Differential effect of body mass index on pediatric heart transplant outcomes based on diagnosis.

Differential effect of body mass index on pediatric heart transplant outcomes based on diagnosis.

Godown J, Donohue JE, Yu S, Friedland-Little JM, Gajarski RJ, Schumacher KR.

Pediatr Transplant. 2014 Nov;18(7):771-6. doi: 10.1111/petr.12352. Epub 2014 Aug 28.

PMID: 25163896 [PubMed – in process]

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Select item 25287457

Comment from Dr. Hafil B. Abdulgani (Indonesia), section editor of Congenital Heart Surgery Journal Watch: BMI did not impact waitlist mortality in CHD and did not impact post-heart transplant outcomes, regardless of diagnosis.

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Evaluation of bilateral pulmonary artery banding for initial palliation in single-ventricle neonates and infants: risk factors for mortality before the bidirectional Glenn procedure.

Evaluation of bilateral pulmonary artery banding for initial palliation in single-ventricle neonates and infants: risk factors for mortality before the bidirectional Glenn procedure.

Ishii Y, Inamura N, Kayatani F, Iwai S, Kawata H, Arakawa H, Kishimoto H.

Interact Cardiovasc Thorac Surg. 2014 Nov;19(5):807-11. doi: 10.1093/icvts/ivu240. Epub 2014 Jul 15.

PMID: 25028076 [PubMed – in process] Free Article

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 Comment from Dr. Hafil B. Abdulgani (Indonesia), section editor of Congenital Heart Surgery Journal Watch: This is a retrospective evaluation of neonates with hypoplastic left heart syndrome, or a variant, which underwent first-stage palliation bilateral pulmonary artery banding before second-stage bidirectional Glenn operation. Postoperative atrioventricular valve regurgitation, cardiac function and mean pulmonary venous wedge pressure are closely correlated with mortality after bilateral pulmonary artery banding. These findings suggest that earlier interventions, such as a secondary operation, including valve repair and outflow reconstruction, should be considered for patients experiencing circulation management after bilateral pulmonary artery banding. This is important for maintaining cardiac function and not increasing the pulmonary venous wedge pressure before the bidirectional Glenn procedure.

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The influence of cardiopulmonary bypass priming without FFP on postoperative coagulation and recovery in pediatric patients with cyanotic congenital heart disease.

The influence of cardiopulmonary bypass priming without FFP on postoperative coagulation and recovery in pediatric patients with cyanotic congenital heart disease.

Miao X, Liu J, Zhao M, Cui Y, Feng Z, Zhao J, Long C, Li S, Yan F, Wang X, Hu S.

Eur J Pediatr. 2014 Nov;173(11):1437-43. doi: 10.1007/s00431-014-2335-1. Epub 2014 May 27.

PMID: 24863631 [PubMed – in process]

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Comment from Dr. Hafil B. Abdulgani (Indonesia), section editor of Congenital Heart Surgery Journal Watch: There is no evidence to support a priming strategy with FFP in pediatric patients with cyanotic heart disease.

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Risk Factors for Systemic Inflammatory Response after Congenital Cardiac Surgery.

Risk Factors for Systemic Inflammatory Response after Congenital Cardiac Surgery.

Güvener M, Korun O, Demirtürk OS.

J Card Surg. 2014 Nov 10. doi: 10.1111/jocs.12465. [Epub ahead of print]

PMID: 25382731 [PubMed – as supplied by publisher]

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Comment from Dr. Hafil B. Abdulgani (Indonesia), section editor of Congenital Heart Surgery Journal Watch: Only less than 10% patients developed clinical parameters indicating systemic inflammatory response syndrome (SIRS). Risk factors for developing SIRS are: long cardiopulmonary bypass time,  long aortic cross clamp time, high postoperative alanine aminotransferase and aspartate aminotransferase, elevated white blood cell counts and low body surface area. Binary logistic regression revealed cardiopulmonary bypass time, low body weight (<10 kg), and preoperative diagnosis of right to left shunt congenital heart disease as independent predictors of SIRS. SIRS was also found to be a strong independent predictor of mortality.

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Cardiac intensive care for the neonate and child after cardiac surgery.

Cardiac intensive care for the neonate and child after cardiac surgery.

DeSena HC, Nelson DP, Cooper DS.

Curr Opin Cardiol. 2014 Nov 11. [Epub ahead of print]

PMID: 25389653 [PubMed – as supplied by publisher]

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Select item 25389651

Comment from Dr. Hafil B. Abdulgani (Indonesia), section editor of Congenital Heart Surgery Journal Watch: Postoperative feeding difficulty, hyperglycemia, acute kidney injury, fluid overload, and prolonged intubation contribute significantly to ICU length of stay. Future studies should focus on fast-track interventions; which, may reduce the time to extubation and shortened the length of stay in the ICU.

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