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  • Open Access

    ARTICLE

    D-Transposition of the Great Arteries after Arterial Switch Operation: Usefulness of 3D-Echocardiography for Left Ventricle Function Evaluation

    Ylenia Bartolacelli*, Giulia Bragantini

    Congenital Heart Disease, Vol.15, No.2, pp. 59-68, 2020, DOI:10.32604/CHD.2020.011448 - 23 June 2020

    Abstract Objective: The objective of this study was to assess left ventricle (LV) function and remodeling by three-dimensional echocardiography (3DE) in patients who underwent arterial switch procedure (ASO) for transposition of great arteries (TGA) in long-term follow-up. Methods and Results: We studied 54 asymptomatic patients (39 male) who have undergone single-stage ASO for TGA, aged 13.7 ± 4.7 years, with a normal LV ejection fraction (EF), compared to healthy peers. We evaluated LV volume and function in asymptomatic patients with normal ejection fraction by 3DE. All patients had normal EF, measured by modified Simpson’s method (mean 60.9 ±… More >

  • Open Access

    ARTICLE

    Comparison of Thermal Performance for Two Types of ETFP System under Various Operation Schemes

    Lingtong Li1, Zaiguo Fu1, *, Benxiang Li2, Qunzhi Zhu1

    CMES-Computer Modeling in Engineering & Sciences, Vol.124, No.1, pp. 23-44, 2020, DOI:10.32604/cmes.2020.09299 - 19 June 2020

    Abstract The earth to fluid pipe (ETFP) system has been widely applied to various energy engineering. The numerical model of the heat transfer process in the ETFP system with a shallow-buried horizontal or a deep-buried vertical U-shape pipe adopted in practical engineering was established and the model distinctions were pointed out. The comparison of the thermal performance between the two types of ETFP system under various schemes was conducted on the basis of numerical prediction. The results showed that the thermal parameters of the ETFP system with a shallow-buried horizontal pipe were influenced by the inlet… More >

  • Open Access

    ARTICLE

    Operational Safety Assessment of a High-Speed Train Exposed to the Strong Gust Wind

    Mengge Yu1, 2, Zhenkuan Pan3, *, Jiali Liu4, Haiqing Li1

    FDMP-Fluid Dynamics & Materials Processing, Vol.16, No.1, pp. 55-66, 2020, DOI:10.32604/fdmp.2020.07774 - 01 February 2020

    Abstract The operational safety characteristics of trains exposed to a strong wind have caused great concern in recent years. In the present paper, the effect of the strong gust wind on a high-speed train is investigated. A typical gust wind model for any wind angle, named “Chinese hat gust wind model”, was first constructed, and an algorithm for computing the aerodynamic loads was elaborated accordingly. A vehicle system dynamic model was then set up in order to investigate the vehicle system dynamic characteristics. The assessment of the operational safety has been conducted by means of characteristic… More >

  • Open Access

    ARTICLE

    A Hybrid GABC-GA Algorithm for Mechanical Design Optimization Problems

    Hui Zhi1,2, Sanyang Liu1

    Intelligent Automation & Soft Computing, Vol.25, No.4, pp. 815-825, 2019, DOI:10.31209/2019.100000085

    Abstract In this paper, we proposed a hybrid algorithm, which is embedding the genetic operators in the global-best-guided artificial bee colony algorithms called GABCGA to solve the nonlinear design optimization problems. The genetic algorithm has no memory function and good at find global optimization with large probability, but the artificial bee colony algorithm not have selection, crossover and mutation operator and most significant at local search. The hybrid algorithm balances the exploration and exploitation ability further by combining the advantages of both. The experimental results of five engineering optimization and comparisons with existing approaches show that More >

  • Open Access

    ARTICLE

    SEM-Based Research on Influence Factors of Energy Conservation in Operation and Maintenance of Construction Project

    Liang Zhao1,2,3, Wenshun Wang2, Wei Zhang1

    Intelligent Automation & Soft Computing, Vol.25, No.4, pp. 705-713, 2019, DOI:10.31209/2019.100000074

    Abstract The energy consumption in operation and maintenance stage of construction project accounts for 80% of the whole project life cycle and therefore research on influence factors of energy consumption in project operation and maintenance stage is of great practical significance. Based on data of 260 valid questionnaires in Jiangsu area, structural equation model is adopted in the Thesis for empirical research on influence factors in operation and maintenance stage. Based on theoretical analysis and factor analysis, the conceptual model and research hypothesis for influence factors of energy consumption in operation and maintenance stage are proposed… More >

  • Open Access

    ARTICLE

    Surveillance and screening practices of New England congenital cardiologists for patients after the Fontan operation

    Brooke T. Davey1, Olga H. Toro‐Salazar1, Naomi Gauthier2,3, Anne Marie Valente2, Robert W. Elder4, Fred M. Wu2, Norman Berman3, Phyllis Pollack5, Ji Hyun Lee1, Rahul H. Rathod2

    Congenital Heart Disease, Vol.14, No.6, pp. 1013-1023, 2019, DOI:10.1111/chd.12854

    Abstract Introduction: Surveillance and management guidelines for Fontan patients are lacking due to the paucity of evidence in the literature of screening efficacy on outcome measures.
    Methods: The Fontan Working Group within the New England Congenital Cardiology Association designed an electronic survey to assess surveillance practices for pa‐ tients with Fontan procedures among New England congenital cardiologists and to explore variability in screening low‐risk vs high‐risk Fontan patients across regional programs.
    Results: Fifty‐six cardiologists representing 12 regional programs responded to the survey, comprising ~40% of the total New England congenital cardiac physicians. The majority of desired testing and consultation… More >

  • Open Access

    ARTICLE

    Echocardiographic assessment of single‐ventricle diastolic function and its correlation to short‐term outcomes after the Fontan operation

    Erin K. Davis1, Salil Ginde1, Jessica Stelter2, Peter Frommelt1, Garick D. Hill3

    Congenital Heart Disease, Vol.14, No.5, pp. 720-725, 2019, DOI:10.1111/chd.12814

    Abstract Background/Hypothesis/Objectives: Postoperative complications after the Fontan operation for single ventricle heart disease are common and include persistent pleural drainage and prolonged length of hospital stay (LOS). Diastolic ventricular dysfunction may increase risk for postoperative complications by raising central venous pressures. We sought to determine the relationship between preoperative echocardiographic measurements of diastolic function, including myocardial deformation imaging, on (a) preoperative invasive catheterization measurements and (b) postoperative outcomes after the Fontan procedure.
    Design/Methods: All patients that underwent Fontan procedure from 2011 to 2017 were included. Echocardiograms performed within 6 months prior to Fontan operation were evaluated. Measurements of… More >

  • Open Access

    ARTICLE

    Comparison of creatinine and cystatin C for estimation of glomerular filtration rate in pediatric patients after Fontan operation

    Danielle Kirelik1,2, Mark Fisher2, Michael DiMaria2, Danielle E. Soranno3, Katja M. Gist2

    Congenital Heart Disease, Vol.14, No.5, pp. 760-764, 2019, DOI:10.1111/chd.12776

    Abstract Background: There are several limitations when using creatinine to estimate glomerular filtration rate, especially in children with chronic medical conditions who are at high risk of kidney dysfunction. Cystatin C has been the recent focus of research as a replacement biomarker for creatinine. Our objective was to compare the 2 biomarkers in pediatric single‐ventricle heart disease patients who have undergone the Fontan operation. We hypothesized that there would be poor correlation and agreement between the 2 estimates of renal function.
    Methods: This was a single center retrospective chart review of 20 patients who had previously undergone Fontan… More >

  • Open Access

    ARTICLE

    A better approach for left ventricular training in transposition of the great arteries and intact interventricular septum: Bidirectional cavopulmonary anastomosis and pulmonary artery banding

    Mehmet Salih Bilal1, Arda Özyüksel1,2, Mustafa Kemal Avşar1, Şener Demiroluk3, Osman Küçükosmanoğlu4, Yalım Yalçın5

    Congenital Heart Disease, Vol.14, No.3, pp. 464-469, 2019, DOI:10.1111/chd.12749

    Abstract Objective: Management of the patients with transposition of the great arteries and intact ventricular septum may be challenging beyond the newborn period. Herein, we would like to present our alternative strategy for training the left ventricle in these patients.
    Methods: Six patients with transposition of the great arteries and intact ventricular septum were evaluated in our clinic. Two of them were palliated with Glenn procedure and pulmonary banding as a definitive treatment strategy at other centers. Four patients were operated on and a bidirectional cavopulmonary anastomosis in combination with pulmonary artery banding was performed (stage‐1: palliation and… More >

  • Open Access

    ARTICLE

    Focal liver lesions following Fontan palliation of single ventricle physiology: A radiology‐pathology case series

    Emily M. Engelhardt1, Andrew T. Trout2,3, Rachel M. Sheridan4, Gruschen R. Veldtman5, Jonathan R. Dillman2,3

    Congenital Heart Disease, Vol.14, No.3, pp. 380-388, 2019, DOI:10.1111/chd.12730

    Abstract Purpose: Patients who have undergone Fontan palliation of single ventricle physiol‐ ogy congenital heart disease are prone to developing focal liver lesions. In our experi‐ ence, the variety of lesions occurring in this population is greater than that described in the literature. The purpose of this study was to describe the breadth of biopsy‐ proven liver lesions in patients post–Fontan palliation of single ventricle physiology cared for at our institution.
    Methods: We retrospectively identified patients who had previously undergone the Fontan operation and had a focal liver lesion biopsied between January 2000 and June 2018. Medical records… More >

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