World journal for pediatric & congenital heart surgery最新文献_第4页

Pulmonary Overcirculation Requiring Surgical and Pulmonary Flow Restrictor Device Intervention in Critical Coarctation of the Aorta-A Case Series. 重症主动脉瓣狭窄患者需要手术和肺血流限制器介入治疗的肺动脉过度循环--病例系列。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-09-27 DOI: 10.1177/21501351241278576

Shivanand S Medar, T K Susheel Kumar, Esther Yewoon Choi, Christine Cha, Sunil Saharan, Michael Argilla, Ralph S Mosca, Sujata B Chakravarti

{"title":"Pulmonary Overcirculation Requiring Surgical and Pulmonary Flow Restrictor Device Intervention in Critical Coarctation of the Aorta-A Case Series.","authors":"Shivanand S Medar, T K Susheel Kumar, Esther Yewoon Choi, Christine Cha, Sunil Saharan, Michael Argilla, Ralph S Mosca, Sujata B Chakravarti","doi":"10.1177/21501351241278576","DOIUrl":"10.1177/21501351241278576","url":null,"abstract":"The use of prostaglandin infusion to maintain patency of the ductus arteriosus in patients with critical coarctation of the aorta (CoA) to support systemic circulation is the standard of care. However, pulmonary overcirculation resulting from a patent ductus arteriosus in patients with critical CoA is not well described in the literature. We report two cases of critical CoA that required invasive measures to control pulmonary blood flow before surgical repair of the CoA. Both patients had signs of decreased oxygen delivery, hyperlactatemia, and systemic to pulmonary flow via the ductus arteriosus. One patient required surgical pulmonary artery banding and the second patient underwent pulmonary flow restrictor device placement for the control of pulmonary blood flow. A rapid improvement in oxygen delivery and normalization of lactate levels were observed after control of pulmonary overcirculation. Both patients underwent successful surgical repair of the coarctation A and were discharged home.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"52-56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335651","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

Ostial Atresia After Coronary Unroofing for Anomalous Aortic Origin of the Left Coronary Artery. 左冠状动脉异常主动脉起源冠状动脉切开术后的闭锁

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-10-15 DOI: 10.1177/21501351241269857

Sandeep Sainathan, Leonardo Mullinari, Nitya Arumugam

引用次数: 0

Ascending Sliding Arch Aortoplasty for Coarctation of the Aorta and Hypoplastic Aortic Arch to Avoid Compression of a Retroaortic Innominate Vein. 为避免压迫主动脉后腹股沟静脉，对主动脉共动脉瘤和主动脉弓发育不良进行升主动脉弓滑动成形术。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-09-17 DOI: 10.1177/21501351241269967

Alexis Palacios-Macedo, Héctor Díliz-Nava, Fabiola Pérez-Juárez, Santiago Villar-Cantoral, Krystell Martínez Balderas, Jorge Silva-Estrada, Luis García-Benítez

引用次数: 0

Erratum to "Atrial septal defect closure: not always straightforward". 房间隔缺损闭合术：并非总是简单易行 "的勘误。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-10-25 DOI: 10.1177/21501351241296211

引用次数: 0

Extended Donor Criteria Outcomes in Adult Congenital Heart Disease Patients Undergoing Heart Transplantation in the United States. 美国接受心脏移植手术的成人先天性心脏病患者的扩展捐献者标准结果。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-11-22 DOI: 10.1177/21501351241277183

Luke Masha, Nael Aldweib, Nalini Colaco, Castigliano M Bhamidipati

{"title":"Extended Donor Criteria Outcomes in Adult Congenital Heart Disease Patients Undergoing Heart Transplantation in the United States.","authors":"Luke Masha, Nael Aldweib, Nalini Colaco, Castigliano M Bhamidipati","doi":"10.1177/21501351241277183","DOIUrl":"10.1177/21501351241277183","url":null,"abstract":"Background: There are very few published outcomes for the use of extended criteria donor (ECD) organs in adult congenital heart disease (ACHD) patients undergoing cardiac transplantation. We investigated outcomes with the use of ECD organs in this population. We hypothesized that ECD organs may be safely used in this population in patients who are younger and carry less vascular and renal disease than the general cardiac transplant population. Methods: United Network of Organ Sharing data from all ACHD heart transplant recipients between October 18, 2018, and September 30, 2023, was analyzed. Patients were grouped by ECD transplantation. The primary outcome of interest was one-year survival. Secondary outcomes included length of stay, posttransplant stroke, retransplantation, kidney transplantation, dialysis, pacemaker implantation, and rejection. Results: Extended criteria donor organs were utilized in 39.1% (200/512) of ACHD heart transplantation cases. There was marked regional variation in the use of ECD organs. Extended criteria donor criteria in this population were solely met by ischemic time ≥4 h in 89.5% (179/200) of cases. Transplantation with ECD donors was associated with lower survival (one-year survival 82.76% vs 90.62%). A multivariate Cox regression analysis suggested a hazard ratio of 1.96 with the use of these organs. Conclusion: Compared with organs accepted under traditional donor criteria, ECD organs appear to compromise short- and long-term survival in ACHD transplant candidates.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690215","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

Importance of Comprehensive Reporting in Rare Pediatric Cases: Insights From a Cardiac Echinococcosis Case Report. 全面报告罕见儿科病例的重要性：心脏棘球蚴病病例报告的启示。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-11-04 DOI: 10.1177/21501351241292619

Shifa Israr, Muhammad Usama, Muhammad Ikrama

引用次数: 0

Combined Norwood and Modified Left-Sided Starnes Procedures for Congenitally Corrected Transposition of the Great Arteries. 诺伍德和改良左侧斯塔内斯联合手术治疗先天性大动脉错位。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-10-30 DOI: 10.1177/21501351241282284

Yash Vaidya, Farida Karim, Satoshi Miyairi, Pranava Sinha

引用次数: 0

Myocardial Infarction in a Seven-Year-Old Girl With Left Atrial Myxoma. 一名患有左心房肌瘤的七岁女孩发生心肌梗死

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-09-13 DOI: 10.1177/21501351241274711

Srujan Ganta, Danielle Strah, Natalie Ellington, Dana Mueller, John J Nigro, Paul Grossfeld

引用次数: 0

Changes in Neonatal Intraoperative Electroencephalogram Alpha: Delta Ratios Precede Neurologic Injury. 新生儿术中脑电图 Alpha：神经损伤前的德尔塔比率。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-09-12 DOI: 10.1177/21501351241269963

Michael F Swartz, Justin Lansinger, Emelie-Jo Scheffler, Aubrey Duncan, Jill M Cholette, Shuichi Yoshitake, George M Alfieris

{"title":"Changes in Neonatal Intraoperative Electroencephalogram Alpha: Delta Ratios Precede Neurologic Injury.","authors":"Michael F Swartz, Justin Lansinger, Emelie-Jo Scheffler, Aubrey Duncan, Jill M Cholette, Shuichi Yoshitake, George M Alfieris","doi":"10.1177/21501351241269963","DOIUrl":"10.1177/21501351241269963","url":null,"abstract":"Background: Unrecognized intraoperative cerebral ischemia during neonatal aortic arch reconstruction may precede neurologic injury. Electroencephalogram (EEG) alpha:delta ratio (A:D) changes predict cerebral ischemia; however, if A:D differences can identify ischemia during neonatal antegrade cerebral perfusion (ACP) and aortic arch reconstruction is unknown. We hypothesized that A:D changes would precede neurologic injury. Methods: Simultaneous EEG derived left versus right: hemispheric and anterior cerebral A:Ds were retrospectively measured at baseline and every 5 min during arterial cannulation, cooling, ACP, and the rewarming phases of the operation. A paired left versus right A:D difference >25% was considered significant for ischemia, and the duration of a significant and continuous A:D difference was quantified in minutes. Neonates were divided into two groups: (1) new neurologic injury (stroke or seizure) and (2) no known neurologic injury. Results: From 72 neonates, there were no significant differences in the baseline A:Ds. Seven neonates (9.7%) developed a new neurologic injury (seizure = 3, stroke = 2, seizure and stroke = 2). Male gender and longer ACP times were significantly associated with neurologic injury. In neonates with a neurologic injury, the duration of a significant and continuous A:D difference was longer within the hemispheric and anterior regions. Multivariable analysis demonstrated that a significant and continuous anterior A:D difference (odds ratio: 1.345, 95% CI 1.058-1.712; P = .01) was independently associated with neurologic injury. Conclusions: A longer continuous anterior A:D difference > 25% was independently associated with neurologic injury. Intraoperative EEG monitoring could be considered during neonatal arch reconstruction.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"21-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305395","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 Closure of Multiple Muscular Ventricular Septal Defects in Children Using 3D-Printed Models. 利用三维打印模型对儿童多发性肌性室间隔缺损进行手术封堵。

World journal for pediatric & congenital heart surgery Pub Date : 2025-01-01 Epub Date: 2024-10-14 DOI: 10.1177/21501351241278584

Shalom Andugala, Caroline Grant, Jennifer Powell, Supreet Marathe, Prem Venugopal, Nelson Alphonso

{"title":"Surgical Closure of Multiple Muscular Ventricular Septal Defects in Children Using 3D-Printed Models.","authors":"Shalom Andugala, Caroline Grant, Jennifer Powell, Supreet Marathe, Prem Venugopal, Nelson Alphonso","doi":"10.1177/21501351241278584","DOIUrl":"10.1177/21501351241278584","url":null,"abstract":"Background: Multiple muscular ventricular septal defects (VSDs) are often difficult to visualize and access surgically. The main challenge is identifying all defects intraoperatively, without which residual defects are inevitable. Patient-specific three-dimensional (3D) printed models can help accurately demonstrate intracardiac anatomy. We present our experience using this technology to surgically close multiple muscular VSDs .Methods: Data of all patients with multiple VSDs in whom a 3D-printed model was used to aid surgical planning between September 2021 and July 2023 was collected retrospectively. Our approach involved generating a 3D model from a preoperative computerized tomography scan for each patient, which was then used to precisely identify the location of the multiple VSDs and plan surgical intervention.Results: Six patients underwent closure of multiple VSDs using a 3D model. The mean age at surgery was 3.5 years (SD ± 2.8 years). Five (83.3%) patients had previously undergone pulmonary artery banding. The VSDs were approached through the right atrium in three (50%) and the right ventricle in three (50%) patients. Mean cardiopulmonary bypass and myocardial ischemia times were 185.2 min (SD ± 94.8 min) and 147.5 min (SD ± 86 min), respectively. There was no postoperative heart block or a hemodynamically significant residual VSD. All six patients had normal biventricular function at a median follow-up duration of 1.7 months (interquartile range: 1.2-7.4 months).Conclusion: 3D printing to aid closure of multiple VSDs is safe, reliable, and reproducible. We recommend adding 3D printing to surgeons' armamentarium when faced with the challenge of closing multiple muscular VSDs in children.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484834","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