intervention for branch PA stenosis at the initial or subsequent procedure. Patients were divided into three groups: 1) No PA intervention, 2) Initial PA intervention, and 3) Remote PA intervention. Measurements of the branch PAs and patent ductus arteriosus (PDA) were made prospectively.Results: Forty patients were included, 7 (18%) did not receive a PA intervention, 23 (58%) were in the initial PA intervention group, and 10 (25%) were in the remote PA intervention group. The distance from PA bifurcation to the largest diameter of the PA that receives the PDA showed a difference between the no-intervention group versus the initial and remote intervention groups (0.8 mm [IQR 0.7, 2.0], 8.2 mm [IQR 1.9, 13.7], 8.5 mm [IQR 6.5, 11.1], respectively, P = .02). The receiver operating characteristic curve showed a distance >2.2 mm had a sensitivity = 91% and specificity = 86% in predicting the need for PA intervention.Conclusion: The distance from the PA bifurcation to the largest diameter of the branch PA that accepts the PDA on preoperative CTA is highly predictive of the need for initial or remote PA intervention in this group. Preoperative CTA should be considered for risk stratification in neonates undergoing intervention for DD-PBF.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 3","pages":"275-281"},"PeriodicalIF":0.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9414153","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

Ventricular Septal Defect Exposure by Tricuspid Valve Chordal Detachment-A Retrospective Matched Study. 三尖瓣索索分离暴露室间隔缺损-回顾性匹配研究。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351221151042

Amr Ashry, Sophia Khan, Melonie Johns, Denise Moran, Heba M Mohammed, Robyn Lotto, Ramesh Kutty, Ram Dhannapuneni, Rafael Guerrero, Attilio Lotto

{"title":"Ventricular Septal Defect Exposure by Tricuspid Valve Chordal Detachment-A Retrospective Matched Study.","authors":"Amr Ashry, Sophia Khan, Melonie Johns, Denise Moran, Heba M Mohammed, Robyn Lotto, Ramesh Kutty, Ram Dhannapuneni, Rafael Guerrero, Attilio Lotto","doi":"10.1177/21501351221151042","DOIUrl":"https://doi.org/10.1177/21501351221151042","url":null,"abstract":"Background: Transatrial approach is the standard method in repairing ventricular septal defects (VSD) in the pediatric population. However, the tricuspid valve (TV) apparatus might obscure the inferior border of the VSD risking the adequacy of repair by leaving residual VSD or heart block. Detachment of the TV chordae has been described as an alternative technique to TV leaflet detachment. The aim of this study is to investigate the safety of such a technique. Methods: Retrospective review of patients who underwent VSD repair between 2015 and 2018. Group A (n = 25) had VSD repair with TV chordae detachment were matched for age and weight to group B (n = 25) without tricuspid chordal or leaflet detachment. Electrocardiogram (ECG) and echocardiogram at discharge and at 3 years of follow-up were reviewed to identify new ECG changes, residual VSD, and TV regurgitation. Results: Median ages in groups A and B were 6.13 (IQR 4.33-7.91) and 6.33 (4.77-7.2) months. New onset right bundle branch block (RBBB) was diagnosed at discharge in 28% (n = 7) of group A versus 56% (n = 14) in group B (P = .044), while the incidence dropped to 16% (n = 4) in group A versus 40% (n = 10) in group B (P = .059) in the 3 years follow-up ECG. Echocardiogram at discharge showed moderate tricuspid regurgitation in 16% (n = 4) in group A and 12% (n = 3) in group B (P = .867). Three years of follow-up echocardiography revealed no moderate or severe tricuspid regurgitation and no significant residual VSD in either group. Conclusion: No significant difference in operative time was observed between the two techniques. TV chordal detachment technique reduces the incidence of postoperative RBBB without increasing the incidence of TV regurgitation at discharge.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 3","pages":"350-356"},"PeriodicalIF":0.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9760750","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

Interventricular Septal Hematoma Complicating Ventricular Assist Device Placement in an Infant: Case Report and Review of the Literature. 婴儿室间隔血肿并发心室辅助装置放置:病例报告和文献回顾。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351231156109

Michael C Mongé, Elizabeth Kalb, Sandhya Ramlogan, Anna Joong

引用次数: 1

Can the Public-Private Business Model Provide a Sustainable Quality Pediatric Cardiac Surgery Program in Low- and Middle-Income Countries? 公私合营的商业模式能否在中低收入国家提供可持续的高质量儿科心脏外科项目?

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351221151057

Stephany Kim, Sreemathi Seshadrinathan, Kathy J Jenkins, John S Murala

{"title":"Can the Public-Private Business Model Provide a Sustainable Quality Pediatric Cardiac Surgery Program in Low- and Middle-Income Countries?","authors":"Stephany Kim, Sreemathi Seshadrinathan, Kathy J Jenkins, John S Murala","doi":"10.1177/21501351221151057","DOIUrl":"https://doi.org/10.1177/21501351221151057","url":null,"abstract":"Over 90% of the world's children with congenital heart disease do not have access to cardiac care. Although many models provide pediatric cardiac surgery in low- and middle-income countries, sustainability poses a barrier. We explore one model providing care for the underserved in Chennai, India, that came into existence through trial and error over 30 years across three phases. Phase 1 was a Tamilnadu state government-sponsored program that soon became unsustainable with unmet demands. Phase 2 utilized a grassroots foundation of a public-private partnership (PPP) with few donors and a hospital with suboptimal infrastructure. Phase 3 is the ongoing fine-tuning of the PPP model, with upgraded infrastructure and a well-trained team. Through indigenization, an average cardiac surgery costs Rupees (Rs.) 1,80,000 ($2400). The government funds Rs. 60,000 to 80,000 ($800-$1066.67), and the rest is funded through the fund pool. The goal is to perform 100 free surgeries annually by maintaining a fund pool of Rs. 50 lakhs ($66,666.67), which supplements government funds. This ensures equitable distribution of funds with no compromise on resources (disposables, single-use cannulas, etc). Our model ensures the dignity of the patient, fair compensation for workers, and is practical, affordable, and easily adaptable. Thus far, this model provided free cardiac surgery for 357 children from Risk Adjusted Congenital Heart Surgery Score of 1 to 4, with an overall mortality of 2.73%. The prerequisites for this model are having a \"spark plug,\" a dedicated surgical team, a partnership with state-of-the-art infrastructure, and a steady flow of funds.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 3","pages":"316-325"},"PeriodicalIF":0.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9407774","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

Complex Repair of Anomalous Left Coronary Artery From the Pulmonary Artery in a 55-Year-Old Patient. 肺动脉对左冠状动脉异常的复杂修复一例55岁患者。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351221149898

Timothy Lee, Jennifer L Cohen, Alice Chan, Ali N Zaidi, Percy Boateng, Raghav A Murthy

引用次数: 0

Benefit From a Humanitarian Pediatric Congenital Heart Surgery Program Over a 10-Year Period. 受益于人道主义儿童先天性心脏手术项目超过10年。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351231151666

Hannah E Fürniss, Mirjam Leutwyler, Christoph Zürn, Johannes Kroll, Fabian A Kari, René Höhn, Thilo K P Fleck, Rouven Kubicki, Katja Reineker, Friedhelm Beyersdorf, Brigitte Stiller

{"title":"Benefit From a Humanitarian Pediatric Congenital Heart Surgery Program Over a 10-Year Period.","authors":"Hannah E Fürniss, Mirjam Leutwyler, Christoph Zürn, Johannes Kroll, Fabian A Kari, René Höhn, Thilo K P Fleck, Rouven Kubicki, Katja Reineker, Friedhelm Beyersdorf, Brigitte Stiller","doi":"10.1177/21501351231151666","DOIUrl":"https://doi.org/10.1177/21501351231151666","url":null,"abstract":"Background: The charity organization Kinderherzen retten e.V. (KHR) enables humanitarian congenital heart surgery for pediatric patients from low- and middle-income countries at the University Heart Center Freiburg, Germany. The aim of this study was to assess periprocedural and mid-term outcomes of these patients for evaluation of KHR sustainability. Methods: Part one of the study comprised retrospective medical chart analyses of the periprocedural course of all KHR-treated children from 2008 to 2017, and part two a prospective evaluation of their mid-term outcome, assessed by questionnaires concerning survival, medical history, mental and physical development, and socioeconomic situation. Results: Of the 100 consecutively presented children from 20 countries (median age 3.25 years), 3 patients were not invasively treatable, 89 underwent cardiovascular surgery, and 8 received a catheter intervention only. There were no periprocedural deaths. Median postoperative duration of mechanical ventilation, intensive care stay, and total hospital stay was 7 (interquartile range [IQR] 4-21) hours, 2 (IQR 1-3) days, and 12 (IQR 10-16) days, respectively. Mid-term postoperative follow-up demonstrated a 5-year survival probability of 94.4%. The majority of patients received continued medical care in their home country (86.2% of patients), were in good mental and physical condition (96.5% and 94.7% of patients, respectively), and able to engage in age-appropriate education/employment (98.3% of patients). Conclusions: Cardiac, neurodevelopmental, and socioeconomic outcomes of patients treated via KHR was satisfactory. Thorough pre-visit evaluation and close contact with local physicians are crucial when providing this high-quality, sustainable, and viable therapeutic option for these patients.","PeriodicalId":23974,"journal":{"name":"World Journal for Pediatric and Congenital Heart Surgery","volume":"14 3","pages":"326-333"},"PeriodicalIF":0.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9408188","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 Mitral Valve Replacement Using a Catheter-Based Melody^TM Valve in a Landing Zone Constructed With a PTFE-Covered Expandable Cheatham-Platinum^TM Stent. 外科二尖瓣置换术中使用导管为基础的MelodyTM瓣膜置换术，着落区由聚四氟乙烯覆盖的可扩展cheatham - platumtm支架构成。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351231154213

Howaida El-Said, Amira Hussein, Srujan Ganta, Justin Ryan, John Nigro

引用次数: 0

Pouch Transfer for Single Coronary Artery With Nodal Artery Variant in Arterial Switch Operation. 动脉转换手术中单冠状动脉伴结动脉变异的眼袋移植。

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World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI: 10.1177/21501351221145176

Albert Pai, Krista Young, Ravi Ashwath, Marco Ricci, Mohsen Karimi

引用次数: 0