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Ventricular Septal Defect Surgery in the Pediatric Patient

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Adult outcomes of childhood bronchiectasis.

Dawn Sibanda, Rosalyn Singleton, John Clark, Christine Desnoyers, Ellen Hodges, Gretchen Day, Gregory Redding,

Recent literature has highlighted the importance of transition from paediatric to adult care for children with chronic conditions. Non-cystic fibrosis bronchiectasis is an important cause of respiratory morbidity in low-income countries and in indigenous children from affluent countries; however, there is little information about adult outcomes of childhood bronchiectasis. We ... Read more >>

Int J Circumpolar Health (International journal of circumpolar health)
[2020, 79(1):1731059]

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Does ascending aorta size affect Norwood outcomes in hypoplastic left heart with aortic atresia?

Horacio G Carvajal, Matthew W Canter, Aaron M Abarbanell, Pirooz Eghtesady,

BACKGROUND:Conflicting data exists regarding the impact of ascending aorta size on outcomes following the Norwood procedure. Results from multi-institutional studies have largely relied on heterogeneous populations undergoing this surgery for different anatomic defects. Using data from the Single Ventricle Reconstruction Trial, we analyzed the impact of preoperative ascending aortic diameter ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Transcatheter Closure of Perimembranous Ventricular Septal Defects Using Different Generations of Amplatzer Devices: Multicenter Experience.

Roberto Mijangos-Vázquez, Amal El-Sisi, Juan P Sandoval Jones, José A García-Montes, Rogelio Hernández-Reyes, Rodina Sobhy, Antoine Abdelmassih, Mohammed M Soliman, Safaa Ali, Tatiana Molina-Sánchez, Carlos Zabal,

Objectives:To demonstrate safety and efficacy of using different generations of softer Amplatzer™ devices for ventricular septal defect (VSD) closure to avoid serious complications at follow-up. Background:Transcatheter closure of perimembranous ventricular septal defects (PmVSD) is a well-established procedure; however, it is associated with unacceptable incidence of complete heart block. Great advantages ... Read more >>

J Interv Cardiol (Journal of Interventional Cardiology)
[2020, 2020:8948249]

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Left ventricular unloading during extracorporeal membrane oxygenation - Impella versus atrial septal defect: A simulation study.

Arianna Di Molfetta, Iki Adachi, Gianfranco Ferrari, Maria Giulia Gagliardi, Gianluigi Perri, Roberta Iacobelli, Athar M Qureshi, Luigi Di Pasquale, Rodrigo Zea Vera, Paolo Guccione, Matteo Di Molfetta, Giovanni Alfonso Chiariello, Sergio Filippelli, Antonio Amodeo,

BACKGROUND:Atrial septal defect and Impella have been proposed for left ventricular unloading in venoarterial extracorporeal membrane oxygenation patients. This work aims at evaluating the haemodynamic changes in venoarterial extracorporeal membrane oxygenation patients after Impella implantation or atrial septal defect realization by a simulation study. METHODS:A lumped parameter model of the ... Read more >>

Int J Artif Organs (The International journal of artificial organs)
[2020, :391398820906840]

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Gastrostomy and Tracheostomy After Complete Repair of Tetralogy of Fallot in Children With 22q11.2 Deletion Syndrome.

Danielle M Herington, Xinyu Tang, Beverly J Spray, Brian L Reemtsen, Parthak Prodhan, Gresham T Richter, William B Kyle, Elijah H Bolin,

OBJECTIVES:Caring for a child with gastrostomy and/or tracheostomy can cause measurable parental stress. It is generally known that children with 22q11.2 deletion syndrome are at greater risk of requiring gastrostomy or tracheostomy after heart surgery, although the magnitude of that risk after complete repair of tetralogy of Fallot has not ... Read more >>

Pediatr Crit Care Med (Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies)
[2020, :]

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Atrioventricular Valve Function Predicts Reintervention in Complete Atrioventricular Septal Defect.

Rinske Ijsselhof, Kimberlee Gauvreau, Pedro Del Nido, Meena Nathan,

OBJECTIVE:Technical performance score (TPS) has been associated with both early and late outcomes across a wide range of congenital cardiac procedures. A previous study has shown that the presence of residual lesions before discharge, as measured by TPS, is accurately able to identify patients who required postdischarge reinterventions after complete ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2020, 11(2):247-248]

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Levosimendan Versus Milrinone for Inotropic Support in Pediatric Cardiac Surgery: Results From a Randomized Trial.

Elin M Thorlacius, Håkan Wåhlander, Tiina Ojala, Kaisa Ylänen, Juho Keski-Nisula, Mats Synnergren, Birgitta S Romlin, Sven-Erik Ricksten, Albert Castellheim,

OBJECTIVE:The present study aimed to determine the differential effects of intraoperative administration of milrinone versus levosimendan on myocardial function after pediatric cardiac surgery. Transthoracic echocardiography was used for myocardial function evaluation using biventricular longitudinal strain with 2-dimensional speckle tracking echocardiography in addition to conventional echocardiographic variables. DESIGN:A secondary analysis of ... Read more >>

J. Cardiothorac. Vasc. Anesth. (Journal of cardiothoracic and vascular anesthesia)
[2020, :]

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MHCA with SACP versus DHCA in Pediatric Aortic Arch Surgery: A Comparative Study.

Ling Xie, Yan Xu, Guijin Huang, Mao Ye, Xiao Hu, Shiyu Shu, Harness Lynn,

The safety and efficacy of selective antegrade cerebral perfusion (SACP) in children undergoing aortic arch surgery are unclear. In this retrospective analysis, we compared moderate hypothermic circulatory arrest (MHCA; n = 61) plus SACP vs deep hypothermic circulatory arrest (DHCA; n = 53) in children undergoing aortic arch surgery during a period from January ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):4439]

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Early and late outcomes of surgical repair of double-chambered right ventricle: a single-centre experience.

Murat Surucu, İlkay Erdoğan, Birgül Varan, Murat Özkan, N Kürşad Tokel, Sait Aşlamacı,

OBJECTIVE:Double-chambered right ventricle is characterised by division of the outlet portion of the right ventricle by hypertrophy of the septoparietal trabeculations into two parts. We aim to report our experiences regarding the presenting symptoms of double-chambered right ventricle, long-term prognosis, including the recurrence rate and incidence of arrhythmias after surgery. ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, 30(3):409-412]

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Vacuum-Assisted Closure for the Treatment of Deep Sternal Wound Infection After Pediatric Cardiac Surgery.

Gilad Sherman, Orit Shulman-Manor, Ovadia Dagan, Gilat Livni, Oded Scheuerman, Gabriel Amir, George Frenkel, Itzhak Levy,

OBJECTIVES:Vacuum-assisted closure is being increasingly used to treat deep sternal wound infection following cardiac surgery, but most of the data refer to adults. This study investigated the safety and efficacy of vacuum-assisted closure in pediatric patients. DESIGN:Retrospective file review. SETTING:Tertiary pediatric medical center. PATIENTS:All children with deep sternal wound infection ... Read more >>

Pediatr Crit Care Med (Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies)
[2020, 21(2):150-155]

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Cardiopulmonary dysfunction in adults with a small, unrepaired ventricular septal defect: A long-term follow-up.

Filip Eckerström, Christian Emil Rex, Marie Maagaard, Johan Heiberg, Sune Rubak, Andrew Redington, Vibeke Elisabeth Hjortdal,

BACKGROUND:There are increasing reports of cardiac and exercise dysfunction in adults with small, unrepaired ventricular septal defects (VSDs). The primary aim of this study was to evaluate pulmonary function in adults with unrepaired VSDs, and secondly to assess the effects of 900 μg salbutamol on lung function and exercise capacity. METHODS:Young ... Read more >>

Int. J. Cardiol. (International journal of cardiology)
[2020, :]

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Congenital Heart Disease in the Pediatric Population in Eastern India: A Descriptive Study.

Sharmila Chatterjee, Santanu Dutta, Sumanta Ghosh, Sanchita Das, Nital Bhattachary,

This cross-sectional study assessed distribution and pattern of echocardiography confirmed congenital heart disease, among 593 pediatric patients in outpatient departments of a tertiary care hospital in eastern India. Commonest defects were ventricular septal defect (43, 40.7%), atrial septal defect (241, 31.7%), and tetralogy of Fallot (125, 21%). ... Read more >>

Indian Pediatr (Indian pediatrics)
[2020, 57(2):174-175]

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Use of Lifetech™ Konar-MF, a device for both perimembranous and muscular ventricular septal defects: A multicentre study.

Ibrahim Cansaran Tanidir, Osman Baspinar, Murat Saygi, Mehmet Kervancioglu, Alper Guzeltas, Ender Odemis,

BACKGROUND:The objective of this study was to evaluate the safety and efficacy of transcatheter closure of ventricular septal defects (VSD) using the LifeTech™ multifunctional occluder device (MF-Konar). METHODS:Clinical features and demographic characteristics and follow-up findings were evaluated retrospectively from three centers. RESULTS:MF-Konar was used in 98 patients. The median age ... Read more >>

Int. J. Cardiol. (International journal of cardiology)
[2020, :]

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Early cardiac unloading with ImpellaCP™ in acute myocardial infarction with ventricular septal defect.

Gabriele Via, Stefania Buson, Guido Tavazzi, Geza Halasz, Angelo Quagliana, Marco Moccetti, Stefanos Demertzis, Tiziano Cassina,

Despite a relative contraindication, mechanical support with Impella™ left ventricular assist device has already been described for ischaemic ventricular septal defect treatment, either as a bridge to surgery, as intraoperative mechanical haemodynamic support, or to ensure intraprocedural haemodynamic stability during device closure. We describe two cases of ventricular septal defect ... Read more >>

ESC Heart Fail (ESC heart failure)
[2020, :]

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Visualization and quantification of the atrioventricular conduction axis in hearts with ventricular septal defect using phase contrast computed tomography.

Shuichi Yoshitake, Yukihiro Kaneko, Kiyozo Morita, Masato Hoshino, Yoshihiro Oshima, Masashi Takahashi, Robert H Anderson, ,

OBJECTIVE:To visualize and quantify the atrioventricular conduction axis in the setting of ventricular septal defect using phase contrast computed tomography. METHODS:We used the SPring-8 synchrotron radiation facility in Hyogo prefecture in Japan, processing and reconstructing the data with 3-dimensional software. RESULTS:We studied 8 hearts obtained from patients known to have ... Read more >>

J. Thorac. Cardiovasc. Surg. (The Journal of thoracic and cardiovascular surgery)
[2020, :]

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Does Early Drain Removal Affect Postoperative Pericardial Effusion after Congenital Cardiac Surgery?

Young Eun Kim, Hanna Jung, Joon Yong Cho, Yeo Hyang Kim, Myung Chul Hyun, Youngok Lee,

Background:Patients undergoing cardiac surgery require postoperative chest drainage. However, the drain is difficult to keep in place in children with congenital heart disease. Since 2015, at Kyungpook National University Hospital, the chest tube is removed on postoperative day 1 in patients who have undergone simple congenital cardiac surgery (i.e., closure ... Read more >>

Korean J Thorac Cardiovasc Surg (The Korean journal of thoracic and cardiovascular surgery)
[2020, 53(1):16-21]

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Right Atrial Myocardial Remodeling in Children With Atrial Septal Defect Involves Inflammation, Growth, Fibrosis, and Apoptosis.

Hatem Rouatbi, Nesrine Farhat, Ruth Heying, Arlette Gérard, Jaime F Vazquez-Jimenez, Marie-Christine Seghaye,

Introduction: Myocardial remodeling due to large atrial septum defect (ASD) is macroscopically characterized by dilation of the right-sided cardiac cavities secondary to volume overload, the cellular mechanisms of which are not yet understood. We postulated that inflammation, fibrosis, and cell death are actors of right atrial remodeling secondary to ASD. ... Read more >>

Front Pediatr (Frontiers in pediatrics)
[2020, 8:40]

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Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection.

Alexandre Noboru Murakami, Gabriela Guimarães Baston, Mariana Ribeiro Rodero Cardoso, Carlos Henrique De Marchi, Ulisses Alexandre Croti,

CLINICAL DATA:Infant, 7 months, female, referred to our department at one month of age, suspecting of congenital heart disease for further investigation. CHEST RADIOGRAPHY:Demonstrates cardiomegaly and prominent pulmonary vascular markings. ELECTROCARDIOGRAPHY:Shows right ventricular hypertrophy and left anterior fascicular block. ECHOCARDIOGRAPHY:Evidenced common atrioventricular valve with two orifices and the left superior ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, 34(6):765-768]

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An Unusual Case of Hypoproteinemia in Childhood: Keep in Mind Trichobezoar.

Mariangela Stinco, Alessandra Montemaggi, Bruno Noccioli, Massimo Resti, Salvatore Grosso, Sandra Trapani,

Protein-losing enteropathy (PLE) is a rare condition characterized by protein loss through the gastrointestinal tract, leading to hypo-proteinemia. Patients may be asymptomatic or present with variety of complications of hypoproteinemia (e.g., oedema, ascites, pleural, and cardial effusions). We describe a case report of a young girl suffering from behavioral disorder ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:82]

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Twenty-Three-Year Experience With the Arterial Switch Operation: Expectations and Long-Term Outcomes.

Charles D Fraser, Martin A Chacon-Portillo, Andrew Well, Rodrigo Zea-Vera, Ziyad Binsalamah, Iki Adachi, Carlos M Mery, Jeffrey S Heinle,

We aimed to describe the short- and long-term outcomes of patients after an arterial switch operation (ASO) at a single institution during a 23-year period. A retrospective chart review of all patients <18 months of age who underwent an ASO between January 1995 and March 2018 at Texas Children's Hospital, ... Read more >>

Semin. Thorac. Cardiovasc. Surg. (Seminars in thoracic and cardiovascular surgery)
[2020, :]

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The Value of Thoracic Lavage in the Treatment of Anastomotic Leakage After Surgery for Type III Esophageal Atresia.

Xu Cui, Yuanbin He, Liu Chen, Yu Lin, Jianqin Zhang, Chaoming Zhou,

BACKGROUND The aim of this study was to define whether the addition of thoracic lavage to chest drainage was more efficient than the use of chest drainage alone in the treatment for anastomotic leaks in type III esophageal atresia. MATERIAL AND METHODS The clinical data of 42 patients with anastomotic ... Read more >>

Med. Sci. Monit. (Medical science monitor : international medical journal of experimental and clinical research)
[2020, 26:e919962]

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Long-term follow-up after transatrial-transpulmonary repair of tetralogy of Fallot: influence of timing on outcome.

Eva van den Bosch, Ad J J C Bogers, Jolien W Roos-Hesselink, Arie P J van Dijk, Marie H E J van Wijngaarden, Eric Boersma, Aagje Nijveld, Linda W G Luijten, Ronald Tanke, Laurens P Koopman, Willem A Helbing,

OBJECTIVES:Our goal was to report the long-term serial follow-up after transatrial-transpulmonary repair of tetralogy of Fallot (TOF) and to describe the influence of the timing of the repair on outcome. METHODS:We included all patients with TOF who had undergone transatrial-transpulmonary repair between 1970 and 2012. Records were reviewed for patient ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2020, 57(4):635-643]

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Transcatheter Device Closure of Perimembranous Ventricular Septal Defect in Pediatric Patients: Long-Term Outcomes.

Jayal Hasmukhbhai Shah, Sanket Pravinchandra Saraiya, Tushar Sudhakarrao Nikam, Mukesh Jitendra Jha,

Aims:The aim of this study is to evaluate the safety and efficacy of transcatheter device closure of perimembranous ventricular septal defects in pediatric patients at long-term follow-up. Materials and Methods:We prospectively studied 376 patients with perimembranous VSDs between September 2008 and December 2015 who underwent percutaneous closure at our center. ... Read more >>

Heart Views (Heart views : the official journal of the Gulf Heart Association)
[2020, 21(1):17-21]

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Counseling for Prenatal Congenital Heart Disease-Recommendations Based on Empirical Assessment of Counseling Success.

Alexander Kovacevic, Andreas Simmelbauer, Sebastian Starystach, Michael Elsässer, Andreas Müller, Stefan Bär, Matthias Gorenflo,

Objectives: Empirical assessment of parental needs and affecting factors for counseling success after prenatal diagnosis of congenital heart disease (CHD). Methods:Counseling success after fetal diagnosis of CHD was assessed by a validated standardized questionnaire. The dependent variable "Effective Counseling" was measured in five created analytical dimensions (1. "Transfer of Medical ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:26]

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Surgical Repair of Peripheral Pulmonary Artery Stenosis in Patients Without Williams or Alagille Syndromes.

Elisabeth Martin, Richard D Mainwaring, R Thomas Collins, Kirstie L MacMillen, Frank L Hanley,

Peripheral pulmonary artery stenosis is a relatively rare form of congenital heart disease typically associated with genetic syndromes, such as Williams or Alagille syndromes. However, some patients present with severe stenosis without associated syndromes. The purpose of the study was to review our surgical experience in such patients. This was ... Read more >>

Semin. Thorac. Cardiovasc. Surg. (Seminars in thoracic and cardiovascular surgery)
[2020, :]

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