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Surgery heart cardiac pediatric advances

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https://www.readbyqxmd.com/read/27866783/characterizing-cardiac-arrest-in-children-undergoing-cardiac-surgery-a-single-center-study
#1
Punkaj Gupta, Andrew Wilcox, Tommy R Noel, Jeffrey M Gossett, Stephanie R Rockett, Brian K Eble, Mallikarjuna Rettiganti
OBJECTIVES: To characterize cardiac arrest in children undergoing cardiac surgery using single-center data from the Society of Thoracic Surgeons and Pediatric Advanced Life Support Utstein-Style Guidelines. METHODS: Patients aged 18 years or less having a cardiac arrest for 1 minute or more during the same hospital stay as heart operation qualified for inclusion (2002-2014). Patients having a cardiac arrest both before or after heart operation were included. Heart operations were classified on the basis of the first cardiovascular operation of each hospital admission (the index operation)...
October 24, 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27713672/outcomes-in-postoperative-pediatric-cardiac-surgical-patients-who-received-an-antiepileptic-drug
#2
Mindl M Messinger, Kimberly L Dinh, Erin J McDade, Brady S Moffett, Angus A Wilfong, Antonio G Cabrera
BACKGROUND: Advances in cardiac operations over the last few decades, including corrective operations in early life, have dramatically increased the survival of children with congenital heart disease. However, postoperative care has been associated with neurologic complications, with seizures being the most common manifestation. The primary objective of this study is to describe the outcomes in pediatric patients who received an antiepileptic drug (AED) post-cardiac surgery. METHOD: A retrospective cohort study was performed in all patients less than 18 years of age who received an AED in the cardiovascular intensive care unit at Texas Children's Hospital from June 2002 until June 2012...
July 2016: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
https://www.readbyqxmd.com/read/27541719/cardiac-embryology-and-molecular-mechanisms-of-congenital-heart-disease-a-primer-for-anesthesiologists
#3
Benjamin Kloesel, James A DiNardo, Simon C Body
Congenital heart disease is diagnosed in 0.4% to 5% of live births and presents unique challenges to the pediatric anesthesiologist. Furthermore, advances in surgical management have led to improved survival of those patients, and many adult anesthesiologists now frequently take care of adolescents and adults who have previously undergone surgery to correct or palliate congenital heart lesions. Knowledge of abnormal heart development on the molecular and genetic level extends and improves the anesthesiologist's understanding of congenital heart disease...
September 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27499950/a-20-year-study-on-treating-childhood-infective-endocarditis-with-valve-replacement-in-a-single-cardiac-center-in-china
#4
Jian Xiao, Liang Yin, Yiyun Lin, Yufeng Zhang, Lihui Wu, Zhinong Wang
BACKGROUND: Children with infective endocarditis (IE) have to undergo valve replacement instead of valve repair in China due to severe valve damage. The present study is to review our experience on surgical treatment of children with IE in reference to the incidence, pathologic status, diagnosis, surgical strategies and outcomes. METHODS: We reviewed 35 patients with a mean age of 13.7±2.2 years who were underwent valve replacement surgery for IE during the period from January 1993 to December 2013...
July 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27490607/acute-kidney-injury-and-cardiorenal-syndromes-in-pediatric-cardiac-intensive-care
#5
David S Cooper, David M Kwiatkowski, Stuart L Goldstein, Catherine D Krawczeski
OBJECTIVES: The objectives of this review are to discuss the definition, diagnosis, and pathophysiology of acute kidney injury and its impact on immediate, short-, and long-term outcomes. In addition, the spectrum of cardiorenal syndromes will be reviewed including the pathophysiology on this interaction and its impact on outcomes. DATA SOURCE: MEDLINE and PubMed. CONCLUSION: The field of cardiac intensive care continues to advance in tandem with congenital heart surgery...
August 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/26975063/-croatian-population-and-clinical-epidemiological-studies-of-congenital-heart-disease-1995-2011-the-use-of-abc-score-and-rachs-1-cardiosurgical-model-for-the-assessment-of-quality-of-treatment-of-congenital-heart-disease
#6
Ivan Malcić, Daniel Dilber, Hrvoje Kniewald, Darko Anić, Drazen Belina, Dalibor Sarić, Dorotea Bartonicek, Alen Hodalin, Andrea Dasović-Buljević, Sanja Dorner, Vitomir Metlicić, Karmen Markicević, Marija Srsen-Krstulović
AIM: 1. To present an epidemiological (population and clinical) study of congenital heart defects (CHD) in Croatia in a 16-year period (1995-2011). 2. To analyze outcomes of surgical procedures for all patients in a five-year period (2002-2007) and to compare the results between Croatian and foreign centers. 3. To present the progress in surgical care of CHD in Croatia while acknowledging the requirement of achieving postsurgical mortality rate of below 5%. 4. To evaluate the projection of positive development of CHD management in Croatia in cooperation with major cardiac surgical centers in the neighboring countries...
November 2015: Lijec̆nic̆ki Vjesnik
https://www.readbyqxmd.com/read/26957397/the-kidney-in-critical-cardiac-disease-proceedings-from-the-10th-international-conference-of-the-pediatric-cardiac-intensive-care-society
#7
David S Cooper, Rajit K Basu, Jack F Price, Stuart L Goldstein, Catherine D Krawczeski
The field of cardiac intensive care continues to advance in tandem with congenital heart surgery. The focus of intensive care unit care has now shifted to that of morbidity reduction and eventual elimination. Acute kidney injury (AKI) after cardiac surgery is associated with adverse outcomes, including prolonged intensive care and hospital stays, diminished quality of life, and increased long-term mortality. Acute kidney injury occurs frequently, complicating the care of both postoperative patients and those with heart failure...
March 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26714990/vasoactive-drugs-and-hemodynamic-monitoring-in-pediatric-cardiac-intensive-care-an-italian-survey
#8
MULTICENTER STUDY
Alessandra Rizza, Elena Bignami, Alessandro Belletti, Angelo Polito, Zaccaria Ricci, Giuseppe Isgrò, Alessandro Locatelli, Paola Cogo
BACKGROUND: Little is known about practitioner preference, the availability of technology, and variability in practice with respect to hemodynamic monitoring and vasoactive drug use after congenital heart surgery. The aim of this study was to characterize current hospital practices related to the management of low cardiac output syndrome (LCOS) across Italy. METHODS: We issued a 22-item questionnaire to 14 Italian hospitals performing pediatric cardiac surgery. RESULTS: Electrocardiogram, invasive blood pressure, central venous pressure, pulse oximetry, diuresis, body temperature, arterial lactate, and blood gas analysis were identified as routine in hemodynamic monitoring...
January 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26520008/outcomes-of-heart-transplantation-in-children-with-hypoplastic-left-heart-syndrome-previously-palliated-with-the-norwood-procedure
#9
Bahaaldin Alsoufi, William T Mahle, Cedric Manlhiot, Shriprasad Deshpande, Brian Kogon, Brian W McCrindle, Kirk Kanter
BACKGROUND: Following the Norwood operation, unfavorable hemodynamic or anatomic factors might disqualify children from progressing through subsequent palliative surgeries necessitating listing for heart transplantation. Those patients often have immune, clinical, or anatomic risk factors that could preclude donor allocation, increase operative risk, and diminish late survival. We studied transplantation outcomes in those patients using the Pediatric Heart Transplant Study database. METHODS: A total of 253 children who had prior Norwood were listed for transplantation (1993-2012)...
January 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26413109/stepwise-approach-using-combined-management-in-patients-with-congenital-heart-disease-and-borderline-pulmonary-vascular-disease
#10
Sang-Yun Lee, Soo-Jin Kim, Jae Sung Son, Seong-Ho Kim, Chang-Ha Lee
BACKGROUND AND OBJECTIVES: Despite remarkable advances in pediatric cardiology, pulmonary arterial hypertension associated with congenital heart disease remains a major problem. In the past decade new vasodilators have been introduced and appear to be effective in reducing pulmonary vascular resistance (PVR). SUBJECTS AND METHODS: From 2000 to 2011, we retrospectively reviewed the records of 22 patients who had congenital septal defects and borderline pulmonary vascular disease (PVD)...
September 2015: Korean Circulation Journal
https://www.readbyqxmd.com/read/26138578/evaluation-of-acquired-valvular-heart-disease-by-the-pediatrician-when-to-follow-when-to-refer-for-intervention-part-ii
#11
Anita Saxena
Lesions of the heart valves are the commonest acquired cardiac abnormalities seen in pediatric age group. Aortic regurgitation (AR) results from abnormality of the valve leaflets or of the aortic root. Mitral valve lesion may be associated in patients with rheumatic heart disease (RHD). Left ventricle dilates and may develop dysfunction in advanced states. Coronary perfusion also tends to suffer in severe AR. The symptoms develop later and include dyspnea and palpitations. An early diastolic, high pitched murmur, best heard at base of the heart is the hallmark of AR...
November 2015: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/26085764/moore-s-law-dabbawalas-and-pediatric-cardiac-care-in-sri-lanka
#12
Duminda Samarasinghe
Sri Lanka is an island nation in Indian Ocean that provides free healthcare to all citizens through government healthcare system. It has commendable health indices in the region. Pediatric cardiac services have rapidly progressed over past few years helping to further bring down infant and under-five mortality rates. Lady Ridgeway Hospital for Children (LRH) is the only tertiary care referral center for children with heart disease in the country. Currently it performs approximately 1,000 cardiac catheterizations and 1,000 cardiac surgeries every year...
May 2015: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/26010520/on-table-extubation-after-open-heart-surgery-in-children-an-experience-from-a-tertiary-care-hospital-in-a-developing-country
#13
Mehar Hoda, Anwarul Haque, Fareena Aijaz, Mohammad I Akhtar, Amina Rehmat, Muneer Amanullah, Babar S Hasan
BACKGROUND: Recent advances in various disciplines of medicine have significantly changed the courses following cardiac surgery in children. On-table extubation (OTE) after open heart surgery in children is evolving. OBJECTIVE: To assess the rate of postoperative complications in children extubated on table after open heart surgery. DESIGN: This is a retrospective, descriptive study. SETTING: Operating room (OR) then admitted to the pediatric intensive care unit (PICU)...
January 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/25792245/eponymous-cardiovascular-surgeries-for-congenital-heart-diseases-imaging-review-and-historical-perspectives
#14
REVIEW
Ji Buethe, Ravi C Ashwath, Prabhakar Rajiah
Advances in pediatric cardiology and cardiac surgical techniques over the past few decades have revolutionized the management of the patients with congenital heart disease, and many now survive into adulthood. Several eponymous surgical procedures performed for congenital heart disease have been named after eminent surgeons. In this article, we provide a short biography of the surgeons associated with these eponymous surgical procedures along with their other important scientific contributions. This is followed by a review of these surgical procedures and their most common complications...
July 2015: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/25765370/survival-and-quality-of-life-for-children-with-end-stage-heart-failure-who-are-not-candidates-for-cardiac-transplant
#15
Arash Alen Sabati, Jacqueline R Szmuszkovicz, Cynthia Herrington, Mark Hermes, Hesham A Mahmoud, Choo Phei Wee, Vaughn A Starnes, JonDavid Menteer
BACKGROUND: Some pediatric patients referred for heart transplant (HTx) are sub-optimal candidates. Their outcomes without HTx are presumed to be dismal, but have not been well described. Knowledge about their outcomes is critical when weighing the risks between a high-risk transplant and "terminal" palliation. METHODS: We retrospectively reviewed all HTx referrals from January 2005 to July 2013. We excluded those who were listed for HTx, or who were denied HTx due to being "too well," seeking only those who were in need of but not suitable for HTx...
July 2015: Journal of Heart and Lung Transplantation
https://www.readbyqxmd.com/read/25552386/advances-in-cardiac-magnetic-resonance-imaging-of-congenital-heart-disease
#16
REVIEW
Mieke M P Driessen, Johannes M P J Breur, Ricardo P J Budde, Joep W M van Oorschot, Roland R J van Kimmenade, Gertjan Tj Sieswerda, Folkert J Meijboom, Tim Leiner
Due to advances in cardiac surgery, survival of patients with congenital heart disease has increased considerably during the past decades. Many of these patients require repeated cardiovascular magnetic resonance imaging to assess cardiac anatomy and function. In the past decade, technological advances have enabled faster and more robust cardiovascular magnetic resonance with improved image quality and spatial as well as temporal resolution. This review aims to provide an overview of advances in cardiovascular magnetic resonance hardware and acquisition techniques relevant to both pediatric and adult patients with congenital heart disease and discusses the techniques used to assess function, anatomy, flow and tissue characterization...
January 2015: Pediatric Radiology
https://www.readbyqxmd.com/read/25538914/infective-endocarditis-in-children-a-5-year-experience-from-al-zahra-hospital-isfahan-iran
#17
Alireza Ahmadi, Hooman Daryushi
BACKGROUND: Considering that there are no regional published data regarding the epidemiologic findings of infective endocarditis (IE) in children, in this study we reviewed the epidemiologic and clinical features and treatment and outcome of children diagnosed with IE at Al-Zahra hospital over a 5-year period. MATERIALS AND METHODS: In this retrospective study, medical records of patients (<18 years old) admitted from March 2006 to March 2011 in Al-Zahra Hospital (Pediatrics Infectious or Cardiology Departments) reviewed...
2014: Advanced Biomedical Research
https://www.readbyqxmd.com/read/25117663/utilization-of-stem-cells-to-treat-congenital-heart-disease-hype-and-hope
#18
REVIEW
Susana Cantero Peral, Harold M Burkhart, Timothy J Nelson
PURPOSE OF REVIEW: Surgical advances over the past few decades have transformed the clinical management of congenital heart disease, such as hypoplastic left heart syndrome. Congenital heart disease affects more than 1% of liveborn infants and accounts for more than 2.5 million affected children per year worldwide. The cost and availability of complex medical management for these children becomes bluntly realized when heart failure progresses and only palliative options remain. Cell-based cardiac regeneration has been the focus of intensive efforts in adult heart disease for more than a decade and now has promise for pediatrics...
October 2014: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/24294540/congenital-heart-defects-in-adults-a-field-guide-for-cardiologists
#19
Anitra Romfh, Francesca Romana Pluchinotta, Prashob Porayette, Anne Marie Valente, Stephen P Sanders
Advances in cardiology and cardiac surgery allow a large proportion of patients with congenital heart defects to survive into adulthood. These patients frequently develop complications characteristic of the defect or its treatment. Consequently, adult cardiologists participating in the care of these patients need a working knowledge of the more common defects. Occasionally, patients with congenital heart defects such as atrial septal defect, Ebstein anomaly or physiologically corrected transposition of the great arteries present for the first time in adulthood...
June 15, 2012: Journal of Clinical & Experimental Cardiology
https://www.readbyqxmd.com/read/23804781/the-third-aldo-castaneda-lecture-the-neglect-of-neonatal-infant-cardiac-disease-in-africa-continental-genocide
#20
Robin H Kinsley
The advances made in pediatric cardiology and cardiac surgery now make it possible for survival into adulthood of the majority of children born with congenitally malformed hearts. On the African continent, unfortunately, this is only a dream as roughly 280,000 neonates born every year on the continent are left untreated, demonstrating the natural history of the congenitally malformed heart by default. Pediatric cardiac surgery is available in very few countries on this continent. This article takes a look at the problem of neonates and infants born with cardiac defects on the continent and attempts an extrapolation of the magnitude of the problem...
April 1, 2012: World Journal for Pediatric & Congenital Heart Surgery
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