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  • Open Access

    ARTICLE

    Long-Term Outcome and Risk Factor Analysis of Surgical Pulmonary Valve Replacement in Congenital Heart Disease

    Woo Young Park1, Gi Beom Kim1,*, Sang Yun Lee1, Mi Kyoung Song1, Hye Won Kwon1, Hyo Soon An1, Eun Jung Bae1, Sungkyu Cho2, Jae Gun Kwak2, Woong-Han Kim2

    Congenital Heart Disease, Vol.17, No.3, pp. 335-350, 2022, DOI:10.32604/chd.2022.018666

    Abstract Objectives: To establish long-term outcome of surgical pulmonary valve replacement (PVR) in congenital heart disease (CHD) and to identify risk factors for overall mortality, operative mortality, and repetitive PVR. Methods: This is a retrospective study of 375 surgical PVR in 293 patients who underwent surgical PVR for CHD between January 2000 and May 2020. We only included patients with index PVR with previous open-heart surgery regardless of the number of PVRs. The previous surgical history of patients who underwent PVR during the study period was also included. Patients who underwent the Rastelli operation, and those who underwent single PVR without… More >

  • Open Access

    ARTICLE

    Risk Factor Analysis for Shunt Failure after Systemic Pulmonary Shunt

    Han Zhang, Gang Li, Xiangming Fan, Junwu Su*

    Congenital Heart Disease, Vol.15, No.5, pp. 361-367, 2020, DOI:10.32604/CHD.2020.013020

    Abstract Background: To identify factors associated with shunt failure in patients with a systemic pulmonary shunt (SPS). Methods: We retrospectively assessed 451 patients who received SPS. Perioperative parameters such as hemoglobin, Nakata Index, and shunt size were assessed, and factors influencing shunt failure after an initial palliative shunt operation were analyzed. Results: We analyzed 451 patients who underwent isolated SPS surgery at Anzhen Hospital. Of these, shunt failure occurred in 48 (10.6%) cases after a median of 6.5 days. The 30-day mortality rate was 2.1%. Univariate and logistic regression analysis revealed that a Nakata Index ≤ 105 and vasoactive-inotropic score (VIS)… More >

  • Open Access

    ARTICLE

    Risk factor analysis for a complicated postoperative course after neonatal arterial switch operation: The role of troponin T

    Martin Christmann1,2, Alexandra Wipf1,2, Hitendu Dave2,3, Daniel Quandt1,2, Oliver Niesse1,2, Markus Deisenberg2,4, Martin Hersberger2,5, Oliver Kretschmar1,2, Walter Knirsch1,2

    Congenital Heart Disease, Vol.13, No.4, pp. 594-601, 2018, DOI:10.1111/chd.12615

    Abstract Objective: To find risk factors for a complicated early postoperative course after arterial switch operation (ASO) in neonates with d-transposition of the great arteries (dTGA). In addition to anatomical and surgical parameters, the predictive value of early postoperative troponin T (TnT) values in correlation to the early postoperative course after ASO is analyzed.
    Methods: Seventy-nine neonates (57 (72%) male) with simple dTGA treated by ASO between 2009 and 2016 were included in the analysis. A complicated early postoperative course (30 days) was defined by one of the following criteria: (A) moderate to severe cardiac dysfunction without rhythm disturbances, (B) rhythm… More >

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