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World Journal for Pediatric & Congenital Heart Surgery

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https://www.readbyqxmd.com/read/30222040/congenital-and-acquired-systemic-venous-anomalies-a-potpourri-of-right-to-left-shunts
#1
Jeremy Steele, Lourdes Prieto, David Majdalany, Robert Stewart, Hani Najm, Malek El Yaman
Systemic venous anomalies can occur in isolation or in association with other congenital heart disease. A left superior vena cava draining to a roofed coronary sinus represents the most common venous variant and is usually inconsequential. Embryologic or acquired disruptions in systemic veins can be problematic due to shunting and/or venous obstruction. In this case series, we report four systemic venous anomalies in patients with atrial and ventricular situs solitus. Each case demonstrates how clinically significant right to left shunts can occur from a systemic vein to the left atrium...
September 16, 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30200813/symptomatic-subclavian-steal-during-pregnancy-in-a-woman-status-post-coarctation-repair-in-infancy
#2
Adam M Lubert, Timothy B Cotts, Peter K Henke
A 24-year-old woman with a history of coarctation repair by subclavian flap aortoplasty presented at 15 weeks' gestation with transient episodes of vision loss. She was diagnosed with subclavian steal syndrome and underwent left carotid artery to subclavian artery bypass at 17 weeks' gestation. She has had no recurrence of symptoms at ten months of postoperative follow-up. Despite the anatomic substrate for subclavian steal in patients with this type of surgical repair, neurologic symptoms are uncommon. It is possible that the pregnancy-induced fall in systemic vascular resistance triggered symptoms in this previously asymptomatic patient...
September 10, 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30148690/tetralogy-of-fallot-with-absent-pulmonary-valve-and-nonconfluent-pulmonary-arteries-a-management-conundrum
#3
Sethuraman Swaminathan, Arpit Agarwal, Juan C Infante, Eliot Rosenkranz
Tetralogy of Fallot with absent pulmonary valve syndrome is a rare form of congenital heart disease. Among the different variations with this rare anomaly is nonconfluent pulmonary artery branches with anomalous origin of the left pulmonary artery from the ductus arteriosus. The authors present one such case which was diagnosed prenatally to have tetralogy of Fallot with absent pulmonary valve and identified postnatally to have nonconfluent pulmonary artery branches in addition. We discuss the conundrum of respiratory management in this patient pre- and postoperatively due to a unique ventilation perfusion mismatch problem, which varies between the two lungs...
August 27, 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30134770/long-term-outcome-of-direct-relief-of-subaortic-stenosis-in-single-ventricle-patients
#4
Friso M Rijnberg, Vladimir Sojak, Nico A Blom, Mark G Hazekamp
BACKGROUND: Single ventricle patients with unrestrictive pulmonary blood flow and (potential) subaortic stenosis are challenging to manage and optimal surgical strategy is unknown. Direct relief of subaortic stenosis by enlargement of the ventricular septal defect and/or subaortic chamber has generally been replaced by a Damus-Kaye-Stansel or Norwood procedure due to concerns of iatrogenic heart block, reobstruction, or ventricular dysfunction. Studies reporting long-term outcome after the direct approach are limited...
August 22, 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30134769/palliating-premature-infants-with-obstructed-total-anomalous-pulmonary-venous-connection-via-catheterization
#5
Reid C Chamberlain, Kevin D Hill, Gregory A Fleming
Obstructed total anomalous pulmonary venous connection (TAPVC) involves anomalous drainage of all pulmonary veins to a location other than the left atrium and typically causes significant respiratory symptoms requiring urgent surgical repair. Premature infants born with obstructed TAPVC are often not considered to be suitable surgical candidates due to their size and therefore pose a significant treatment dilemma. Catheter-based interventions provide a temporizing option for infants with obstructed TAPVC, allowing for hemodynamic stabilization and growth until surgical intervention is feasible...
August 22, 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30126326/-splint-mitral-valve-repair-for-destructive-endocarditis-in-children
#6
Michael Gritti, Anne Ferris, Amee Shah, Emile Bacha, David Kalfa
Medical management of infective endocarditis in the pediatric population has an associated in-hospital mortality rate of up to 25%. In the past, infective endocarditis of the mitral valve was surgically managed with a valve replacement. Now, there is a shift toward repair. However, for complex lesions in pediatric patients, many institutions are still hesitant to perform a mitral valve repair. We describe the cases of three children with destructive mitral valve endocarditis and risk factors for higher perioperative mortality and morbidity who were successfully treated with a complex mitral valve repair with "splint" patch plasty of the posteromedial commissure...
August 21, 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157747/management-of-symptomatic-infants-with-tetralogy-of-fallot
#7
Emile A Bacha
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157746/symptomatic-tetralogy-of-fallot-in-young-infants-primary-repair-or-shunt-pediatric-health-information-system-database-analysis
#8
Karthik V Ramakrishnan, David Zurakowski, William Pastor, Richard A Jonas, Pranava Sinha
BACKGROUND: Compare the early outcomes and hospital charges of early primary repair and systemic-to-pulmonary artery shunt for neonates and young infants (≤90 days of age) with tetralogy of Fallot using data from the Pediatric Health Information System database. METHODS: The Pediatric Health Information System database was queried for patients <90 days of age with primary diagnosis of tetralogy of Fallot who underwent nonelective surgical repair or palliation between January 2008 and December 2014...
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157745/primary-repair-of-tetralogy-of-fallot-may-be-cheaper-but-for-how-long-is-there-a-universal-truth
#9
Yves d'Udekem
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157744/another-way-to-skin-a-cat-apologies-to-the-spca-and-peta
#10
David F Vener
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157743/current-topics-and-controversies-in-pediatric-heart-transplantation-proceedings-of-the-pediatric-heart-transplantation-summit-2017
#11
Jonathan M Chen, Charles E Canter, Daphne T Hsu, Steven J Kindel, Yuk M Law, James E McKeever, Elfriede Pahl, Kurt R Schumacher
In October 2017, a pediatric heart transplant summit was held in Seattle-the first of its kind internationally-which focused solely upon controversies in pediatric end-stage heart failure management and pediatric heart transplantation. We selected five of the most popular and contentious topics and asked the speakers to provide a position paper. Worldwide, the vast majority of programs perform only a handful of pediatric heart transplants a year. Because of this, these "orphan" areas of investigation provide an opportunity for us as a community to aggregate our collective knowledge, which may represent the only viable way that we might sort through these complex and controversial issues in the field...
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157742/abstracts-of-the-2018-meeting-of-the-european-congenital-heart-surgeons-association-cascais-portugal-may-31-to-june-2-2018
#12
(no author information available yet)
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157741/reply-to-dr-saritas-et-al-significance-of-intraoperative-revision-during-arterial-switch-operation-in-the-current-era
#13
Yuki Nakamura, David Kalfa, Emile Bacha
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157740/goal-directed-cardiopulmonary-bypass-management-in-pediatric-cardiac-surgery
#14
Ronald Angona
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157739/incidence-of-immediate-extubation-after-pediatric-cardiac-surgery-and-predictors-for-reintubation
#15
Takeshi Shinkawa, Xinyu Tang, Jeffrey M Gossett, Rahul Dasgupta, Michael L Schmitz, Punkaj Gupta, Michiaki Imamura
OBJECTIVES: The objectives were to assess the incidence of immediate tracheal extubation in the operating room after pediatric cardiac surgery and to investigate predictors for subsequent reintubation. METHODS: This is a single institutional retrospective study including all patients who had a cardiac operation with cardiopulmonary bypass from 2011 to 2016. Patients who required preoperative ventilator support, postoperative open chest, or mechanical support were excluded...
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157738/significance-of-intraoperative-revision-during-arterial-switch-operation-in-the-current-era
#16
Bulent Saritas, Barbaros Kinoglu, Faig İsayev, Caglar Odek, Levent Kaplan
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157737/trisomy-18-and-congenital-heart-disease-single-center-review-of-outcomes-and-parental-perspectives
#17
Neena A Davisson, Joseph B Clark, Thomas K Chin, Robert D Tunks
BACKGROUND: In patients with trisomy 18, congenital heart surgery is controversial due to anticipated poor patient outcome. Data are lacking regarding clinical outcomes and family opinions about care received. METHODS: A retrospective chart review of patients with trisomy 18 and congenital heart disease from 2005 to 2017 was performed. Patients were grouped into those receiving cardiac intervention (surgery or cardiac catheterization) versus medical management. A telephone survey was used to assess completeness of family counseling provided prior to treatment selection and parental opinions on the care received...
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157736/aortic-coarctation-with-aneurysm-of-an-intercostal-artery-in-a-young-girl
#18
Marek Kardos, Miroslav Lakomy
No abstract text is available yet for this article.
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157735/bovine-jugular-vein-conduit-a-mid-to-long-term-institutional-review
#19
Parth M Patel, Corinne Tan, Nayan Srivastava, Jeremy L Herrmann, Mark D Rodefeld, Mark W Turrentine, John W Brown
BACKGROUND: Since 1999, we have used the bovine jugular vein conduit for right ventricular outflow tract reconstruction in infants and children. Herein, we review their mid- to long-term outcomes. METHODS: Between 1999 and 2016, 315 bovine jugular vein conduits were implanted in 276 patients. Patients were grouped by age at bovine jugular vein conduit implant: group 1: 0 to 1 years (N = 65), group 2: one to ten years (N = 132), and group 3: older than ten years (N = 118)...
September 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/30157734/aortic-arch-homograft-reconstruction-of-nonconfluent-pulmonary-arteries-during-extracardiac-fontan
#20
Koichi Sughimoto, Shubhayan Sanatani, Sanjiv K Gandhi
Reconstruction of nonconfluent pulmonary arteries during Fontan completion is a challenging technical issue. In this case report, we describe the use of an aortic homograft, including the aortic arch, to complete a Fontan and reconstruct the pulmonary artery confluence in a child with discontinuous pulmonary arteries and bilateral superior caval veins who had undergone bilateral unidirectional Glenn palliation. The configuration of the aortic homograft was ideal to ensure laminar flow from the inferior vena cava to both pulmonary arteries and in maintaining durable elastance posterior to the native aorta...
September 2018: World Journal for Pediatric & Congenital Heart Surgery
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