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  • Open Access

    ARTICLE

    Coronary artery bypass grafting in infants, children, and young adults for acquired and congenital lesions

    Constantine Mavroudis

    Congenital Heart Disease, Vol.12, No.5, pp. 644-646, 2017, DOI:10.1111/chd.12491

    Abstract Coronary artery disease ranges from congenital in origin such as anomalous aortic origin of a coronary artery (AAOCA) to acquired diseases such as Kawasaki disease, and previously repaired conditions such as transposition of the great arteries. It is not uncommon, in the long run, for proximal coronary stenosis to develop following arterial switch, AAOCA repair, Ross procedure and Kawasaki disease leading to coronary artery bypass grafing (CABG). The objective of this report is to discuss the indications, challenges, and outcomes of CABG in infants, children, and young adults with acquired and congenital lesions. More >

  • Open Access

    ARTICLE

    Coarctation repair normalizes left ventricular function and aorto-septal angle in neonates

    Haki Jashari1, Katarina Lannering2, Mats Mellander2, Pranvera Ibrahimi1, Annika Rydberg3, Michael Y. Henein1

    Congenital Heart Disease, Vol.12, No.2, pp. 218-225, 2017, DOI:10.1111/chd.12430

    Abstract Background and aims: Patients with coarctation of the aorta (CoA) have increased left ventricular (LV) afterload that has been shown to impact the LV and ascending aortic function. We aimed to examine the effect of coarctation on LV function and aorto-septal angle (AoSA) before and after surgical repair.
    Methods: We retrospectively studied 21 patients with surgically repaired CoA at a median age of 9 (2-53) days at three time points: (1) just before intervention, (2) at short-term follow-up, and (3) at medium-term follow-up after intervention. AoSA was measured from the parasternal long axis view, at three time points during the… More >

  • Open Access

    ARTICLE

    Incidence and natural history of neonatal isolated ventricular septal defects: Do we know everything? A 6-year single-center Italian experience follow-up

    Alberto Cresti1, Raffaele Giordano2, Martin Koestenberger3, Isabella Spadoni4, Marco Scalese5, Ugo Limbruno1, Susanna Falorini6, Stefania Stefanelli1, Andrea Picchi1, Francesco De Sensi1, Angela Malandrino7, Massimiliano Cantinotti4,5

    Congenital Heart Disease, Vol.13, No.1, pp. 105-112, 2018, DOI:10.1111/chd.12528

    Abstract Background: Despite ventricular septal defects (VSDs) are the most common congenital heart diseases (CHDs) in the neonatal period, their incidence and natural history are still debated and their follow-up and management strategies remain controversial. Our aim was to evaluate the incidence and natural history of isolated VSDs.
    Methods: From January 1996 to December 2015 all neonates with a CHD suspicion were referred to the Cardiological Department of Grosseto Misericordia Hospital. Only newborns with confirmed isolated VSD were enrolled in this study and followed for 6 years.
    Results: Our 343 newborns with an isolated VSD (incidence of 10.45/1000/births) account for 64%… More >

  • Open Access

    ARTICLE

    S100B and its relation to cerebral oxygenation in neonates and infants undergoing surgery for congenital heart disease

    Jan Hinnerk Hansen1, Lydia Kissner1, Jana Logoteta1, Olaf Jung1, Peter Dütschke2, Tim Attmann3, Jens Scheewe3, Hans‐Heiner Kramer1,4

    Congenital Heart Disease, Vol.14, No.3, pp. 427-437, 2019, DOI:10.1111/chd.12741

    Abstract Objectives: Neonates and infants undergoing surgery for congenital heart disease are at risk for developmental impairment. Hypoxic‐ischemic brain injury might be one contributing factor. We aimed to investigate the perioperative release of the astro‐ cyte protein S100B and its relation to cerebral oxygenation.
    Methods: Serum S100B was measured before and 0, 12, 24, and 48 hours after sur‐ gery. Cerebral oxygen saturation was derived by near‐infrared spectroscopy. S100B reference values based on preoperative samples; concentrations above the 75th per‐ centile were defined as elevated. Patients with elevated S100B at 24 or 48 hours were compared to cases with S100B in… More >

  • Open Access

    ARTICLE

    Transport of extremely low birth weight neonates for persistent ductus arteriosus closure in the catheterization lab

    Adam Willis, Lillia Pereiras, Tim Head, Genevieve Dupuis, Janet Sessums, Gordon Corder, Kim Graves, Jack Tipton, Shyam Sathanandam

    Congenital Heart Disease, Vol.14, No.1, pp. 69-73, 2019, DOI:10.1111/chd.12706

    Abstract Objective: The objective of this article is to describe the elements involved with transporting extremely low birth weight (ELBW) infants from referring centers to our center’s neonatal intensive care unit (NICU) and then from the NICU to the catheterization lab for transcatheter closure of patent ductus arteriosus (PDA).
    Setting: Several referring centers are over 300 miles away. ELBW infants are transferred in to our NICU safely for the procedure and transferred back following the procedure. A multidisciplinary team approach is necessary in order to achieve a safe transport of these fragile patients.
    Patients: To date, we have over 12 centers… More >

  • Open Access

    ARTICLE

    Can transcatheter PDA closure be performed in neonates ≤1000 grams? The Memphis experience

    Shyam Sathanandam, Hitesh Agrawal, Sandeep Chilakala , Jason Johnson, Kimberly Allen, Christopher Knott‐Craig, B. Rush Waller, Ranjit Philip

    Congenital Heart Disease, Vol.14, No.1, pp. 79-84, 2019, DOI:10.1111/chd.12700

    Abstract Objective: Advancements in transcatheter technology have now made it possible to safely close patent ductus arteriosus (PDA) in extremely low birth weight (ELBW) infants. The objective of this article is to describe our technique for transcatheter PDA closure (TCPC) in ELBW infants.
    Design: The techniques employed are very specific to this population and are drasti‐ cally different when compared to the procedure performed in patients weighing >5 kg.
    Setting: A multidisciplinary team approach should be taken to evaluate and manage ELBW infants in order to achieve success. It is important that specific techniques with venous‐only approach outlined in this article… More >

  • Open Access

    ARTICLE

    Surgical outcome in pediatric patients with Ebstein’s anomaly: A multicenter, long-term study

    Lianne M. Geerdink1,2, Gideon J. du Marchie Sarvaas3, Irene M. Kuipers4, Willem A. Helbing5, Tammo Delhaas6, Henriette ter Heide7, Lieke Rozendaal8, Chris L. de Korte9, Sandeep K. Singh10, Tjark Ebels11, Mark G. Hazekamp12, Felix Haas13, Ad J. J. C. Bogers14, Livia Kapusta1,15

    Congenital Heart Disease, Vol.12, No.1, pp. 32-39, 2017

    Abstract Objective: Surgical outcomes of pediatric patients with Ebstein’s anomaly are often described as part of all-age-inclusive series. Our objective is to focus on patients treated surgically in childhood (0-18 y). We study the intended treatment (biventricular or 1.5 ventricle repair or univentricular palliation), freedom from unplanned reoperation and survival of this specific age group, in a nationwide study.
    Design: Records of all Ebstein’s anomaly patients born between 1980 and 2013 were reviewed. Demographic variables, intraoperative procedures and postoperative outcomes were analyzed.
    Results: Sixty-three patients underwent 109 operations. Median follow-up after diagnosis was 121 months (range 0-216 months). Twenty-nine (46%) patients… More >

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