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https://www.readbyqxmd.com/read/27896819/extracorporeal-membrane-oxygenation-outcomes-after-the-comprehensive-stage-ii-procedure-in-patients-with-single-ventricles
#1
Daniel Gomez, Vicky Duffy, Diane Hersey, Carl Backes, Peter Rycus, Patrick McConnell, Jordan Voss, Mark Galantowicz, Clifford L Cua
Outcomes for extracorporeal membrane oxygenation (ECMO) have been described for patients with single ventricle physiology (SVP) undergoing cavopulmonary connection (Glenn procedure). An alternative surgical pathway for patients with SVP consists of an initial hybrid procedure followed by a comprehensive Stage II procedure. No data exist describing the outcomes of patients requiring ECMO after the comprehensive Stage II procedure. The goal of this study is to describe the outcomes for patients who required ECMO after the comprehensive Stage II procedure...
November 29, 2016: Artificial Organs
https://www.readbyqxmd.com/read/27865477/tracheostomy-among-infants-with-hypoplastic-left-heart-syndrome-undergoing-cardiac-operations-a-multicenter-analysis
#2
Parthak Prodhan, Amit Agarwal, Nahed O ElHassan, Elijah H Bolin, Brandon Beam, Xiomara Garcia, Michael Gaies, Xinyu Tang
BACKGROUND: Less than 2.7% of infants undergoing congenital heart disease operations have difficulty weaning from invasive mechanical ventilation. In such instances, clinicians may choose to perform tracheostomy. Limited literature has examined tracheostomy placement specifically in infants with hypoplastic left heart syndrome (HLHS). This study evaluated the risk factors for tracheostomy placement in infants with HLHS and examined the outcomes of these infants before their first hospital discharge...
November 16, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27777296/current-therapy-for-hypoplastic-left-heart-syndrome-and-related-single-ventricle-lesions
#3
Richard G Ohye, Dietmar Schranz, Yves D'Udekem
Universally fatal only 4 decades ago, the progress in the 3-stage palliation of hypoplastic left heart syndrome and related single right ventricular lesions has drastically improved the outlook for these patients. Although the stage II operation (hemi-Fontan or bidirectional Glenn) and stage III Fontan procedure have evolved into relatively low-risk operations, the stage I Norwood procedure remains one of the highest-risk and costliest common operations performed in congenital heart surgery. Yet, despite this fact, experienced centers now report hospital survivals of >90% for the Norwood procedure...
October 25, 2016: Circulation
https://www.readbyqxmd.com/read/27729708/perioperative-management-of-a-child-with-hypoplastic-left-heart-syndrome-of-the-jehovah-s-witness-faith-presenting-for-hybrid-comprehensive-stage-ii-procedure
#4
Sathappan Karuppiah, Christopher Mckee, Ashley Hodge, Mark Galantowicz, Joseph Tobias, Aymen Naguib
Over the years, there has been a growing recognition of the potential negative sequelae of allogeneic blood products on postoperative outcomes following cardiac surgery. In addition, followers of the Jehovah's Witness (JW) faith have a religious restriction against receiving blood or blood components. Advances in perioperative care, cardiopulmonary bypass (CPB), and surgical technique have minimized the need for allogeneic blood products. Specific blood conservation strategies include maximizing the preoperative hematocrit and coagulation function as well as intraoperative strategies, such as acute normovolemic hemodilution and adjustments of the technique of CPB...
September 2016: Journal of Extra-corporeal Technology
https://www.readbyqxmd.com/read/27709095/hypoplastic-left-heart-syndrome-current-perspectives
#5
Christopher E Greenleaf, J Miguel Urencio, Jorge D Salazar, Ali Dodge-Khatami
Since the first successful intervention for hypoplastic left heart syndrome (HLHS) was undertaken by Norwood in 1983, there have been many advancements in the pre-, intra-, and postoperative care of these children for a diagnosis that just 25 years ago was almost certainly a fatal one. This paper aims to describe the most recent trends and perspectives on the treatment of HLHS. In particular, we will discuss the five current options for HLHS, including Norwood stage I as the beginning to 3-stage palliation, transplant, true hybrid, hybrid-bridge-to-Norwood, and compassionate care...
July 2016: Translational pediatrics
https://www.readbyqxmd.com/read/27694357/understanding-the-hybrid-stage-i-approach-for-hypoplastic-left-heart-syndrome
#6
Sharon L Cheatham, Grace M Deyo
Hybrid stage I palliation combines cardiothoracic surgery and interventional transcatheter procedures for treatment of hypoplastic left heart syndrome. The approach is an alternative to the Norwood procedure, the traditional first stage of surgical palliation. Hybrid stage I palliation involves placing bilateral branch pulmonary artery bands and a patent ductus arteriosus stent through a median sternotomy, performed without cardiopulmonary bypass. The purpose of the bands is to control blood flow to the lungs and protect the pulmonary bed while the stent sustains systemic cardiac output...
October 2016: Critical Care Nurse
https://www.readbyqxmd.com/read/27425423/arrhythmias-after-stage-i-hybrid-palliation-in-single-ventricle-patients
#7
Jeffrey Moore, Diane Paulus, Clifford L Cua, Naomi J Kertesz, Yongjie Miao, John P Cheatham, Mark Galantowicz, Richard Fernandez
The hybrid procedure is an alternative palliative strategy for patients with single-ventricle physiology. No data exist documenting the incidence of arrhythmias after the hybrid procedure. Goal of this study was to determine the incidence and type of arrhythmias in patients undergoing the hybrid procedure. A retrospective chart review was performed including all patients undergoing the hybrid procedure between January of 2010 through December of 2013. Sixty-five patients underwent the hybrid procedure during this time period (43 HLHS, 22 other)...
December 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27142408/hybrid-stage-1-palliation-in-a-patient-with-hypoplastic-left-heart-syndrome-and-unusual-decompressing-levoatrial-cardinal-vein-in-turner-syndrome-utility-of-multimodality-imaging
#8
Giridhar Kaliki Venkata, James C Fudge, Himesh V Vyas, Mark S Bleiweis, Arun Chandran
No abstract text is available yet for this article.
May 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/27055807/interstage-somatic-growth-in-children-with-hypoplastic-left-heart-syndrome-after-initial-palliation-with-the-hybrid-procedure
#9
Fiona T S Chan, Hannah R Bellsham-Revell, Hannah Duggan, John M Simpson, Tony Hulse, Aaron J Bell
: Introduction The hybrid procedure is one mode of initial palliation for hypoplastic left heart syndrome. Subsequently, patients proceed with either the "three-stage" pathway - comprehensive second stage followed by Fontan completion - or the "four-stage" pathway - Norwood procedure, hemi-Fontan, or Fontan completion. In this study, we describe somatic growth patterns observed in the hybrid groups and a comparison primary Norwood group. METHODS: A retrospective analysis of patients who have undergone hybrid procedure and Fontan completion was performed...
April 8, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27032469/expectations-and-limitations-after-bilateral-pulmonary-artery-banding
#10
Takahisa Sakurai, Hajime Sakurai, Koji Yamana, Toshimichi Nonaka, Rei Noda, Ryohei Otsuka, Takuya Osawa
OBJECTIVES: Bilateral pulmonary artery banding (bil-PAB) has been developed as a part of a hybrid procedure for hypoplastic left heart syndrome (HLHS). We use this procedure for palliation of complex congenital heart disease, particularly in patients with arch anomaly. We reviewed our experience with bil-PAB. METHODS: Sixty-six consecutive cases between 2003 and 2014 were reviewed retrospectively. RESULTS: Fifty-one patients (77%) had single ventricle physiology (HLHS: 37, HLHS variant: 13, others: 1)...
October 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27000620/ductus-arteriosus-banding-to-facilitate-stenting-during-the-hybrid-stage-i-procedure
#11
Matteo Trezzi, Scott M Bradley, Varsha M Bandisode, Minoo N Kavarana
Neonates with hypoplastic left heart syndrome and high-risk factors for an open Norwood procedure may benefit from a hybrid stage I procedure. The presence of a giant patent ductus arteriosus prevents safe deployment of the ductus arteriosus stent. We describe a new technique that involves banding the patent ductus arteriosus, therefore allowing stent implantation during hybrid stage I palliation.
April 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26908097/impact-of-norwood-versus-hybrid-palliation-on-cardiac-size-and-function-in-hypoplastic-left-heart-syndrome
#12
Heynric B Grotenhuis, Bram Ruijsink, Devin Chetan, Andreea Dragulescu, Mark K Friedberg, Yasuhiro Kotani, Christopher A Caldarone, Osami Honjo, Luc L Mertens
OBJECTIVE: The hybrid approach for hypoplastic left heart syndrome (HLHS) could theoretically result in better preservation of right ventricular (RV) function then the Norwood procedure. The aim of this study was to compare echocardiographic indices of RV size and function in patients after Norwood and hybrid throughout all stages of palliation. METHODS: 76 HLHS patients (42 Norwood, 34 hybrid) were retrospectively studied. Echocardiography was obtained before stage I, before and after stage II, and before and after Fontan...
June 15, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/26704055/hybrid-therapy-for-hypoplastic-left-heart-syndrome-myth-alternative-or-standard
#13
Can Yerebakan, Klaus Valeske, Hatem Elmontaser, Uygar Yörüker, Matthias Mueller, Josef Thul, Valesco Mann, Heiner Latus, Anika Villanueva, Karoline Hofmann, Dietmar Schranz, Hakan Akintuerk
OBJECTIVE: This retrospective study presents our operative results, mortality, and morbidity with regard to pulmonary artery growth and reinterventions on the pulmonary artery and aortic arch, including key features of our institutional standards for the 3-stage hybrid palliation of patients with hypoplastic left heart syndrome. METHODS: Between June 1998 and February 2015, 182 patients with hypoplastic left heart structures underwent the Giessen hybrid stage I procedure...
April 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26667962/arrhythmias-following-comprehensive-stage-ii-surgical-palliation-in-single-ventricle-patients
#14
Carolyn M Wilhelm, Diane Paulus, Clifford L Cua, Naomi J Kertesz, John P Cheatham, Mark Galantowicz, Richard P Fernandez
Post-operative arrhythmias are common in pediatric patients following cardiac surgery. Following hybrid palliation in single ventricle patients, a comprehensive stage II palliation is performed. The incidence of arrhythmias in patients following comprehensive stage II palliation is unknown. The purpose of this study is to determine the incidence of arrhythmias following comprehensive stage II palliation. A single-center retrospective chart review was performed on all single ventricle patients undergoing a comprehensive stage II palliation from January 2010 to May 2014...
March 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/26651955/improved-outcomes-with-the-comprehensive-stage-2-procedure-after-an-initial-hybrid-stage-1
#15
Mark Galantowicz, Andrew R Yates
OBJECTIVE: To report our improving institutional experience with the hybrid alternative surgical strategy for the management of hypoplastic left heart syndrome, in which hybrid stage 1 is followed by a comprehensive stage 2 procedure (removal of patent ductus arteriosus stent and pulmonary artery [PA] bands, aorta and PA reconstruction, Damus-Kaye-Stansel, atrial septectomy, Glenn). METHODS: In this Institutional Review Board-approved retrospective review of all patients undergoing a comprehensive stage 2 procedure between January 2002 and December 2014, data were compared between the pre-protocol group (n = 64; January 2002 to March 2010) and the post-protocol group (n = 55; March 2010 to December 2014)...
February 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26538212/extended-application-of-the-hybrid-procedure-in-neonates-with-left-sided-obstructive-lesions-in-an-evolving-cardiac-program
#16
Anas Taqatqa, Karim A Diab, Christopher Stuart, Louis Fogg, Michel Ilbawi, Sawsan Awad, Massimo Caputo, Zahid Amin, Ra-Id Abdulla, Damien Kenny, Ziyad M Hijazi
The hybrid approach to management of hypoplastic left heart syndrome (HLHS) was developed as an alternative to neonatal Norwood surgery, providing a less invasive initial palliation for HLHS. We describe our experience in extending the concept of the hybrid procedure to palliate neonates with anatomically compromised systemic arterial blood flow in a variety of congenital cardiac anomalies and supporting its application as first-line palliation in centers developing their HLHS programs. Retrospective review of patients undergoing therapy for HLHS at a single institution from June 2008 to December 2014 was performed...
March 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/26454518/management-of-retrograde-aortic-arch-malperfusion-after-hybrid-stage-i-palliation-good-save-learn-anything
#17
EDITORIAL
Erle H Austin
No abstract text is available yet for this article.
December 2015: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26433522/hybrid-procedure-for-neonates-with-hypoplastic-left-heart-syndrome-at-high-risk-for-norwood-midterm-outcomes
#18
Michael O Murphy, Hannah Bellsham-Revell, Gareth J Morgan, Thomas Krasemann, Eric Rosenthal, Shakeel A Qureshi, Caner Salih, Conal B Austin, David R Anderson
BACKGROUND: Hybrid procedure offers patients with severe congenital heart disease an alternative initial procedure to conventional surgical reconstruction. We report the midterm outcomes of a cohort of neonates who had a hybrid procedure for variants of hypoplastic left heart syndrome because they were at high risk for the Norwood procedure. METHODS: Between December 2005 and January 2013, 41 neonates underwent bilateral pulmonary artery banding followed by ductal stenting by means of a sternotomy at a median age of 6 days (range, 2 to 18 days) and weight of 2...
December 2015: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26396116/outcomes-in-patients-with-persistent-ventricular-dysfunction-after-stage-i-palliation-for-hypoplastic-left-heart-syndrome
#19
Emilie Jean-St-Michel, Devin Chetan, Steven M Schwartz, Glen S Van Arsdell, Alejandro A Floh, Osami Honjo, Jennifer Conway
We sought to describe the clinical course for patients with hypoplastic left heart syndrome and persistent ventricular dysfunction and identify risk factors for death or transplantation before stage II palliation. 138 children undergoing stage I palliation from 2004 to 2011 were reviewed. Twenty-two (16 %) patients (seven Hybrid, 15 Norwood) with two consecutive echocardiograms reporting at least moderate dysfunction were included and compared to case-matched controls. Eleven of the 22 patients with dysfunction (50 %) underwent stage II, seven (32 %) were transplanted, and four (18 %) died prior to stage II...
February 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/26345472/effect-of-hybrid-stage-1-procedure-on-ventricular-function-in-infants-with-hypoplastic-left-heart-syndrome
#20
Daisuke Kobayashi, Girija Natarajan, Daniel R Turner, Thomas J Forbes, Ralph E Delius, Henry L Walters, Sanjeev Aggarwal
OBJECTIVE: The effect of Hybrid stage 1 palliation for hypoplastic left heart syndrome on right ventricular function is unknown. We sought to compare right ventricular function in normal neonates and those with hypoplastic left heart syndrome before Hybrid palliation and to assess the effect of Hybrid palliation on right ventricular function, using the right ventricular myocardial performance index and the ratio of systolic and diastolic durations. METHODS: We carried out a retrospective review of echocardiographic data on 23 infants with hypoplastic left heart syndrome who underwent Hybrid palliation and 35 normal controls...
June 2016: Cardiology in the Young
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