keyword
Keywords Congenital Heart AND Infant* A...

Congenital Heart AND Infant* AND Mortal*

https://read.qxmd.com/read/38535102/prophylactic-pulmonary-artery-banding-in-pediatric-dilated-cardiomyopathy-an-additional-therapeutic-option
#1
JOURNAL ARTICLE
Elena Panaioli, Diala Khraiche, Margaux Pontailler, Flavie Ader, Olivier Raisky, Regis Gaudin, Damien Bonnet
Dilated cardiomyopathy (DCM) is the most common childhood cardiomyopathy and is associated with considerable early mortality. Heart transplantation is often the only viable life-saving option. Pulmonary artery banding (PAB) has been recently proposed as a bridge or alternative to transplantation for DCM. In our cohort, PAB was selectively addressed to heritable DCM or DCM with congenital left ventricle aneurysm (CLVA). This study aimed to describe the clinical evolution and left ventricle reverse remodeling (LVRR) over time (6 months and 1 year after surgery)...
February 27, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38531747/perioperative-sildenafil-therapy-in-pulmonary-hypertension-associated-with-congenital-cardiac-disease-an-updated-meta-analysis
#2
REVIEW
Shajie Ur Rehman Usmani, Syed Umar Hasan, Syed Hasan Ali, Syeda Hoorulain Ahmed, Neha Pervez, Muhammad Danial, Owais Khan, Dominique L Tucker, M Mujeeb Zubair
To provide an updated meta-analysis to evaluate the efficacy and safety of sildenafil on pediatric patients with pulmonary hypertension (PH) associated with congenital heart disease (CHD). To assess the efficacy and safety of sildenafil, five outcomes, time duration of post-operative need for mechanical ventilation, time duration of post-operative ICU stay, length of hospitalization (LOH), the incidence of mortalities and pulmonary arterial pressure to aortic pressure ratio (PAP/AoP) were regarded as primary efficacy outcomes...
March 25, 2024: Asian Journal of Surgery
https://read.qxmd.com/read/38522876/hypertrophic-cardiomyopathy-preadolescence-mitral-valve-disease-and-midventricular-obstruction
#3
REVIEW
Elaine M Griffeth, Elizabeth H Stephens, Joseph A Dearani
Septal myectomy is indicated in patients with obstructive hypertrophic cardiomyopathy (HCM) who have persistent symptoms despite medical therapy, intolerance of medication side effects, or severe resting or provocable gradients. Septal myectomy at high volume centers is safe, with low operative mortality (1%) and low rates of complications such as complete heart block or ventricular septal defect (3% and 0.5%, respectively). Additionally, improved survival following myectomy has been observed when compared to patients with obstructive HCM managed medically or those with nonobstructive HCM...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38522875/en-bloc-rotation-of-the-outflow-tracts-double-root-translocation
#4
REVIEW
Rudolf Mair, Michaela Kreuzer, Eva Sames-Dolzer
En bloc rotation of the outflow tracts or double root translocation offers an anatomic repair of transposition of the great arteries, ventricular septal defect, and left ventricular outflow tract obstruction and closely related forms of double outlet right ventricle. The technical principle is to excise aortic and pulmonary root en bloc, rotate them as a whole by 180°, and reimplant them. The left ventricular outflow tract is enlarged with the patch closing the ventricular septal defect. In our experience, two thirds of the pulmonary valves could be preserved...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38522873/long-term-outcomes-of-mechanical-aortic-valve-replacement-in-children
#5
REVIEW
Michael Z L Zhu, Edward Buratto, Damien M Wu, Shuta Ishigami, Antonia Schulz, Christian P Brizard, Igor E Konstantinov
When the options of aortic valve repair or the Ross procedure are not feasible or have been exhausted, mechanical aortic valve replacement (AVR) may provide a reliable and structurally durable alternative, but with the limitations of long-term anticoagulation, thrombosis risk and lack of valve growth potential. In this article, we review the longitudinal outcomes of mechanical AVR in children in our institution and compare them to those recently reported by others. From 1978 to 2020, 62 patients underwent mechanical AVR at a median age of 12...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38522868/how-i-do-it-aortic-annular-enlargement-are-the-nicks-and-manouguian-obsolete
#6
REVIEW
Kenneth R Hassler, Katelyn Monaghan, China Green, Bo Yang
The Y-incision aortic annular enlargement (AAE), first performed in August 2020, offers a safe and more effective alternative for management of a small aortic annulus/root without need for violation of the left ventricular outflow tract, mitral valve geometry, or left/right atria in both first-time aortic valve replacement (AVR) and reoperative AVR. In the first consecutive 119 patients with Y-incision AAE, the median age was 65 (59, 71), 67% female, 28% had previous cardiac surgery, and 2 cases had endocarditis...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38515426/barriers-to-healthcare-access-for-children-with-congenital-heart-disease-in-eight-latin-american-countries
#7
JOURNAL ARTICLE
Rodrigo Lopez-Barreda, Lorena Schaigorodsky, Claudia Rodríguez-Pinto, Wilbaldo Salas, Yamile Muñoz, Bianca Betanco, Oscar Angulo, Marina Huamán, Gladys Lejbusiewicz, Victor Pedrero, Milena Pavlova, Wim Groot, Juan C Ibla
BACKGROUND: Mortality from congenital heart disease has decreased considerably in the last two decades due to improvements in overall health care. However, there are barriers to access to healthcare in Latin America for this population, which could be related to factors such as healthcare system, policies, resources, geographic, cultural, educational, and psychological factors. Understanding the barriers to access to care is of paramount importance for the design and implementation of policies and facilitate the provision of care...
March 22, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38509208/the-lifesaving-impact-of-transcatheter-interventions-in-the-early-post-fontan-palliation-period
#8
JOURNAL ARTICLE
Ibrahim Halil Demir, Dursun Muhammed Ozdemir, Ilker Kemal Yucel, Emine Hekim Yılmaz, Mustafa Orhan Bulut, Murat Surucu, Oktay Korun, Numan Ali Aydemir, Ahmet Celebi
Despite advancements in postoperative outcomes after Fontan surgery, there remains a risk of suboptimal outcomes and significant morbidity in the early postoperative period. Anatomical obstructions in the Fontan pathway can lead to prolonged pleural effusion or ascites, cyanosis, and low cardiac output syndrome (LCOS). Transcatheter interventions offer an alternative to early re-surgery for treating these complications. Over a 13-year period, early catheter angiography, performed within 30 days post-index procedure, was administered to 41 patients, identifying anatomical issues that necessitated re-intervention in 39 cases...
March 20, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38506963/impact-of-underweight-overweight-and-obesity-on-health-related-quality-of-life-in-children-with-tetralogy-of-fallot-variants
#9
JOURNAL ARTICLE
Pip Hidestrand, Birgitta Svensson, Pippa Simpson, Petru Liuba, Constance G Weismann
Traditional cardiovascular risk factors put patients with congenital heart disease (CHD) at increased risk for cardiovascular morbidity and mortality. The aim of this study was to evaluate whether body mass index (BMI) is associated with health-related quality of life (HRQoL) in patients with variants of Tetralogy of Fallot (TOF). Patients and parents of children with variants of TOF-CHD were asked to fill out the PedsQL 4.0 questionnaire and provide weight and length. Patients were categorized into low, normal, and high BMI percentiles...
March 20, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38484909/epidemiology-of-postoperative-junctional-ectopic-tachycardia-in-infants-undergoing-cardiac-surgery
#10
JOURNAL ARTICLE
Michael E Kim, Shankar Baskar, Christopher M Janson, Stephanie F Chandler, Robert D Whitehill, Audrey Dionne, Mark A Law, Yuliya Domnina, Melissa N Smith-Parrish, Geoffrey L Bird, Mousumi Banerjee, Wenying Zhang, Garrett Reichle, Kurt R Schumacher, Richard J Czosek, David Ls Morales, Jeffrey A Alten
BACKGROUND: Junctional ectopic tachycardia (JET) complicates congenital heart surgery in 2-8.3% of cases. JET is associated with postoperative morbidity in single-center studies. We utilized the Pediatric Cardiac Critical Care Consortium data registry for the first multicenter epidemiologic description of treated JET. METHODS: This is a retrospective study (2/2019 - 8/2022) of patients with treated JET. INCLUSION: 1) <12 months old at index operation; 2) treated for JET <72 hours after surgery...
March 12, 2024: Annals of Thoracic Surgery
https://read.qxmd.com/read/38472658/socioeconomic-influences-on-outcomes-following-congenital-heart-disease-surgery
#11
JOURNAL ARTICLE
Kristin Schneider, Sarah de Loizaga, Andrew F Beck, David L S Morales, JangDong Seo, Allison Divanovic
Associations between social determinants of health (SDOH) and adverse outcomes for children with congenital heart disease (CHD) are starting to be recognized; however, such links remain understudied. We examined the relationship between community-level material deprivation on mortality, readmission, and length of stay (LOS) for children undergoing surgery for CHD. We performed a retrospective cohort study of patients who underwent cardiac surgery at our institution from 2015 to 2018. A community-level deprivation index (DI), a marker of community material deprivation, was generated to contextualize the lived experience of children with CHD...
March 12, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38446208/acute-kidney-injury-requiring-dialysis-in-children-a-multicentric-emerging-country-perspective
#12
JOURNAL ARTICLE
Thais Lira Cleto-Yamane, Conrado Lysandro R Gomes, Paulo Cesar Koch-Nogueira, José Hermógenes Rocco Suassuna
BACKGROUND: Acute kidney injury (AKI) is a life-threatening condition, especially in extreme age groups and when kidney replacement therapy (KRT) is necessary. Studies worldwide report mortality rates of 10-63% in pediatric patients undergoing KRT. METHODS: Over 13 years, this multicenter study analyzed data from 693 patients with AKI, all receiving KRT, across 74 hospitals and medical facilities in Rio de Janeiro, Brazil. RESULTS: The majority were male (59...
March 6, 2024: Pediatric Nephrology
https://read.qxmd.com/read/38439634/impact-of-obstructive-sleep-apnoea-on-cardiovascular-outcomes-and-mortality-in-young-adults-with-congenital-heart-anomalies-insights-from-the-national-inpatient-sample-2019
#13
JOURNAL ARTICLE
Ankit Vyas, Rupak Desai, Nitin Ghadge, Prerna Bansal, Harika Varma Chintalapalli Patta, Maharshi Raval, Akhil Jain, Tripti Gupta, Harshil Patel, Ashok Kondur, Carl J Lavie
BACKGROUND: Obstructive sleep apnoea is a common sleep disorder, and adult congenital heart disease (CHD) is also a significant burden on the population. Early diagnosis and treatment are important for improving quality of life and reducing the risk of health complications. The limited research on obstructive sleep apnoea and adult CHD highlights the need for further investigation into the relationship between these two conditions and the mechanisms underlying this relationship. METHOD: We used NIS 2019 database to identify adult CHD admissions aged 18-44 years and assess the impact of obstructive sleep apnoea on all-cause mortality, dysrhythmia, and stroke...
March 5, 2024: Cardiology in the Young
https://read.qxmd.com/read/38436738/trends-of-mortality-rate-in-patients-with-congenital-heart-defects-in-germany-analysis-of-nationwide-data-of-the-federal-statistical-office-of-germany
#14
JOURNAL ARTICLE
Hashim Abdul-Khaliq, Delphina Gomes, Sascha Meyer, Rüdiger von Kries, Stefan Wagenpfeil, Jochen Pfeifer, Martin Poryo
BACKGROUND: Congenital heart defects (CHD) are still associated with an increased morbidity and mortality. The aim of this study was to analyze trends of mortality rates in patients with CHD between 1998 and 2018 in Germany. METHODS: Data of registered deaths with an underlying diagnosis of CHD were used to evaluate annual mortality between 1998 and 2018. Polynomial regressions were performed to assess annual changes in CHD-associated mortality rates by age groups...
March 4, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38421933/progress-toward-rubella-and-congenital-rubella-syndrome-elimination-worldwide-2012-2022
#15
JOURNAL ARTICLE
Alan C Ou, Laura A Zimmerman, James P Alexander, Natasha S Crowcroft, Patrick M O'Connor, Jennifer K Knapp
Rubella virus is a leading cause of vaccine-preventable birth defects. Infection during pregnancy can result in miscarriage, fetal death, stillbirth, or a constellation of birth defects, including cataracts, deafness, heart defects, and developmental delay, known as congenital rubella syndrome (CRS). A single dose of rubella-containing vaccine can provide lifelong protection against rubella. The Global Vaccine Action Plan 2011-2020 included a target to achieve elimination of rubella in at least five of the six World Health Organization (WHO) regions by 2020, and rubella elimination is a critical goal of the Immunization Agenda 2030...
February 29, 2024: MMWR. Morbidity and Mortality Weekly Report
https://read.qxmd.com/read/38421480/optimal-global-longitudinal-strain-thresholds-for-pediatric-heart-surgery-insights-from-a-university-hospital
#16
JOURNAL ARTICLE
Sofía Melo, Sergio Alzate-Ricaurte, Santiago Pedroza, Mabel Moreno, Jessica Largo, Richard Rivera, Gustavo Cruz
Congenital heart diseases impact millions annually, with pediatric care lacking suitable risk assessment tools. This research seeks to illuminate the association between the global longitudinal strain (GLS) and the subsequent impact on postoperative outcomes, contributing to a deeper understanding of its predictive value in the pediatric population affected by congenital heart diseases. An observational, analytic, longitudinal, and prospective study was conducted from May 2022 to May 2023, including all patients under 18 undergoing heart surgery with cardiopulmonary bypass (CBP)...
February 29, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38419158/pediatric-cardiac-xenotransplantation-recommendations-for-the-ethical-design-of-clinical-trials
#17
JOURNAL ARTICLE
Daniel J Hurst, Luz Padilla, Anthony Merlocco, Daniel Rodger, Christopher Bobier, William H Gray, Robert Sorabella, David K C Cooper, Richard N Pierson
For children with complex congenital heart problems, cardiac allotransplantation is sometimes the best therapeutic option. However, availability of hearts for pediatric patients is limited, resulting in a long and growing waitlist, and a high mortality rate while waiting. Cardiac xenotransplantation has been proposed as one therapeutic alternative for neonates and infants, either in lieu of allotransplantation or as a bridge until an allograft becomes available. Scientific and clinical developments in xenotransplantation appear likely to permit cardiac xenotransplantation clinical trials in adults in the coming years...
February 29, 2024: Transplantation
https://read.qxmd.com/read/38418993/factors-influencing-necrotizing-enterocolitis-in-premature-infants-in-china-a-systematic-review-and-meta-analysis
#18
JOURNAL ARTICLE
Shuliang Zhao, Huimin Jiang, Yiqun Miao, Wenwen Liu, Yanan Li, Hui Liu, Aihua Wang, Xinghui Cui, Yuanyuan Zhang
BACKGROUND: Necrotizing enterocolitis (NEC) is a multifactorial gastrointestinal disease with high morbidity and mortality among premature infants. However, studies with large samples on the factors of NEC in China have not been reported. This meta-analysis aims to systematically review the literature to explore the influencing factors of necrotizing enterocolitis in premature infants in China and provide a reference for the prevention of NEC. METHODS: PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), China Biomedical Literature Database (CBM), Wanfang and VIP databases were systematically searched from inception to February 2023...
February 29, 2024: BMC Pediatrics
https://read.qxmd.com/read/38413418/incidence-of-fetal-arrhythmia-before-and-during-the-covid-19-pandemic-a-single-center-experience
#19
JOURNAL ARTICLE
Stefani Samples, Sheetal Patel, Simon Lee, Nina Gotteiner, Angira Patel
Fetal arrhythmias are rare and carry significant morbidity and mortality without appropriate treatment. Initial reports exist of fetal arrhythmia in the setting of maternal COVID-19 infection. Our study sought to evaluate incidence of fetal arrhythmia before and during the COVID-19 pandemic at our institution. This retrospective cohort study from a tertiary care fetal cardiac center utilized the institutional REDCap database to search fetal arrhythmia diagnostic codes. Medical records of mother-fetus dyads were reviewed and data were collected on diagnoses, gestational age, treatment regimen, and postnatal outcomes...
February 27, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38408479/impact-of-congenital-heart-disease-on-the-outcomes-of-very-low-birth-weight-infants
#20
JOURNAL ARTICLE
Xuxin Chen, Shazia Bhombal, David M Kwiatkowski, Michael Ma, Valerie Y Chock
OBJECTIVE:  To investigate the association of congenital heart disease (CHD) with morbidity and mortality of very low birth weight (VLBW) infants. STUDY DESIGN:  This matched case-control study included VLBW infants born at a single institution between 2001 and 2015. The primary outcome was mortality. Secondary outcomes included necrotizing enterocolitis, bronchopulmonary dysplasia (BPD), sepsis, retinopathy of prematurity, and intraventricular hemorrhage...
February 26, 2024: American Journal of Perinatology
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