CHD Surgery Featured Articles of October 2016

Long-term results after repair of anomalous origin of left coronary artery from the pulmonary artery: Takeuchi repair versus coronary transfer.
Neumann A, Sarikouch S, Bobylev D, Meschenmoser L, Breymann T, Westhoff-Bleck M, Scheid M, Tzanavaros I, Bertram H, Beerbaum P, Haverich A, Boethig D, Horke A.
Eur J Cardiothorac Surg. 2016 Sep 9. pii: ezw268. [Epub ahead of print]

Take Home Points

  1. Surgical correction of ALCAPA using either re-implantation technique or Takeuchi have excellent short term and long term survival.
  2. There is trend of increased re-operation with Takeuchi repair.
  3. LVSF improves dramatically and is normal at 5 years in the patients who underwent early repair. Most of them recover to normal function in one year and stay in NYHA class 1 at long term follow up.
  4. MR improved significantly in most patients, with most patients having mild or less MR at last follow up. Only two patients in the entire cohort required MVR.
  5. Progressive pulmonary insufficiency was noted in close to 80% of patients who had undergone a Takeuchi repair in this series which has not been described in past. The clinical relevance of the pulmonary insufficiency is not clear since no patient had pulmonary valve intervention.
  6. The main limitations of the study were that it was retrospective with a small patient cohort. In addition, there was no randomization of surgical approach. Given the rarity of this disease, a large multicenter study will be needed for further evaluation.

shashidharanCommentary by Dr. Subi Shashidharan (Atlanta), section editor of congenital heart surgery journal watch: This is a retrospective review of patients who had anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA).  Long terms results were compared between two different repair techniques (Direct Aortic implantation of Coronary, versus Takeuchi repair) for correction of this problem.  Data was analyzed from 1980 to 2012 from two centers in Germany.  Total of 30 patients were included.  19/30 patients had direct re-implantation, 9/30 had Takeuchi repair. 2 patients had ligation of left coronary artery (LCA). End points assessed were: freedom from re-operation, LV function, fate of mitral valve and fate of pulmonary valve.  All Takeuchi repairs were performed in one center.  All patients had median sternotomy and moderate hypothermia. 10 patients were male and 20 were female.  Median age at surgery was 0.4 years. Median weight was 5.7 kg. There were 3 adult patients. 80% were diagnosed with color Doppler, even though 29 patients had confirmatory angiography. Coronary anatomy showed 28 patients with LCA from main PA trunk, 19 patients had origin of LCA from right facing sinus.

There was one in-hospital death (3.3%) and no late mortality with actuarial survival rate of 96.7% at 24 years. Six children, 3 in each group needed postoperative ECMO with mean duration of 5.2 days. Four patients underwent re-operation in the whole study. Two in coronary transfer, one of which needed MVR 13 years later and the other needed arterial bypass to LAD and MVR one year from procedure.  Two patients who underwent Takeuchi repair needed re-operation, one needed baffle revision initially and subsequent repair of supravalvar stenosis 7 years later and the other needed repair of supravalvar pulmonary stenosis at 3 years. The freedom from re-operation was 94% at 10 years for the re-implantation group compared to 71% for Takeuchi group. Left ventricular systolic function (LVSF) increased to 37 ± 6.9% at one year from 20.3 ± 10.9% at initial repair.  At five years LVSF is 35.7 ± 4.8%. LVEDD indexed to normal were 3 ± 12% above normal compared with 42 ± 34% pre-operatively. Pre-operatively 50% of patients had less than moderate MR, 26% had moderate MR and 23% had severe MR. MR was absent or trivial in 60%, mild in 20%, moderate in 6.7% and severe in 6.7%. All patients repaired prior to 6 months of age showed absent or trivial MR at last follow up. Patients repaired after age 1 had reversal of MR as well. Interestingly, patients repaired between 6 months to 1 year of age had slowest reversal of MR. There was no statistical difference in degree of MR in two repair groups at last follow up.  79.9% of patients who underwent Takeuchi repair had at least moderate pulmonary regurgitation at ten years which had progressively worsened compared to zero for the re-implantation group.

 

Nitric oxide administration during paediatric cardiopulmonary bypass: a randomised controlled trial.
James C, Millar J, Horton S, Brizard C, Molesworth C, Butt W.
Intensive Care Med. 2016 Sep 30. [Epub ahead of print]

Take Home Points

  1. NO administration during cardiac surgery reduced the incidence of post-operative LCOS. This effect was most marked in children younger than 2-years.
  2. The rate of ECMO was reduced.
  3. The trend towards shorter ventilation and ICU stay was noted, but was not significant statistically, apart from the 6 weeks to 2-year group.

Commentary by Dr. Subi Shashidharan (Atlanta), section editor of congenital heart surgery journal watch: This is a large single center prospective randomized control trial of effect of Nitric oxide (NO) on patients undergoing congenital cardiac operations from Australia. Authors hypothesized that the ischemia-reperfusion injury induced by the generalized inflammatory response caused by CPB can be blunted by NO. Clinically this could be beneficial in reducing the Low cardiac output syndrome (LCOS) and various other clinical and outcome measures.  Primary outcomes measured was LCOS defined as any of the following at any time during first 48 hours: Lactate >4mmol/L and SVO2 <60% or SaO2-SvO2 difference >35% in single ventricle, Vasoactive inotrope score ³ 10, ECMO.  Secondary outcomes measured were use of iNO, peritoneal dialysis, delayed sternal closure, blood loss, blood product transfusion, duration of mechanical ventilation, and length of ICU and hospital stay. Primary outcome subgroup analyses were performed by age and surgical risk. 490 congenital cardiac operations were performed with CPB during the study period.  198 children were enrolled; 101 in NO group and 97 in the control group.  Groups were matched to complexity of surgery and duration of CPB and cross clamp times.  No perioperative steroids were given.  Peak methemoglobin was higher in NO group.  Fewer patients developed LCOS in the NO group compared with controls (15 vs 31%, p= 0.007). The effect was most marked in children aged less than 6 weeks (20 vs 52%, p = 0.012), those aged 6 weeks to 2 years (6 vs 24%, p = 0.026) and following more complex surgeries (17 vs 48%, p = 0.018).  Most patients with LCOS had high inotrope requirement. Number of patients requiring ECMO support was an important difference between the groups.  Of the nine patients who required ECMO, one was in the NO group and 8 were in the control group. There was no difference in the duration of ventilation, ICU stay or hospital stay between the two groups.  NO group received less iNO. No difference was noted in the bleeding between groups.  There was a trend towards less transfusion in patients over 2-years old who received NO (8 vs 24%, p = 0.096).  Patients with LCOS required more peritoneal dialysis, longer periods of mechanical ventilation, longer hospital stay and required iNO.

A limitation is lower cut off for VIS in definition of LCOS resulting in higher LCOS rate. Despite the fall in incidence of LCOS, the effect of NO remained significant in younger patients. Frequency of ECMO was higher in this study group, so the finding of reduced use of ECMO in other institutions may not be replicated. Large study will be needed to evaluate the cost effectiveness of use of NO. Only 40% of the eligible patients were enrolled because of the limited availability of research team members.

 

Long-Term Outcome of Patients With Complete Atrioventricular Septal Defect Combined With the Tetralogy of Fallot: Staged Repair Is Not Inferior to Primary Repair.
Vitanova K, Cleuziou J, Schreiber C, Günther T, Pabst von Ohain J, Hörer J, Lange R.
Ann Thorac Surg. 2016 Sep 27. pii: S0003-4975(16)30937-7. doi: 10.1016/j.athoracsur.2016.07.038.

Take Home Points

  1. Long-term survival and freedom from reoperation were similar between groups of patients who underwent either staged or primary repair for CAVSD-TOF or DORV-TOF.
  2. Preoperative AVVR was the most common cause for reoperation and the only risk factor for reoperation in this analysis.

jeremy-herrmannCommentary by Dr. Jeremy Herrmann (Indianapolis), section editor of congenital heart surgery journal watch: The combination of complete AV septal defect and tetralogy of Fallot (CAVSD-TOF) is uncommon but presents challenges with regard to timing of repair (vs staged operations) as well as the technical approach. Possible advantages of delaying the primary repair are to facilitate larger conduits for RVOT reconstruction, possible preservation of the pulmonary valve itself, and easier repair of the common AV valve. The authors conducted a retrospective review of cases of CAVSD-TOF or double-outlet RV-TOF (DORV-TOF) surgically managed at their institution between 1974-2013. They included those who were preoperative candidates for biventricular repair (i.e., excluded unbalanced AVSD who underwent palliation only). They compared patients who underwent staged repair with those who underwent primary repair. Staged repair was typically chosen for patients who were cyanotic, very young, or with a low birth weight who required urgent intervention. Forty-five patients were included, 22 who underwent staged repair and 25 with primary repair. A 2-patch repair technique was used in all but 2 cases.

The median age was 3 months (range, 3 days to 12 months) for staged repair and 2.4 years (range, 4 months to 14 years) for primary repair (p=0.001). One patient in each group died within 30 days, and the 10-year survival between staged and primary repair was similar (78% and 83%, respectively; p=0.8). Freedom from reoperation at 10 years was similar between groups at 73% and 71% for staged and primary repairs, respectively. Of the 45% who required reoperation, the most common reason was for AV regurgitation (AVVR; 29%). Regression analysis revealed no risk factors for death (including staged repair), and AVVR remained a risk factor for reoperation.

The authors conclude that staging repair for CAVSD-TOF and DORV-TOF does not affect long-term survival or the need for reoperation, though a selection bias may result from lack of inclusion of patients who died after the initial shunt placement who never reached full repair. Waiting for patient growth (ideally greater than 5 kg body weight at their center) may optimize the conditions for surgical repair.

 

Accuracy of transesophageal echocardiography in the identification of postoperative intramural ventricular septal defects.
Patel JK, Glatz AC, Ghosh RM, Jones SM, Ravishankar C, Mascio C, Cohen MS.
J Thorac Cardiovasc Surg. 2016 Sep;152(3):688-95. doi: 10.1016/j.jtcvs.2016.04.026. Epub 2016 Apr 11.

Take Home Points

  1. Intraoperative TEE has modest sensitivity (56%) but high specificity (100%) for detecting residual intramural VSDs following repairs for conotruncal abnormalities when compared with postoperative TTE.
  2. Of the residual VSDs that required reintervention, almost all were initially detected using intraoperative TEE.
  3. The sensitivity of intraoperative TEE for detecting residual intramural VSDs may be aided by imaging the superior attachment of the VSD patch in multiple views.
  4. Residual VSDs were correctly diagnosed in patients who were older and heavier at the time of operation.

Commentary by Dr. Jeremy Herrmann (Indianapolis), section editor of congenital heart surgery journal watch: Residual intramural VSDs (defined as an interventricular communication anterior to a VSD patch through trabeculated muscle) can occur following repair of conotruncal defects and may be associated with poorer morbidity and mortality outcomes. The authors conducted a retrospective analysis of transesophageal and transthoracic echocardiographic diagnoses of residual intramural and peripatch VSDs following biventricular repairs of conotruncal defects that utilized baffles from the LV to either the aorta or pulmonary artery at the Children’s Hospital of Philadelphia. Between January 2, 2006, and June 30, 2014, there were 462 biventricular repairs with 337 having adequate echocardiographic assessments to meet inclusion criteria. The median patient age at operation was 92 days (IQR, 16-137) with a median weight of 4.9 kg (IQR, 3.5-6.2 kg). Tetralogy of Fallot was the most common entity (77%), and a 4% of all patients underwent previous surgical palliation.

The overall incidence of residual VSDs as determined by TEE was 6% for intramural and 31% for peripatch (similar to other published reports). Sixteen of the 337 patients required a second bypass run for re-repair. Using the postoperative TTE as the reference standard, the sensitivity of intraoperative TEE to detect intramural VSDs was 56% (95% confidence interval [CI], CI 38%-72%), a specificity of 100% (95% CI, 98%-100%), positive predictive value of 100% (95% CI, 79%-100%), and a negative predictive value of 95% (95% CI, 92%-97%) for detecting intramural VSDs. Similar values were observed for TEE detection of peripatch leaks. Patients with correctly identified intramural and peripatch VSD by intraoperative TEE were older and heavier at the time of surgery. Only 7 intramural and 5 peripatch VSDs required catheter and/or surgical reintervention, and almost all were detected by intraoperative TEE. Almost half (47%) of the residual VSDs missed by intraoperative TEE were greater than 2 mm in size. The authors suggest this may have been due to incomplete echo sweeps as well as enlargement of the defects postoperatively following right ventricular decompression.

The authors further suggest that the sensitivity of intraoperative TEE for detecting residual intramural VSDs may be aided by imaging the superior attachment of the VSD patch in multiple views. Residual VSDs were correctly diagnosed in patients who were older and heavier at the time of operation, likely due to better image acquisition. Limitations include its retrospective design and exclusion of patients with inadequate echocardiographic assessments who tended to be younger and smaller at the time of surgery. Overall, the authors conclude that intraoperative TEE (even with a modest sensitivity of 56%) may be helpful in detecting residual VSDs after repair of conotruncal abnormalities, especially those significant enough to warrant reintervention.


Congenital Heart Surgery Articles – October 2016

 

  1. Five decades of pediatric heart transplantation: challenges overcome, challenges remaining.

Zangwill S.

Curr Opin Cardiol. 2016 Oct 31. [Epub ahead of print]

 

  1. Current Therapy for Hypoplastic Left Heart Syndrome and Related Single Ventricle Lesions.

Ohye RG, Schranz D, D’Udekem Y.

Circulation. 2016 Oct 25;134(17):1265-1279.

 

  1. Introduction to the Cardiovascular Surgery Themed Issue of Circulation.

Ruel M.

Circulation. 2016 Oct 25;134(17):1205. No abstract available.

 

  1. Adrenal insufficiency in neonates after cardiac surgery with cardiopulmonary bypass.

Crawford JH, Hull MS, Borasino S, Steenwyk BL, Hock KM, Wall K, Alten JA.

Paediatr Anaesth. 2016 Oct 25. doi: 10.1111/pan.13013. [Epub ahead of print]

 

  1. Mentoring new surgeons: can we avoid the learning curve?

Mussa S, Drury NE, Stickley J, Khan NE, Jones TJ, Barron DJ, Brawn WJ.

Eur J Cardiothorac Surg. 2016 Oct 23. pii: ezw293. [Epub ahead of print]

 

  1. [Heart transplantation for the treatment of isolated left ventricular myocardial noncompaction. First case in Mexico].

Zetina-Tun HJ, Careaga-Reyna G, Galván-Díaz J, Sánchez-Uribe M.

Cir Cir. 2016 Oct 20. pii: S0009-7411(16)30071-8. doi: 10.1016/j.circir.2016.09.001. [Epub ahead of print] Spanish.

 

  1. Extracorporeal Life Support for Pediatric Heart Failure.

Burke CR, McMullan DM.

Front Pediatr. 2016 Oct 20;4:115. Review.

 

  1. Long-term outcomes of complete vascular ring division in children: a 36-year experience from a single institution.

Naimo PS, Fricke TA, Donald JS, Sawan E, d’Udekem Y, Brizard CP, Konstantinov IE.

Interact Cardiovasc Thorac Surg. 2016 Oct 20. pii: ivw344. [Epub ahead of print]

 

  1. Early postoperative extubation of unstable patients following total cavopulmonary connection: impact on circulation and outcome.

Georgiev S, Balling G, Ruf B, Ackermann K, von Ohain JP, Schreiber C, Ewert P.

Cardiol Young. 2016 Oct 18:1-10. [Epub ahead of print]

 

  1. Residual tracheobronchial malacia after surgery for vascular compression in children: treatment with stenting†.

Serio P, Nenna R, Fainardi V, Grisotto L, Biggeri A, Leone R, Arcieri L, Di Maurizio M, Colosimo D, Baggi R, Murzi B, Mirabile L, Midulla F.

Eur J Cardiothorac Surg. 2016 Oct 15. pii: ezw299. [Epub ahead of print]

 

  1. Surgical management of giant coronary aneurysms in Noonan syndrome.

Ringle A, Rousse N, Toledano M, Lemahieu JM, Domanski O, Godart F, Vincentelli A, Maréchaux S.

Int J Cardiol. 2016 Oct 15;221:107-9. doi: 10.1016/j.ijcard.2016.06.279. No abstract available.

 

  1. Implementation of a Quality Improvement Bundle Improves Echocardiographic Imaging after Congenital Heart Surgery in Children.

Parthiban A, Levine JC, Nathan M, Marshall JA, Shirali GS, Simon SD, Colan SD, Newburger JW, Raghuveer G.

J Am Soc Echocardiogr. 2016 Oct 11. pii: S0894-7317(16)30482-5. doi: 10.1016/j.echo.2016.09.002. [Epub ahead of print]

 

  1. Perioperative mortality is the Achilles heel for cardiac transplantation in adults with congenital heart disease: Evidence from analysis of the UNOS registry.

Shah DK, Deo SV, Althouse AD, Teuteberg JJ, Park SJ, Kormos RL, Burkhart HM, Morell VO.

J Card Surg. 2016 Oct 5. doi: 10.1111/jocs.12857. [Epub ahead of print]

 

  1. Single-stage, three-fold repair for Ebstein’s anomaly.

Mostafa EA, El Midany AA, Elnahas Y, Helmy A, Mansour SA.

Interact Cardiovasc Thorac Surg. 2016 Oct 4. pii: ivw333. [Epub ahead of print]

 

  1. Cardiac surgery in low-income settings: 10 years of experience from two countries.

Mirabel M, Lachaud M, Offredo L, Lachaud C, Zuschmidt B, Ferreira B, Sidi D, Chauvaud S, Sok P, Deloche A, Marijon E, Jouven X.

Arch Cardiovasc Dis. 2016 Oct 3. pii: S1875-2136(16)30143-7. doi: 10.1016/j.acvd.2016.05.006. [Epub ahead of print]

 

  1. Trends and outcomes in neonatal cardiac surgery for congenital heart disease in Japan from 1996 to 2010.

Hasegawa T, Masuda M, Okumura M, Arai H, Kobayashi J, Saiki Y, Tanemoto K, Nishida H, Motomura N.

Eur J Cardiothorac Surg. 2016 Oct 2. pii: ezw302. [Epub ahead of print]

 

  1. Development and Validation of a Risk Stratification Score for Children With Congenital Heart Disease Undergoing Noncardiac Surgery.

Faraoni D, Vo D, Nasr VG, DiNardo JA.

Anesth Analg. 2016 Oct;123(4):824-30. doi: 10.1213/ANE.0000000000001500.

 

  1. First Successful Clinical Application of the In Vivo Tissue-Engineered Autologous Vascular Graft.

Kato N, Yamagishi M, Kanda K, Miyazaki T, Maeda Y, Yamanami M, Watanabe T, Yaku H.

Ann Thorac Surg. 2016 Oct;102(4):1387-90. doi: 10.1016/j.athoracsur.2016.06.095.

 

  1. Evaluation of Explanted CorMatrix Intracardiac Patches in Children With Congenital Heart Disease.

Nelson JS, Heider A, Si MS, Ohye RG.

Ann Thorac Surg. 2016 Oct;102(4):1329-35. doi: 10.1016/j.athoracsur.2016.03.086.

 

  1. Incidence and Predictors for Postoperative Thrombotic Complications in Children With Surgical and Nonsurgical Heart Disease.

Faraoni D, Gardella KM, Odegard KC, Emani SM, DiNardo JA.

Ann Thorac Surg. 2016 Oct;102(4):1360-7. doi: 10.1016/j.athoracsur.2016.03.083.

 

  1. The Use of Hypothermic Circulatory Arrest During Heart Transplantation Does Not Worsen Posttransplant Survival.

Sorabella RA, Guglielmetti L, Bader A, Gomez A, Takeda K, Chai PJ, Takayama H, Bacha EA, Naka Y, George I.

Ann Thorac Surg. 2016 Oct;102(4):1260-5. doi: 10.1016/j.athoracsur.2016.03.058.

 

  1. Evolving heart transplantation across the lifespan: A growing population of adults with congenital heart disease.

Cohen S, Marelli A.

Arch Cardiovasc Dis. 2016 Oct;109(10):511-513. doi: 10.1016/j.acvd.2016.05.001. No abstract available.

 

  1. Association of nadir oxygen delivery on cardiopulmonary bypass with serum glial fibrillary acid protein levels in paediatric heart surgery patients.

Magruder JT, Hibino N, Collica S, Zhang H, Harness HL, Heitmiller ES, Jacobs ML, Cameron DE, Vricella LA, Everett AD.

Interact Cardiovasc Thorac Surg. 2016 Oct;23(4):531-7. doi: 10.1093/icvts/ivw194.

 

  1. Predictive Value of Intraoperative Thromboelastometry for the Risk of Perioperative Excessive Blood Loss in Infants and Children Undergoing Congenital Cardiac Surgery: A Retrospective Analysis.

Kim E, Shim HS, Kim WH, Lee SY, Park SK, Yang JH, Jun TG, Kim CS.

J Cardiothorac Vasc Anesth. 2016 Oct;30(5):1172-8. doi: 10.1053/j.jvca.2016.03.132.

 

  1. Heparin Reversal After Cardiopulmonary Bypass: Are Point-of-Care Coagulation Tests Interchangeable?

Willems A, Savan V, Faraoni D, De Ville A, Rozen L, Demulder A, Van der Linden P.

J Cardiothorac Vasc Anesth. 2016 Oct;30(5):1184-9. doi: 10.1053/j.jvca.2016.03.004.

 

  1. Outcomes of Surgery for Total Anomalous Pulmonary Venous Return without Total Circulatory Arrest.

Lee Y, Cho JY, Kwon OY, Jang WS.

Korean J Thorac Cardiovasc Surg. 2016 Oct;49(5):337-343.

 

  1. [Cardiac Function after Lung Transplantation of Eisenmenger Syndrome].

Funaki S, Shintani Y, Minami M, Ueno T, Toda K, Sawa Y, Okumura M.

Kyobu Geka. 2016 Oct;69(11):911-914. Japanese.

 

  1. [Change in our approach in the surgical management of congenital heart defects in patients with Down syndrome, 1974-2016].

Hartyánszky I, Bogáts G.

Orv Hetil. 2016 Oct;157(40):1601-1603. Hungarian.

 

  1. Perioperative management of pediatric en-bloc combined heart-liver transplants: a case series review.

Navaratnam M, Ng A, Williams GD, Maeda K, Mendoza JM, Concepcion W, Hollander SA, Ramamoorthy C.

Paediatr Anaesth. 2016 Oct;26(10):976-86. doi: 10.1111/pan.12950.

 

  1. The Impact of Concomitant Left Ventricular Non-compaction with Congenital Heart Disease on Perioperative Outcomes.

Ramachandran P, Woo JG, Ryan TD, Bryant R, Heydarian HC, Jefferies JL, Towbin JA, Lorts A.

Pediatr Cardiol. 2016 Oct;37(7):1307-12. doi: 10.1007/s00246-016-1435-2.

 

  1. Dexmedetomidine is Associated with an Increased Incidence of Bradycardia in Patients with Trisomy 21 After Surgery for Congenital Heart Disease.

Ueno K, Ninomiya Y, Shiokawa N, Hazeki D, Eguchi T, Kawano Y.

Pediatr Cardiol. 2016 Oct;37(7):1228-34. doi: 10.1007/s00246-016-1421-8.

 

  1. Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study.

Ödek Ç, Kendirli T, Uçar T, Yaman A, Tutar E, Eyileten Z, Taşar M, Ramoğlu M, Ateş C, Uysalel A, İnce E, Atalay S.

Pediatr Cardiol. 2016 Oct;37(7):1241-9. doi: 10.1007/s00246-016-1423-6.

 

  1. Reduction in blood transfusion in a cohort of infants having cardiac surgery with cardiopulmonary bypass after instituting a goal-directed transfusion policy.

Machovec KA, Smigla G, Ames WA, Schwimer C, Homi HM, Dhakal IB, Jaquiss RD, Lodge AJ, Jooste EH.

Perfusion. 2016 Oct;31(7):598-603. doi: 10.1177/0267659116640866.

 

  1. Retrospective Cohort Study Comparing Redo Operations Using Ferromagnetic Dissection and Conventional Monopolar Dissection.

Starr JP, Gates RN, Palafox BA, Quill A.

Surg Innov. 2016 Oct;23(5):511-4. doi: 10.1177/1553350616656279.

 

  1. Combined heart-liver transplantation: Indications, outcomes and current experience.

Beal EW, Mumtaz K, Hayes D Jr, Whitson BA, Black SM.

Transplant Rev (Orlando). 2016 Oct;30(4):261-8. doi: 10.1016/j.trre.2016.07.001. Review.

 

  1. Decline in ventricular function as a result of general anesthesia in pediatric heart transplant recipients.

Elhoff JJ, Chowdhury SM, Taylor CL, Hassid M, Savage AJ, Atz AM, Butts RJ.

Pediatr Transplant. 2016 Oct 30. doi: 10.1111/petr.12825. [Epub ahead of print]

 

  1. Fontan completion in reverse order out of necessity: secondary Glenn after primary extracardiac inferior cavopulmonary artery connection.

Dodge-Khatami J, Aggarwal A, Taylor MB, Maposa D, Salazar JD, Dodge-Khatami A.

Cardiol Young. 2016 Oct 28:1-4. [Epub ahead of print]

 

  1. Bedside Ultrasound for the Diagnosis of Abnormal Diaphragmatic Motion in Children After Heart Surgery.

Gil-Juanmiquel L, Gratacós M, Castilla-Fernández Y, Piqueras J, Baust T, Raguer N, Balcells J, Perez-Hoyos S, Abella RF, Sanchez-de-Toledo J.

Pediatr Crit Care Med. 2016 Oct 28. [Epub ahead of print]

 

  1. Acute Kidney Injury in Patients Undergoing the Extracardiac Fontan Operation With and Without the Use of Cardiopulmonary Bypass.

Algaze CA, Koth AM, Faberowski LW, Hanley FL, Krawczeski CD, Axelrod DM.

Pediatr Crit Care Med. 2016 Oct 27. [Epub ahead of print]

 

  1. Outcomes of Continuous Renal Replacement Therapy With Regional Citrate Anticoagulation in Small Children After Cardiac Surgery: Experience and Protocol From a Single Center.

Musielak A, Warzywoda A, Wojtalik M, Kociński B, Kroll P, Ostalska-Nowicka D, Zachwieja J.

Ther Apher Dial. 2016 Oct 27. doi: 10.1111/1744-9987.12456. [Epub ahead of print]

 

  1. Clinical Features of Acute and Fulminant Myocarditis in Children - 2nd Nationwide Survey by Japanese Society of Pediatric Cardiology and Cardiac Surgery.

Matsuura H, Ichida F, Saji T, Ogawa S, Waki K, Kaneko M, Tahara M, Soga T, Ono Y, Yasukochi S.

Circ J. 2016 Oct 25;80(11):2362-2368.

 

  1. Nanofibrous bioengineered heart valve-Application in paediatric medicine.

Namdari M, Eatemadi A.

Biomed Pharmacother. 2016 Oct 22;84:1179-1188. doi: 10.1016/j.biopha.2016.10.058. [Epub ahead of print] Review.

 

  1. Early postoperative extubation of unstable patients following total cavopulmonary connection: impact on circulation and outcome.

Georgiev S, Balling G, Ruf B, Ackermann K, von Ohain JP, Schreiber C, Ewert P.

Cardiol Young. 2016 Oct 18:1-10. [Epub ahead of print]

 

  1. Assessment of extravascular lung water by ultrasound after congenital cardiac surgery.

Kaskinen AK, Martelius L, Kirjavainen T, Rautiainen P, Andersson S, Pitkänen OM.

Pediatr Pulmonol. 2016 Oct 14. doi: 10.1002/ppul.23531. [Epub ahead of print]

 

  1. The Significance of the Interleaflet Triangles in Determining the Morphology of Congenitally Abnormal Aortic Valves: Implications for Noninvasive Imaging and Surgical Management.

Tretter JT, Spicer DE, Mori S, Chikkabyrappa S, Redington AN, Anderson RH.

J Am Soc Echocardiogr. 2016 Oct 11. pii: S0894-7317(16)30426-6. doi: 10.1016/j.echo.2016.08.017. [Epub ahead of print] Review.

 

  1. Completeness and Accuracy of Local Clinical Registry Data for Children Undergoing Heart Surgery.

Nathan M, Jacobs ML, Gaynor JW, Newburger JW, Dunbar Masterson C, Lambert LM, Hollenbeck-Pringle D, Trachtenberg FL, White O, Anderson BR, Bell MC, Burch PT, Graham EM, Kaltman JR, Kanter KR, Mery CM, Pizarro C, Schamberger MS, Taylor MD, Jacobs JP, Pasquali SK; Pediatric Heart Network Investigators..

Ann Thorac Surg. 2016 Oct 7. pii: S0003-4975(16)30916-X. doi: 10.1016/j.athoracsur.2016.06.111. [Epub ahead of print]

 

  1. The Use of Extracorporeal Membrane Oxygenation-Cardiopulmonary Resuscitation in Prolonged Cardiac Arrest in Pediatric Patients. Is it Time to Expand It?

Absi M, Kumar ST, Sandhu H.

Pediatr Emerg Care. 2016 Oct 6. [Epub ahead of print]

 

  1. Bedside PDA ligation in premature infants less than 28 weeks and 1000 grams.

Avsar MK, Demir T, Celiksular C, Zeybek C.

J Cardiothorac Surg. 2016 Oct 4;11(1):146.

 

  1. Resection of Kommerell Diverticulum After the Arterial Switch for TGA With Bilateral PDAs and Right Aortic Arch.

Ochiai Y, Joo K, Onzuka T, Nakashima A, Nagatomo Y, Watanabe M, Muneuchi J.

Ann Thorac Surg. 2016 Oct;102(4):e321-3. doi: 10.1016/j.athoracsur.2016.02.067.

 

  1. Right Thoracotomy to Repair Scimitar Syndrome and an Accessory Hemidiaphragm.

Al-Yamani M, Kreitmann B, Thambo JB, Roubertie F.

Ann Thorac Surg. 2016 Oct;102(4):e317-9. doi: 10.1016/j.athoracsur.2016.03.022.

 

  1. Systemic-Pulmonary Shunt Facilitates the Growth of the Pulmonary Valve Annulus in Patients With Tetralogy of Fallot.

Chong BK, Baek JS, Im YM, Park CS, Park JJ, Yun TJ.

Ann Thorac Surg. 2016 Oct;102(4):1322-8. doi: 10.1016/j.athoracsur.2016.05.064.

 

  1. Three-dimensional printing of a complex CHD to plan surgical repair.

Hadeed K, Dulac Y, Acar P.

Cardiol Young. 2016 Oct;26(7):1432-4. doi: 10.1017/S1047951116000755.

 

  1. When the bi-directional Glenn is an unfavourable option: primary extracardiac inferior cavopulmonary connection as an alternative palliation.

Dodge-Khatami A, Aggarwal A, Taylor MB, Maposa D, Salazar JD.

Cardiol Young. 2016 Oct;26(7):1247-9. doi: 10.1017/S104795111500058X.

 

  1. Pharmacodynamic Analysis of Morphine Time-to-Remedication Events in Infants and Young Children After Congenital Heart Surgery.

Elkomy MH, Drover DR, Galinkin JL, Hammer GB, Glotzbach KL.

Clin Pharmacokinet. 2016 Oct;55(10):1217-26. doi: 10.1007/s40262-016-0398-z.

 

  1. Induction immunosuppression for combined heart-lung transplantation.

Hayes D Jr, McConnell PI, Yates AR, Tobias JD, Galantowicz M, Mansour HM, Tumin D.

Clin Transplant. 2016 Oct;30(10):1332-1339. doi: 10.1111/ctr.12827.

 

  1. When is the right time for Fontan conversion? The role of cardiopulmonary exercise test.

Egbe AC, Connolly HM, Dearani JA, Bonnichsen CR, Niaz T, Allison TG, Johnson JN, Poterucha JT, Said SM, Ammash NM.

Int J Cardiol. 2016 Oct 1;220:564-8. doi: 10.1016/j.ijcard.2016.06.209.

 

  1. Surgical Repair of Mitral Valve Disease in Children: Perioperative Changes in Respiratory Function.

Malaspinas I, Petak F, Chok L, Perrin A, Martin AL, Beghetti M, Habre W.

J Cardiothorac Vasc Anesth. 2016 Oct;30(5):1286-95. doi: 10.1053/j.jvca.2016.05.018.

 

  1. Right ventricular assist device use in ventricular failure due to pulmonary arterial hypertension: Lessons learned.

Rosenzweig EB, Chicotka S, Bacchetta M.

J Heart Lung Transplant. 2016 Oct;35(10):1272-1274. doi: 10.1016/j.healun.2016.07.010. No abstract available.

 

  1. Influence of graft ischemic time and geographic distance between donor and recipient on survival in children after lung transplantation.

Hayes D, Joy BF, Reynolds SD, Tobias JD, Tumin D.

J Heart Lung Transplant. 2016 Oct;35(10):1220-1226. doi: 10.1016/j.healun.2016.05.018.

 

  1. Survival status and functional outcome of children who required prolonged intensive care after cardiac surgery.

Namachivayam SP, d’Udekem Y, Millar J, Cheung MM, Butt W.

J Thorac Cardiovasc Surg. 2016 Oct;152(4):1104-1112.e3. doi: 10.1016/j.jtcvs.2016.05.006.

 

  1. Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collaterals Associated with Left Pulmonary Artery Interruption.

Mun DN, Park CS, Kim YH, Goo HW.

Korean J Thorac Cardiovasc Surg. 2016 Oct;49(5):374-378.

 

  1. Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study.

Ödek Ç, Kendirli T, Uçar T, Yaman A, Tutar E, Eyileten Z, Taşar M, Ramoğlu M, Ateş C, Uysalel A, İnce E, Atalay S.

Pediatr Cardiol. 2016 Oct;37(7):1241-9. doi: 10.1007/s00246-016-1423-6.

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CHD Surgery Featured Articles of September 2016

 

CHD Surgery Articles – September 2016

 

  1. Nitric oxide administration during paediatric cardiopulmonary bypass: a randomised controlled trial.

James C, Millar J, Horton S, Brizard C, Molesworth C, Butt W.

Intensive Care Med. 2016 Sep 30. [Epub ahead of print]

  1. Perioperative and Anesthetic Considerations in Total Anomalous Pulmonary Venous Connection.

Ross FJ, Joffe D, Latham GJ.

Semin Cardiothorac Vasc Anesth. 2016 Sep 29. pii: 1089253216672012. Review.

  1. Long-Term Outcome of Patients With Complete Atrioventricular Septal Defect Combined With the Tetralogy of Fallot: Staged Repair Is Not Inferior to Primary Repair.

Vitanova K, Cleuziou J, Schreiber C, Günther T, Pabst von Ohain J, Hörer J, Lange R.

Ann Thorac Surg. 2016 Sep 27. pii: S0003-4975(16)30937-7. doi: 10.1016/j.athoracsur.2016.07.038.

  1. Photo-oxidized bovine pericardium in congenital cardiac surgery: single-centre experience.

Baird CW, Myers PO, Piekarski B, Borisuk M, Majeed A, Emani SM, Sanders SP, Nathan M, Del Nido PJ.

Interact Cardiovasc Thorac Surg. 2016 Sep 27. pii: ivw315. [Epub ahead of print]

  1. A novel procedure for reconstructing an extensive hypoplastic aortic arch in older children.

Wu S, Yang Y, Hu S, Zhao T.

Interact Cardiovasc Thorac Surg. 2016 Sep 22. pii: ivw320. [Epub ahead of print]

  1. The Challenge of Timing Surgery in Degenerative Mitral Regurgitation: Is B-Type Natriuretic Peptide the Solution?

Baumgartner H.

J Am Coll Cardiol. 2016 Sep 20;68(12):1308-11. doi: 10.1016/j.jacc.2016.07.717. No abstract available.

  1. Association of Extracorporeal Membrane Oxygenation Support Adequacy and Residual Lesions on Outcomes in Neonates Supported After Cardiac Surgery.

Howard TS, Kalish BT, Wigmore D, Nathan M, Kulik TJ, Kaza AK, Williams K, Thiagarajan RR.

Pediatr Crit Care Med. 2016 Sep 19. [Epub ahead of print]

  1. Constrictive Pericarditis Following Correction of Partial Anomalous Pulmonary Venous Drainage.

Ong CS, Shankar S, Yip JW, Tay EL, Teo LL, Quek SC.

World J Pediatr Congenit Heart Surg. 2016 Sep 19. pii: 2150135116652116. [Epub ahead of print]

  1. Importance of detailed distribution of branches in giant coronary aneurysm.

Kagiyama N, Nakazato T, Yoshida K, Sakaguchi T.

Eur J Cardiothorac Surg. 2016 Sep 15. pii: ezw309. [Epub ahead of print] No abstract available.

  1. Left Main Coronary Artery Atresia in an Infant With Inclusion-Cell Disease.

Bounds RL, Kuebler J, Cholette JM, Alfieris GM, Emani SM, Wittlieb-Weber CA.

World J Pediatr Congenit Heart Surg. 2016 Sep 12. pii: 2150135116664701. [Epub ahead of print]

  1. Long-term results after repair of anomalous origin of left coronary artery from the pulmonary artery: Takeuchi repair versus coronary transfer.

Neumann A, Sarikouch S, Bobylev D, Meschenmoser L, Breymann T, Westhoff-Bleck M, Scheid M, Tzanavaros I, Bertram H, Beerbaum P, Haverich A, Boethig D, Horke A.

Eur J Cardiothorac Surg. 2016 Sep 9. pii: ezw268. [Epub ahead of print]

  1. Surgical repair of left ventricular pseudoaneurysm following perventricular device closure of muscular ventricular septal defect.

Taqatqa AS, Caputo M, Kenny DP, Diab KA.

J Card Surg. 2016 Sep 7. doi: 10.1111/jocs.12840. [Epub ahead of print]

  1. Unrepaired Tetralogy of Fallot-related Pathophysiologic Changes Reduce Systemic Clearance of Etomidate in Children.

Shen Y, Cai MH, Ji W, Bai J, Huang Y, Sun Y, Lin L, Niu J, Zhang MZ.

Anesth Analg. 2016 Sep;123(3):722-30. doi: 10.1213/ANE.0000000000001477.

  1. The Perioperative Use of Dexmedetomidine in Pediatric Patients with Congenital Heart Disease: An Analysis from the Congenital Cardiac Anesthesia Society-Society of Thoracic Surgeons Congenital Heart Disease Database.

Schwartz LI, Twite M, Gulack B, Hill K, Kim S, Vener DF.

Anesth Analg. 2016 Sep;123(3):715-21. doi: 10.1213/ANE.0000000000001314.

  1. The “excluding” suture technique for surgical closure of ventricular septal defects: A retrospective study comparing the standard technique.

Varghese R, Saheed S, Ravi AK, Sherrif EA, Agarwal R, Kothandam S.

Ann Pediatr Cardiol. 2016 Sep-Dec;9(3):229-35. doi: 10.4103/0974-2069.189116.

  1. Humanitarian Outreach in Cardiothoracic Surgery: From Setup to Sustainability.

Dearani JA, Jacobs JP, Bolman RM 3rd, Swain JD, Vricella LA, Weinstein S, Farkas EA, Calhoon JH.

Ann Thorac Surg. 2016 Sep;102(3):1004-11. doi: 10.1016/j.athoracsur.2016.03.062. Epub 2016 Jun 17. Review.

  1. Left-to-Right Shunts: Is There No Window for Repair Before Pulmonary Vascular Disease and Myocardial Fibrotic Remodeling Develop?

Grosse-Wortmann L.

Circ Cardiovasc Imaging. 2016 Sep;9(9). pii: e005436. doi: 10.1161/CIRCIMAGING.116.005436. No abstract available.

  1. Pulmonary endarterectomy is effective and safe in patients with haemoglobinopathies and abnormal red blood cells: the Papworth experience.

Mahesh B, Besser M, Ravaglioli A, Pepke-Zaba J, Martinez G, Klein A, Ng C, Tsui S, Dunning J, Jenkins DP.

Eur J Cardiothorac Surg. 2016 Sep;50(3):537-41. doi: 10.1093/ejcts/ezw062. Epub 2016 Mar 17.

  1. Outcomes of redo pulmonary valve replacement for bioprosthetic pulmonary valve failure in 61 patients with congenital heart disease.

Lee C, Lee CH, Kwak JG.

Eur J Cardiothorac Surg. 2016 Sep;50(3):470-5. doi: 10.1093/ejcts/ezw037. Epub 2016 Feb 17.

  1. Exercise performance in Ebstein’s anomaly in the course of time – Deterioration in native patients and preserved function after tricuspid valve surgery.

Müller J, Kühn A, Tropschuh A, Hager A, Ewert P, Schreiber C, Vogt M.

Int J Cardiol. 2016 Sep 1;218:79-82. doi: 10.1016/j.ijcard.2016.05.014. Epub 2016 May 13.

  1. Fungal infections in children in the early postoperative period after cardiac surgery for congenital heart disease: a single-centre experience.

Jaworski R, Haponiuk I, Irga-Jaworska N, Chojnicki M, Steffens M, Paczkowski K, Zielinski J.

Interact Cardiovasc Thorac Surg. 2016 Sep;23(3):431-7. doi: 10.1093/icvts/ivw156. Epub 2016 May 24.

  1. Severe mitral regurgitation due to an extraordinary heart defect.

García-Ropero Á, Cortés García M, Aldamiz Echevarría G, Farré Muncharaz J.

Interact Cardiovasc Thorac Surg. 2016 Sep;23(3):503-5. doi: 10.1093/icvts/ivw113. Epub 2016 May 23.

  1. An empowerment health education program for children undergoing surgery for congenital heart diseases.

Ni Z, Chao Y, Xue X.

J Child Health Care. 2016 Sep;20(3):354-64. doi: 10.1177/1367493515587057. Epub 2015 Jun 23.

  1. Cuffed endotracheal tubes in neonates and infants undergoing cardiac surgery are not associated with airway complications.

DeMichele JC, Vajaria N, Wang H, Sweeney DM, Powers KS, Cholette JM.

J Clin Anesth. 2016 Sep;33:422-7. doi: 10.1016/j.jclinane.2016.04.038. Epub 2016 Jun 4.

  1. Extracorporeal membrane oxygenator support in infants with systemic-pulmonary shunts.

Botha P, Deshpande SR, Wolf M, Heard M, Alsoufi B, Kogon B, Kanter K.

J Thorac Cardiovasc Surg. 2016 Sep;152(3):912-8. doi: 10.1016/j.jtcvs.2016.03.075. Epub 2016 Apr 11.

  1. Impact of anatomic characteristics and initial biventricular surgical strategy on outcomes in various forms of double-outlet right ventricle.

Villemain O, Belli E, Ladouceur M, Houyel L, Jalal Z, Lambert V, Ly M, Vouhé P, Bonnet D.

J Thorac Cardiovasc Surg. 2016 Sep;152(3):698-706.e3. doi: 10.1016/j.jtcvs.2016.05.019. Epub 2016 May 27.

  1. Accuracy of transesophageal echocardiography in the identification of postoperative intramural ventricular septal defects.

Patel JK, Glatz AC, Ghosh RM, Jones SM, Ravishankar C, Mascio C, Cohen MS.

J Thorac Cardiovasc Surg. 2016 Sep;152(3):688-95. doi: 10.1016/j.jtcvs.2016.04.026. Epub 2016 Apr 11.

  1. Outcomes of neonates requiring prolonged stay in the intensive care unit after surgical repair of congenital heart disease.

Mori M, McCracken C, Maher K, Kogon B, Mahle W, Kanter K, Alsoufi B.

J Thorac Cardiovasc Surg. 2016 Sep;152(3):720-727.e1. doi: 10.1016/j.jtcvs.2016.04.040. Epub 2016 Apr 19.

  1. Does Survival on the Heart Transplant Waiting List Depend on the Underlying Heart Disease?

Hsich EM, Rogers JG, McNamara DM, Taylor DO, Starling RC, Blackstone EH, Schold JD.

JACC Heart Fail. 2016 Sep;4(9):689-97. doi: 10.1016/j.jchf.2016.03.010. Epub 2016 May 11.

  1. Factors Associated With Mortality in Neonates Requiring Extracorporeal Membrane Oxygenation for Cardiac Indications: Analysis of the Extracorporeal Life Support Organization Registry Data.

Ford MA, Gauvreau K, McMullan DM, Almodovar MC, Cooper DS, Rycus PT, Thiagarajan R.

Pediatr Crit Care Med. 2016 Sep;17(9):860-70. doi: 10.1097/PCC.0000000000000842.

  1. Ascending Aortic Slide for Interrupted Aortic Arch Repair.

Urencio M, Dodge-Khatami A, Greenleaf CE, Aru G, Salazar JD.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):645-8. doi: 10.1177/2150135116655124.

  1. Twenty Years of Adult Congenital Heart Surgery: A Single-Center African Experience.

Long MA, Smit FE, Brown SC.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):619-25. doi: 10.1177/2150135116656977.

  1. Conotruncal Heart Defect Repair in Sub-Saharan Africa: Remarkable Outcomes Despite Poor Access to Treatment.

Edwin F, Entsua-Mensah K, Sereboe LA, Tettey MM, Aniteye EA, Tamatey MM, Adzamli I, Akyaa-Yao N, Gyan KB, Ofosu-Appiah E, Kotei D.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):592-9. doi: 10.1177/2150135116648309.

  1. Single-Stage Total Arch Replacement Including Resection of Kommerell Diverticulum in a Patient With Loeys-Dietz Syndrome.

Ong CS, Kasai Y, Fukushima S, Hibino N, Magruder T, Suarez-Pierre A, Cameron D, Vricella L.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):651-4. doi: 10.1177/2150135116656979. Epub 2016 Aug 12.

  1. Large Right Ventricular Clot in Pulmonary Atresia With Intact Ventricular Septum: In Defense of Biventricular Approach.

Dutta N, Ghosh R, Awasthy N, Iyer PU, Girotra S, Iyer KS.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):658-60. doi: 10.1177/2150135115608088. Epub 2016 Feb 16.

  1. Successful replacement of the systemic tricuspid valve with a mechanical valve in a 3-month-old boy with congenitally corrected transposition of the great arteries having a dysplastic tricuspid valve.

Asada D, Ikeda K, Yamagishi M.

Cardiol Young. 2016 Sep 29:1-3. [Epub ahead of print]

  1. Aortic valve repair in the paediatric population: insights from a 38-year single-centre experience.

Poncelet AJ, El Khoury G, De Kerchove L, Sluysmans T, Moniotte S, Momeni M, Detaille T, Rubay JE.

Eur J Cardiothorac Surg. 2016 Sep 28. pii: ezw259. [Epub ahead of print]

  1. Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention after Kawasaki Disease: The Pediatric Canadian Series.

Dionne A, Bakloul M, Manlhiot C, McCrindle BW, Hosking M, Houde C, Pepelassis D, Dahdah N.

Pediatr Cardiol. 2016 Sep 23. [Epub ahead of print]

  1. Sources of Circuit Thrombosis in Pediatric Extracorporeal Membrane Oxygenation (ECMO).

Hastings SM, Deshpande S, Wagoner S, Maher KO, Ku DN.

ASAIO J. 2016 Sep 20. [Epub ahead of print]

  1. Transplant Survival Following Berlin Heart EXCOR® Support.

Bryant R 3rd, Zafar F, Castleberry C, Jefferies JL, Lorts A, Chin C, Morales DL.

ASAIO J. 2016 Sep 20. [Epub ahead of print]

  1. Is Administration of Nitric Oxide During Extracorporeal Membrane Oxygenation Associated With Improved Patient Survival?

Tadphale SD, Rettiganti M, Gossett JM, Beam BW, Padiyath A, Schmitz ML, Gupta P.

Pediatr Crit Care Med. 2016 Sep 13. [Epub ahead of print]

  1. Extracorporeal membrane oxygenation outcomes in children with hemophagocytic lymphohistiocytosis.

Cashen K, Chu RL, Klein J, Rycus PT, Costello JM.

Perfusion. 2016 Sep 13. pii: 0267659116667804. [Epub ahead of print]

  1. Kidney Outcomes 5 Years After Pediatric Cardiac Surgery: The TRIBE-AKI Study.

Greenberg JH, Zappitelli M, Devarajan P, Thiessen-Philbrook HR, Krawczeski C, Li S, Garg AX, Coca S, Parikh CR; TRIBE-AKI Consortium.

JAMA Pediatr. 2016 Sep 12. doi: 10.1001/jamapediatrics.2016.1532. [Epub ahead of print]

  1. Silver-Impregnated Dressings for Sternotomy Incisions to Prevent Surgical Site Infections in Children.

Staveski S, Abrajano C, Casazza M, Bair E, Quan H, Dong E, Petty A, Felix K, Roth SJ.

Am J Crit Care. 2016 Sep;25(5):402-8. doi: 10.4037/ajcc2016843.

  1. Hepatoazygos venous shunt for Fontan completion after Kawashima operation.

Baruah SD, Mishra S, Marwah A, Sharma R.

Ann Pediatr Cardiol. 2016 Sep-Dec;9(3):254-7. doi: 10.4103/0974-2069.189121.

  1. Novel Annular and Subvalvular Enlargement in Congenital Mitral Valve Replacement.

Carroll ND, Beers KM, Maldonado EM, Calhoon JH, Husain SA.

Ann Thorac Surg. 2016 Sep;102(3):e277-9. doi: 10.1016/j.athoracsur.2016.03.046.

  1. Extracorporeal Membrane Oxygenation for Cardiopulmonary Failure During Pregnancy and Postpartum.

Agerstrand C, Abrams D, Biscotti M, Moroz L, Rosenzweig EB, D’Alton M, Brodie D, Bacchetta M.

Ann Thorac Surg. 2016 Sep;102(3):774-9. doi: 10.1016/j.athoracsur.2016.03.005. Epub 2016 May 4.

  1. Acute Biventricular Interaction in Pediatric Patients Implanted with Continuous Flow and Pulsatile Flow LVAD: A Simulation Study.

Di Molfetta A, Ferrari G, Iacobelli R, Fresiello L, Pilati M, Toscano A, Filippelli S, Morelli S, Amodeo A.

ASAIO J. 2016 Sep-Oct;62(5):591-9. doi: 10.1097/MAT.0000000000000396.

  1. Surgical correction of a coronary fistula between the left main coronary artery and the coronary sinus in a neonate.

Taverne YJ, de Jong PL, Witsenburg M, Bogers AJ.

Interact Cardiovasc Thorac Surg. 2016 Sep;23(3):498-500. doi: 10.1093/icvts/ivw163. Epub 2016 May 26.

  1. Impact of varied center volume categories on volume-outcome relationship in children receiving ECMO for heart operations.

Rettiganti M, Seib PM, Robertson MJ, Wilcox A, Gupta P.

J Artif Organs. 2016 Sep;19(3):249-56. doi: 10.1007/s10047-016-0890-0. Epub 2016 Mar 5.

  1. Application of the hybrid Stage 1 palliation concept to patients without hypoplastic left heart syndrome as a bridge to heart transplant.

Geisser DL, McMullan DM, Jones TK, Kemna MS, Law YM.

J Heart Lung Transplant. 2016 Sep;35(9):1133-5. doi: 10.1016/j.healun.2016.05.026. Epub 2016 Jun 7. No abstract available.

  1. Donation after circulatory death in pediatric patients: Current utilization in the United States.

Nandi D, Miyamoto SD, Pietra BA, Shaddy RE, Rossano JW.

J Heart Lung Transplant. 2016 Sep;35(9):1131-2. doi: 10.1016/j.healun.2016.05.027. Epub 2016 Jun 7. No abstract available.

  1. Aortic arch repair in children with PHACE syndrome.

Caragher SP, Scott JP, Siegel DH, Mitchell ME, Frommelt PC, Drolet BA.

J Thorac Cardiovasc Surg. 2016 Sep;152(3):709-17. doi: 10.1016/j.jtcvs.2016.03.082. Epub 2016 Apr 14.

  1. Factors Associated With Mortality in Neonates Requiring Extracorporeal Membrane Oxygenation for Cardiac Indications: Analysis of the Extracorporeal Life Support Organization Registry Data.

Ford MA, Gauvreau K, McMullan DM, Almodovar MC, Cooper DS, Rycus PT, Thiagarajan R.

Pediatr Crit Care Med. 2016 Sep;17(9):860-70. doi: 10.1097/PCC.0000000000000842.

  1. Can Destination Therapy be implemented in children with heart failure? A study of provider perceptions.

Char DS, Lee SS, Ikoku AA, Rosenthal D, Magnus D.

Pediatr Transplant. 2016 Sep;20(6):819-24. doi: 10.1111/petr.12747. Epub 2016 Jun 29.

  1. CT for Assessment of Thrombosis and Pulmonary Embolism in Multiple Stages of Single-Ventricle Palliation: Challenges and Suggested Protocols.

Ghadimi Mahani M, Agarwal PP, Rigsby CK, Lu JC, Fazeli Dehkordy S, Wright RA, Dorfman AL, Krishnamurthy R.

Radiographics. 2016 Sep-Oct;36(5):1273-84. doi: 10.1148/rg.2016150233.

  1. Banding of Nonrestrictive Large Hypertensive Aortopulmonary Collaterals in Patients With Ventricular Septal Defect and Pulmonary Atresia Presenting in Suboptimal Condition.

Dutta Baruah S, Singh VK, Marwah A, Sharma R.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):626-9. doi: 10.1177/2150135116658453.

  1. Pediatric Acquired von Willebrand Disease With Berlin Heart Excor Ventricular Assist Device Support.

Gossai N, Brown NM, Ameduri R, Zantek ND, Louis JS, Steiner ME.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):614-8. doi: 10.1177/2150135116651836. Review.

  1. Late Left Ventricular Outflow Tract Obstruction Following the Rastelli Operation: Expectations Out to 20 Years.

Cleveland DC, Kirklin JK, Pavnica JW, Tresler MA, Kukreja M, Dabal RJ, Bryant AS, Isbell KD, Romp RL.

World J Pediatr Congenit Heart Surg. 2016 Sep;7(5):605-10. doi: 10.1177/2150135116661276.

  1. Modified pediatric Bentall procedure: A novel technique in a rare case.

Salve GG, Javali SR, Dalvi BV, Krishnanaik S.

Ann Pediatr Cardiol. 2016 Sep-Dec;9(3):244-7. doi: 10.4103/0974-2069.189124.

  1. Cardiovascular collapse with attempted pericardial drain withdrawal.

Kraus MB, Spitznagel RA, Kugler JA.

Ann Pediatr Cardiol. 2016 Sep-Dec;9(3):241-3. doi: 10.4103/0974-2069.189118.

  1. Factors determining outcomes in grown up patients operated for congenital heart diseases.

Talwar S, Kumar MV, Sreenivas V, Choudhary SK, Sahu M, Airan B.

Ann Pediatr Cardiol. 2016 Sep-Dec;9(3):222-8. doi: 10.4103/0974-2069.189113.

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CHD Surgery Featured Articles of August 2016

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

Geerdink LM, du Marchie Sarvaas GJ, Kuipers IM, Helbing WA, Delhaas T, Ter Heide H, Rozendaal L, de Korte CL, Singh SK, Ebels T, Hazekamp MG, Haas F, Bogers AJ, Kapusta L.

Congenit Heart Dis. 2016 Aug 25. doi: 10.1111/chd.12404. [Epub ahead of print]

Take Home Points

  1. One of the larger studies evaluating all comers with Ebstein’s anomaly who underwent surgery.
  2. Larger adult patients who undergo surgical repair for Ebstein’s have traditionally had better survival. This study shows that even in children, results overall for Ebstein’s patients are good. The subset of patients who require neonatal operations tended to do poorly. Also, patients needing neonatal operations needed univentricular palliation (15/21).
  3. Mortality for univentricular palliation for Ebstein’s patients is 8/21 (38%); most of the mortality was within a year. If patients survived past neonatal stages, mortality seemed to plateau compared with the non-surgical patients.

shashidharanCommentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a retrospective review of data from all the six congenital centers in the Netherlands between 1980 and 2013.  The authors’ objective was to evaluate the surgically treated patients with Ebstein’s in the zero to 18-year age group.  They studied the intended treatment, survival and freedom from unplanned operation. A total of 184 patients were diagnosed with Ebstein’s anomaly in this time frame, of which 63 patients had surgical treatment. The median age at diagnosis was zero months. Median follow up was 121 months. 21 patients had surgery in the neonatal period and 29 had surgery by one year age. Intended strategy was biventricular repair in 37 patients, 1.5 ventricle repair in 5 patients and univentricular palliation in 21 patients. Crossover was noted in three patients in the biventricular repair group, two to 1.5 ventricle and one to univentricular palliation.  One crossover was noted in the 1.5 ventricle group who had biventricular repair.  Five patients in the univentricular group crossed over, one to biventricular repair and four to 1.5 ventricle repair.  18 patients required unplanned reoperation: Eight, two and eight in biventricular, 1.5 ventricle and univentricular group respectively.  The one-, five-, and 10-year freedom from unplanned reoperation was 89%, 79%, and 75% respectively. There were nine in-hospital deaths. No late deaths were noted. Of the nine deaths, seven died before one year of age, four died in the neonatal period. Eight deaths occurred in the univentricular palliation group.  Overall the surgical group had one-, five- and ten-year survival of 89%, 86% and 86% respectively.

 

  1. Long-term outcomes of reoperations following repair of partial atrioventricular septal defect.

Buratto E, Ye XT, Bullock A, Kelly A, d’Udekem Y, Brizard CP, Konstantinov IE.

Eur J Cardiothorac Surg. 2016 Aug;50(2):293-7. doi: 10.1093/ejcts/ezw018. Epub 2016 Feb 25.

Take Home Points:

  1. Partial AVSD repair can be performed with low early mortality. Although the ten year survival is good as well, survival at 20 years drops to 75 to 85 percent depending on the study.
  2. There is relatively high reoperation rate of up to 25% at 30 years.
  3. Freedom from reoperation after the first reoperation goes to 66% and stays there for the third reoperation.
  4. Most reoperations are for AV Valve regurgitation and LVOTO.
  5. These result from Australia are consistent with results from Mayo which has had the largest study from United States.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a retrospective review of patients who underwent partial atrioventricular septal defect repair and subsequently needed reoperation.  Patients who underwent repair between 1975 and 2012 in Melbourne were included in the study. 249 patients underwent surgical correction of PAVSD. Of these 40 patients underwent reoperation. The most common procedure performed at reoperation was left AV valve repair or replacement (31/40, 77.5%), followed by relief of LVOTO (10/40, 25%). 18 of the 31 patients who had left AV valve procedure had regurgitation through the cleft.  Seven of these patients had rupture of the cleft closure, and the remaining eleven had a residual cleft. Nine patients had central regurgitation, five of which was due to annular dilation and the remaining four had deficient or dysplastic leaflets. In a majority (77.5%) of cases, the valve was repaired.  The rate of repair increased after utilization of the patch augmentation of cleft technique in 17/18 patients compared to 7/13 patients in patients who had traditional repair, although no statistical significance was noted.  All ten patients with LVOTO had a fibromuscular membrane.  Three patients had additional LAVV accessory tissue causing LVOTO. There was one early post-operative death (2.5%).  Survival at 10 years was 90.2% and at 20 years was 83.2%.

surg-1

 

  1. Systemic-Pulmonary Shunt Facilitates the Growth of the Pulmonary Valve Annulus in Patients With Tetralogy of Fallot.

Chong BK, Baek JS, Im YM, Park CS, Park JJ, Yun TJ.

Ann Thorac Surg. 2016 Aug 3. pii: S0003-4975(16)30559-8. doi: 10.1016/j.athoracsur.2016.05.064. [Epub ahead of print]

Take Home Points

  1. Pulmonary valve annulus growth outpaces the somatic growth in patients who undergo systemic-pulmonary shunt (SPS).
  2. If pre-shunt ECHO showed the pulmonary valve annulus (PVA) Z score to be -4 or higher, annular preservation was achieved in 84% patients.
  3. Is annular preservation important in the long run is a question to be answered especially since transannular patching (TAP) is the preferred repair in most series ranging from 71 to 100%.
  4. Direct comparison of primary repair (PR) and SPS is hard to make because they are different population, i.e., SPS is done more on patients with smaller branch PAs.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a retrospective review of patients with Tetralogy of Fallot who underwent a systemic to pulmonary shunt (SPS).  The authors hypothesized that the pulmonary valve annulus increases significantly in patients who undergo SPS compared with primary repair group (PR). They used serial echo measurements to assess the pulmonary valve growth. Z scores were calculated using the Peterson method.  360 patients underwent intervention for TOF (excluding TOF with pulmonary atresia, TOF with absent pulmonary valve and TOF with atrioventricular septal defect).  216 patients who had serial echos done prior to intervention were selected for this study.  187 had primary repair and 29 (13%) had SPS.  Median age at placement of SPS was 32 days.  Distal anastomosis was performed to right pulmonary artery in 15 patients, to main pulmonary artery in 11 and to left pulmonary artery in 3.  Repair of TOF was performed at a median age of 194 days (14 to 352 days) in the PR group and 255 days (85 to 1,590 days) in the SPS group (p < 0.001).  Although the median PVA (Z) in the SPS group was significantly smaller than that in the PR group on the initial echocardiographic examination (-3.5 vs -1.8; p < 0.001), PVA (Z), on the last echocardiographic examination before repair (-2.6 +/-2.2 vs -2.1 +/- 1.2; p = 0.2) and the proportion of the patients with AP at repair (55% vs 73%; p = 0.5) were comparable between the two groups.  When the PVA (Z) on the last echocardiographic examination was compared with that of the initial echocardiographic examination in each group, there was a significant increase in the PVA (Z) after the placement of an SPS (p < 0.001) but no statistically significant changes in the PVA (Z) in PR group (p = 0.29). Multiple regression analysis showed that performance of an SPS was the only indicator of outgrowth of the PVA over somatic growth (i.e., larger D PVA [Z]) in the entire cohort (n = 216).  On mixed linear regression, the PVA (Z) increased significantly after the placement of an SPS (-3.6 + 0.2 x duration in months; p = 0.001), whereas the pre-repair changes in the PVA (Z) were not statistically significant in the PR group (-2.0 to 0.03 x duration in months; p = 0.7), with a significant intergroup difference (p < 0.001).

 

  1. The Role of Regional Oxygen Saturation Using Near-Infrared Spectroscopy and Blood Lactate Levels as Early Predictors of Outcome after Pediatric Cardiac Surgery.

Vida VL, Tessari C, Cristante A, Nori R, Pittarello D, Ori C, Cogo PE, Perissinotto E, Stellin G.

Can J Cardiol. 2016 Aug;32(8):970-7. doi: 10.1016/j.cjca.2015.09.024. Epub 2015 Oct 22.

Take Home Points

  1. Postoperative lactate levels and rSO2 desaturation score are important predictors of postoperative major morbidities in pediatric patients who underwent cardiac surgery. In fact, the probability of events over time (lactate level ³6 mmol/L and rSO2 desaturation score ³ 345) is significantly greater in patients with major morbidities than in uncomplicated patients.
  2. The rSO2 desaturation score plays an additional important role to the more traditional serial lactate values, in fact, the combination of both events (rSO2 desaturation score ³ 345% and lactate level ³6 mmol/L) was significantly associated with a greater frequency of postoperative major morbidities (92% of cases).
  3. rSO2 was a better predictor than lactate (58% v/s 36%) and an earlier marker than lactate.
  4. rSO2 indicates the presence of hypoperfusion but not the cause of it. ICU staff will need to evaluate and treat. Other limitations of this study are that it is retrospective data, and various selection biases were introduced by selecting RACHS score and collecting data only from patients who had >48 hours ICU stay. Also, rSO2 was measure continuously compared to lactate which was measured serially.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a retrospective review of patients from Italy looking at predictors for mortality and morbidity after surgery for congenital heart disease in patients less than 16 years old.  It is well known that mixed venous saturation (SVO2) is good marker of tissue hypoperfusion.  A non-invasive technology that has been applied Near-Infrared Spectroscopy (NIRS) co-relates with SVO2.  We have also known that hyperlactatemia is another reliable marker of tissue hypoperfusion.  The authors compared NIRS and blood lactate levels to assess the better and earlier marker of systemic hypoperfusion which translated into increased mortality and morbidity.  Patients were divided into two groups; patients with lactate level < 4.6mmol/L and ³ 4.6mmol/L. For the NIRS: Patients with regional oxygen saturation (rSO2) desaturation score <345 and ³ 345. An rSO2 desaturation score was calculated, as suggested by Slater by multiplying the rSO2 < 50% of the preoperative baseline value of every single patient, by time in seconds.  Total of 152 patients were selected after eliminating patients with inadequate data, RACHS score 1, preoperative lactate >3mmol/L, and patients who spent less than 48 hours in the ICU. Total of 57 patients (37%) had major postoperative morbidities. Major morbidities were more common in the neonatal group compared with infants (51% v/s vs. 22%).  Mortality was higher in neonatal group (15% vs. 4.3%). There was also greater need for chest being open, low cardiac output syndrome, and ECMO needs.

surg-2

In multiple regression analysis (forward stepwise procedure), adjusted for sex, weight, single-ventricle physiology, the need for and length of CPB, the need for AOCC, and the need for circulatory arrest, including also lactate level ³4.6 mmol/L and the rSO2 desaturation score ³ 345 as covariates, only an rSO2 desaturation score ³ 345 was independently associated with the occurrence of major morbidities after surgery (odds ratio, 27.26; 95% CI, 10.18-73.00).

 

CHD Surgery Articles – August 2016

  1. Fitting Heart Transplantation to Adults With Congenital Heart Disease: Square Peg in a Round Hole?

Canter CE.

J Am Coll Cardiol. 2016 Aug 30;68(9):918-20. doi: 10.1016/j.jacc.2016.06.015. No abstract available.

 

  1. Wait-List Outcomes for Adults With Congenital Heart Disease Listed for HeartTransplantation in the U.S.

Alshawabkeh LI, Hu N, Carter KD, Opotowsky AR, Light-McGroary K, Cavanaugh JE, Bartlett HL.

J Am Coll Cardiol. 2016 Aug 30;68(9):908-17. doi: 10.1016/j.jacc.2016.05.082.

 

  1. Hypoplastic Left Heart Syndrome: Exploring a Paradigm Shift in Favor of Surgery.

Paul EA, Orfali K, Starc TJ.

Pediatr Cardiol. 2016 Aug 27. [Epub ahead of print]

 

  1. Pulmonary Valve Replacement With a Trifecta Valve Is Associated With Reduced Transvalvular Gradient.

Gulack BC, Benrashid E, Jaquiss RD, Lodge AJ.

Ann Thorac Surg. 2016 Aug 25. pii: S0003-4975(16)30724-X. doi: 10.1016/j.athoracsur.2016.06.018. [Epub ahead of print]

 

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

Geerdink LM, du Marchie Sarvaas GJ, Kuipers IM, Helbing WA, Delhaas T, Ter Heide H, Rozendaal L, de Korte CL, Singh SK, Ebels T, Hazekamp MG, Haas F, Bogers AJ, Kapusta L.

Congenit Heart Dis. 2016 Aug 25. doi: 10.1111/chd.12404. [Epub ahead of print]

 

  1. Original Surgical Procedure for the Treatment of Protein-Losing Enteropathy in Fontan Patients: Report of Two Midterm Successes.

Brizard CP, Lane GK, Alex G, Cheung MM.

Circulation. 2016 Aug 23;134(8):625-7. doi: 10.1161/CIRCULATIONAHA.116.023424. No abstract available.

 

  1. Extracorporeal Life Support in Multisystem Smooth Muscle Dysfunction Syndrome.

Prabhu S, Fox S, Mattke A, Armes JE, Alphonso N.

World J Pediatr Congenit Heart Surg. 2016 Aug 22. pii: 2150135116658457. [Epub ahead of print]

 

  1. Endoscopic atrioventricular valve surgery in adults with difficult-to-access uncorrected congenital chest wall deformities.

van der Merwe J, Casselman F, Stockman B, Vermeulen Y, Degrieck I, Van Praet F.

Interact Cardiovasc Thorac Surg. 2016 Aug 19. pii: ivw242. [Epub ahead of print]

 

  1. Repair of anomalous coronary artery from the pulmonary artery: A-signal center 20-year experience.

Qiu J, Li S, Yan J, Wang Q, Song Y, Sun H, Li D.

Int J Cardiol. 2016 Aug 13;223:625-629. doi: 10.1016/j.ijcard.2016.08.221. [Epub ahead of print]

 

  1. Development and Validation of a Risk Stratification Score for Children With Congenital Heart Disease Undergoing Noncardiac Surgery.

Faraoni D, Vo D, Nasr VG, DiNardo JA.

Anesth Analg. 2016 Aug 12. [Epub ahead of print]

 

  1. Single-Stage Total Arch Replacement Including Resection of Kommerell Diverticulum in a Patient With Loeys-Dietz Syndrome.

Ong CS, Kasai Y, Fukushima S, Hibino N, Magruder T, Suarez-Pierre A, Cameron D, Vricella L.

World J Pediatr Congenit Heart Surg. 2016 Aug 12. pii: 2150135116656979. [Epub ahead of print]

 

  1. In-Hospital Vital Status and Heart Transplants After Intervention for Congenital Heart Disease in the Pediatric Cardiac Care Consortium: Completeness of Ascertainment Using the National Death Index and United Network for Organ Sharing Datasets.

Spector LG, Menk JS, Vinocur JM, Oster ME, Harvey BA, St Louis JD, Moller J, Kochilas LK.

J Am Heart Assoc. 2016 Aug 9;5(8). pii: e003783. doi: 10.1161/JAHA.116.003783.

 

  1. Late Causes of Death After Pediatric Cardiac Surgery: A 60-Year Population-Based Study.

Raissadati A, Nieminen H, Haukka J, Sairanen H, Jokinen E.

J Am Coll Cardiol. 2016 Aug 2;68(5):487-98. doi: 10.1016/j.jacc.2016.05.038.

 

  1. Recovery From Acute Kidney Injury and CKD Following Heart Transplantation in Children, Adolescents, and Young Adults: A Retrospective Cohort Study.

Hollander SA, Montez-Rath ME, Axelrod DM, Krawczeski CD, May LJ, Maeda K, Rosenthal DN, Sutherland SM.

Am J Kidney Dis. 2016 Aug;68(2):212-8. doi: 10.1053/j.ajkd.2016.01.024. Epub 2016 Mar 9.

 

  1. Favorable Waitlist and Posttransplant Outcomes in Children and Adolescent Patients Supported With Durable Continuous-Flow Ventricular Assist Devices.

Mathew J, Villa CR, Morales D, Chin C, Zafar F, Rossano J, Lake M, Lorts A.

Am J Transplant. 2016 Aug;16(8):2352-9. doi: 10.1111/ajt.13745. Epub 2016 Mar 14.

 

  1. Long-Term Survival and Freedom From Reoperation After Placement of a Pulmonary Xenograft Valved Conduit.

Alfieris GM, Swartz MF, Lehoux J, Bove EL.

Ann Thorac Surg. 2016 Aug;102(2):602-7. doi: 10.1016/j.athoracsur.2016.02.045. Epub 2016 May 4.

 

  1. Microcirculatory changes in children undergoing cardiac surgery: a prospective observational study.

Scolletta S, Marianello D, Isgrò G, Dapoto A, Terranova V, Franchi F, Baryshnikova E, Carlucci C, Ranucci M.

Br J Anaesth. 2016 Aug;117(2):206-13. doi: 10.1093/bja/aew187.

 

  1. Decellularized homografts: in fashion or really superior?

d’Udekem Y.

Eur J Cardiothorac Surg. 2016 Aug;50(2):291-2. doi: 10.1093/ejcts/ezw068. Epub 2016 Mar 24. No abstract available.

 

  1. Decellularized fresh homografts for pulmonary valve replacement: a decade of clinical experience.

Sarikouch S, Horke A, Tudorache I, Beerbaum P, Westhoff-Bleck M, Boethig D, Repin O, Maniuc L, Ciubotaru A, Haverich A, Cebotari S.

Eur J Cardiothorac Surg. 2016 Aug;50(2):281-90. doi: 10.1093/ejcts/ezw050. Epub 2016 Mar 24.

 

  1. Long-term outcomes of reoperations following repair of partial atrioventricular septal defect.

Buratto E, Ye XT, Bullock A, Kelly A, d’Udekem Y, Brizard CP, Konstantinov IE.

Eur J Cardiothorac Surg. 2016 Aug;50(2):293-7. doi: 10.1093/ejcts/ezw018. Epub 2016 Feb 25.

 

  1. Paediatric mechanical circulatory support with Berlin Heart EXCOR: development and outcome of a 23-year experience.

Hetzer R, Kaufmann F, Delmo Walter EM.

Eur J Cardiothorac Surg. 2016 Aug;50(2):203-10. doi: 10.1093/ejcts/ezw011. Epub 2016 Feb 22. Review.

 

  1. Surgical experience in the rehabilitation and reimplantation of disconnected pulmonary arteries and its effectiveness in restoring pulmonary haemodynamics and function.

Al-Khaldi A, Tamimi O, Sallam M.

Eur J Cardiothorac Surg. 2016 Aug;50(2):304-10. doi: 10.1093/ejcts/ezv491. Epub 2016 Jan 27.

 

  1. Prevalence, implication, and determinants of worsening renal function after surgery for congenital heart disease.

Saiki H, Kuwata S, Kurishima C, Iwamoto Y, Ishido H, Masutani S, Senzaki H.

Heart Vessels. 2016 Aug;31(8):1313-8. doi: 10.1007/s00380-015-0730-9. Epub 2015 Aug 13.

 

  1. Aberrant origin of left subclavian artery from the pulmonary artery and right aortic arch in an aortopulmonary window.

Zhu C, Wang T, Zhu Z, Liu K.

Interact Cardiovasc Thorac Surg. 2016 Aug 1. pii: ivw143. [Epub ahead of print]

 

  1. Surgery for doubly committed ventricular septal defects.

Shamsuddin AM, Chen YC, Wong AR, Le TP, Anderson RH, Corno AF.

Interact Cardiovasc Thorac Surg. 2016 Aug;23(2):231-4. doi: 10.1093/icvts/ivw129. Epub 2016 May 11.

 

  1. Extracorporeal life support can be a first-line treatment in children with acute fulminant myocarditis.

Jung SY, Shin HJ, Jung JW, Park HK, Shin YR, Park YH, Kim NK, Choi JY.

Interact Cardiovasc Thorac Surg. 2016 Aug;23(2):247-52. doi: 10.1093/icvts/ivw114. Epub 2016 May 10.

 

  1. Long-term outcomes of the arterial switch operation for transposition of the great arteries and ventricular septal defect and/or aortic arch obstruction.

Baruteau AE, Vergnat M, Kalfa D, Delpey JG, Ly M, Capderou A, Lambert V, Belli E.

Interact Cardiovasc Thorac Surg. 2016 Aug;23(2):240-6. doi: 10.1093/icvts/ivw102. Epub 2016 May 1.

 

  1. Steroids Improve Hemodynamics in Infants With Adrenal Insufficiency After Cardiac Surgery.

Maeda T, Takeuchi M, Tachibana K, Nishida T, Kagisaki K, Imanaka H.

J Cardiothorac Vasc Anesth. 2016 Aug;30(4):936-41. doi: 10.1053/j.jvca.2015.11.025. Epub 2015 Nov 27.

 

  1. Fluid Status Assessment and Management During the Perioperative Phase in Pediatric Cardiac Surgery Patients.

Rizza A, Romagnoli S, Ricci Z.

J Cardiothorac Vasc Anesth. 2016 Aug;30(4):1085-93. doi: 10.1053/j.jvca.2015.11.007. Epub 2015 Nov 10. Review. No abstract available.

 

  1. Fluid Status Assessment and Management During the Perioperative Phase in Adult Cardiac Surgery Patients.

Romagnoli S, Rizza A, Ricci Z.

J Cardiothorac Vasc Anesth. 2016 Aug;30(4):1076-84. doi: 10.1053/j.jvca.2015.11.008. Epub 2015 Nov 10. Review. No abstract available.

 

  1. The internal mammary artery as a shunt in a noncyanotic infant with hemitruncus: surgical and anesthetic management.

Mahan VL, Stevens RM, Mesia CI, Schwartz RE, Moulick AN.

J Clin Anesth. 2016 Aug;32:12-6. doi: 10.1016/j.jclinane.2015.12.017. Epub 2016 Mar 22.

 

  1. Aorto-Right Ventricular Tunnel: An Uncommon Problem with a Common Solution.

Mitropoulos F, Kanakis MA, Chatzis A, Kiaffas M, Azariades P, Tzifa A.

Korean J Thorac Cardiovasc Surg. 2016 Aug;49(4):295-7. doi: 10.5090/kjtcs.2016.49.4.295. Epub 2016 Aug 5.

 

  1. Preoperative Intubation and Lack of Enteral Nutrition are Associated with Prolonged Stay After Arterial Switch Operation.

Iliopoulos I, Burke R, Hannan R, Bolivar J, Cooper DS, Zafar F, Rossi A.

Pediatr Cardiol. 2016 Aug;37(6):1078-84. doi: 10.1007/s00246-016-1394-7. Epub 2016 Apr 15.

 

  1. Ventricular Assist Devices in Pediatric Cardiac Intensive Care.

Byrnes J, Villa C, Lorts A.

Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S160-70. doi: 10.1097/PCC.0000000000000757.

 

  1. Extracorporeal Membrane Oxygenation for Cardiac Indications in Children.

Thiagarajan RR.

Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S155-9. doi: 10.1097/PCC.0000000000000753.

 

  1. Comparison of Intraoperative Aminophylline Versus Furosemide in Treatment of Oliguria During Pediatric Cardiac Surgery.

Onder AM, Rosen D, Mullett C, Cottrell L, Kanosky S, Grossman OK, Iqbal HI, Seachrist E, Samsell L, Gustafson K, Rhodes L, Gustafson R.

Pediatr Crit Care Med. 2016 Aug;17(8):753-63. doi: 10.1097/PCC.0000000000000834.

 

  1. Timing of Haemophilus influenzae type b vaccination after cardiac surgery.

Takanashi M, Ogata S, Honda T, Nomoto K, Mineo E, Kitagawa A, Ando H, Kimura S, Nakahata Y, Oka N, Miyaji K, Ishii M.

Pediatr Int. 2016 Aug;58(8):691-7. doi: 10.1111/ped.12899. Epub 2016 Mar 8.

 

  1. Hypoplastic Left Heart Syndrome: Exploring a Paradigm Shift in Favor of Surgery.

Paul EA, Orfali K, Starc TJ.

Pediatr Cardiol. 2016 Aug 27. [Epub ahead of print]

 

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

Geerdink LM, du Marchie Sarvaas GJ, Kuipers IM, Helbing WA, Delhaas T, Ter Heide H, Rozendaal L, de Korte CL, Singh SK, Ebels T, Hazekamp MG, Haas F, Bogers AJ, Kapusta L.

Congenit Heart Dis. 2016 Aug 25. doi: 10.1111/chd.12404. [Epub ahead of print]

 

  1. Regional variation in the use of 1A status exceptions for pediatric heart transplant candidates: is this equitable?

Godown J, McKane M, Wujcik KA, Mettler BA, Dodd DA.

Pediatr Transplant. 2016 Aug 23. doi: 10.1111/petr.12784. [Epub ahead of print]

 

  1. The “Central Sport Model”: Extracorporeal Membrane Oxygenation Using the Innominate Artery for Smaller Patients as Bridge to Lung Transplantation.

Chicotka S, Rosenzweig EB, Brodie D, Bacchetta M.

ASAIO J. 2016 Aug 22. [Epub ahead of print]

 

  1. Performance of stented biological valves for right ventricular outflow tract reconstruction.

Buchholz C, Mayr A, Purbojo A, Glöckler M, Toka O, Cesnjevar RA, Rüffer A.

Interact Cardiovasc Thorac Surg. 2016 Aug 22. pii: ivw264. [Epub ahead of print]

 

  1. Absent Pulmonary Valve Syndrome With Tricuspid Atresia, Ventricular Septal Defect, and Aneurysmal Dilated Pulmonary Artery: A Case Report of Successful Fontan Completion.

Futuki A, Fujiwara K, Yoshizawa K, Sakazaki H.

World J Pediatr Congenit Heart Surg. 2016 Aug 22. pii: 2150135116659651. [Epub ahead of print]

 

  1. Incidental Finding of Right Coronary Artery to Pulmonary Artery Fistula During Surgical Repair of Aortic Arch Atresia in Turner Syndrome.

Horne D, Morris SA, Colquitt JL, Molossi SM, McKenzie ED.

World J Pediatr Congenit Heart Surg. 2016 Aug 22. pii: 2150135116658016. [Epub ahead of print]

 

  1. Development and Validation of a Score to Predict Mortality in Children Undergoing Extracorporeal Membrane Oxygenation for Respiratory Failure: Pediatric Pulmonary Rescue With Extracorporeal Membrane Oxygenation Prediction Score.

Bailly DK, Reeder RW, Zabrocki LA, Hubbard AM, Wilkes J, Bratton SL, Thiagarajan RR; Extracorporeal Life Support Organization member centers.

Crit Care Med. 2016 Aug 19. [Epub ahead of print]

 

  1. Bailout shunt/banding for backward left heart failure after adequate neonatal coarctectomy in borderline left hearts.

Brown SC, Eyskens B, Boshoff D, Cools B, Heying R, Rega F, Meyns B, Gewillig M.

Interact Cardiovasc Thorac Surg. 2016 Aug 19. pii: ivw254. [Epub ahead of print]

 

  1. Donor Predictors of Allograft Utilization for Pediatric Heart Transplantation.

Khan AM, Green RS, Lytrivi ID, Sahulee R.

Transpl Int. 2016 Aug 19. doi: 10.1111/tri.12835. [Epub ahead of print]

 

  1. Comparable Cerebral Blood Flow in Both Hemispheres During Regional Cerebral Perfusion in Infant Aortic Arch Surgery.

Rüffer A, Tischer P, Münch F, Purbojo A, Toka O, Rascher W, Cesnjevar RA, Jüngert J.

Ann Thorac Surg. 2016 Aug 12. pii: S0003-4975(16)30590-2. doi: 10.1016/j.athoracsur.2016.05.088. [Epub ahead of print]

 

  1. Feasibility of Intraoperative Extubation in Pediatric Heart Transplantation.

Schnittman SR, Rashid S, Egbe A, Love B, Nguyen K, Mittnacht AJ, Weiss AJ.

World J Pediatr Congenit Heart Surg. 2016 Aug 11. pii: 2150135116656978. [Epub ahead of print]

 

  1. Expanding the donor pool: regional variation in pediatric organ donation rates.

Godown J, McKane M, Wujcik K, Mettler BA, Dodd DA.

Pediatr Transplant. 2016 Aug 9. doi: 10.1111/petr.12779. [Epub ahead of print]

 

  1. RECENT ADVANCES IN MAMMALIAN TARGET OF RAPAMYCIN INHIBITOR USE IN HEART AND LUNG TRANSPLANTATION.

Fine NM, Kushwaha SS.

Transplantation. 2016 Aug 5. [Epub ahead of print]

 

  1. Induction Immunosuppression for Combined Heart-Lung Transplantation.

Hayes D Jr, McConnell PI, Yates AR, Joseph TD, Galantowicz M, Mansour HM, Tumin D.

Clin Transplant. 2016 Aug 4. doi: 10.1111/ctr.12827. [Epub ahead of print]

 

  1. Systemic-Pulmonary Shunt Facilitates the Growth of the Pulmonary Valve Annulus in Patients With Tetralogy of Fallot.

Chong BK, Baek JS, Im YM, Park CS, Park JJ, Yun TJ.

Ann Thorac Surg. 2016 Aug 3. pii: S0003-4975(16)30559-8. doi: 10.1016/j.athoracsur.2016.05.064. [Epub ahead of print]

 

  1. Right ventricular assist device use in ventricular failure due to pulmonary arterial hypertension: Lessons learned.

Rosenzweig EB, Chicotka S, Bacchetta M.

J Heart Lung Transplant. 2016 Aug 2. pii: S1053-2498(16)30250-9. doi: 10.1016/j.healun.2016.07.010. [Epub ahead of print] No abstract available.

 

  1. Favorable Waitlist and Posttransplant Outcomes in Children and Adolescent Patients Supported With Durable Continuous-Flow Ventricular Assist Devices.

Mathew J, Villa CR, Morales D, Chin C, Zafar F, Rossano J, Lake M, Lorts A.

Am J Transplant. 2016 Aug;16(8):2352-9. doi: 10.1111/ajt.13745. Epub 2016 Mar 14.

 

  1. Berlin Heart EXCOR Ventricular Assist Device: Multilayer Membrane Rupture in a Pediatric Patient.

Di Molfetta A, Filippelli S, Ferrari G, Secinaro A, Zielinski K, Amodeo A.

Ann Thorac Surg. 2016 Aug;102(2):e129-30. doi: 10.1016/j.athoracsur.2016.01.022.

 

  1. Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Decision for Pediatric Fulminant Myocarditis.

Okada N, Murayama H, Hasegawa H, Kawai S, Mori H, Yasuda K.

Artif Organs. 2016 Aug;40(8):793-8. doi: 10.1111/aor.12673. Epub 2016 Jan 27.

 

  1. The Role of Regional Oxygen Saturation Using Near-Infrared Spectroscopy and Blood Lactate Levels as Early Predictors of Outcome After Pediatric Cardiac Surgery.

Vida VL, Tessari C, Cristante A, Nori R, Pittarello D, Ori C, Cogo PE, Perissinotto E, Stellin G.

Can J Cardiol. 2016 Aug;32(8):970-7. doi: 10.1016/j.cjca.2015.09.024. Epub 2015 Oct 22.

 

  1. A staged decompression of right ventricle allows growth of right ventricle and subsequent biventricular repair in patients with pulmonary atresia and intact ventricular septum.

Kotani Y, Kasahara S, Fujii Y, Eitoku T, Baba K, Otsuki S, Kuroko Y, Arai S, Sano S.

Eur J Cardiothorac Surg. 2016 Aug;50(2):298-303. doi: 10.1093/ejcts/ezw124. Epub 2016 Apr 26.

 

  1. Surgical experience in the rehabilitation and reimplantation of disconnected pulmonary arteries and its effectiveness in restoring pulmonary haemodynamics and function.

Al-Khaldi A, Tamimi O, Sallam M.

Eur J Cardiothorac Surg. 2016 Aug;50(2):304-10. doi: 10.1093/ejcts/ezv491. Epub 2016 Jan 27.

 

  1. Prevalence, implication, and determinants of worsening renal function after surgery for congenital heart disease.

Saiki H, Kuwata S, Kurishima C, Iwamoto Y, Ishido H, Masutani S, Senzaki H.

Heart Vessels. 2016 Aug;31(8):1313-8. doi: 10.1007/s00380-015-0730-9. Epub 2015 Aug 13.

 

  1. Batista Procedure for a Coronary Anomaly in an Infant: Long-Term Follow-Up.

González-López MT, Cuenca-Peiró V, Castillo-Martín R, Zabala-Argüelles JI, Gil-Jaurena JM.

J Card Surg. 2016 Aug;31(8):556-8. doi: 10.1111/jocs.12775. Epub 2016 Jun 27.

 

  1. CASE 8-2016 Percutaneous Fetal Cardiac Intervention for Severe Aortic Stenosis and Evolving Hypoplastic Left-Heart Syndrome.

Ferschl MB, Moon-Grady AJ, Rollins MD, Gilliss B, Schulman SR, Tulzer G, Stohl S, Ginosar Y.

J Cardiothorac Vasc Anesth. 2016 Aug;30(4):1118-28. doi: 10.1053/j.jvca.2016.03.155. Epub 2016 Mar 31. No abstract available.

 

64.Outcomes of neonatal Ebstein’s anomaly without right ventricular forward flow.

Baek JS, Yu JJ, Im YM, Yun TJ.

J Thorac Cardiovasc Surg. 2016 Aug;152(2):516-21. doi: 10.1016/j.jtcvs.2016.03.084. Epub 2016 Apr 14.

 

  1. Patent ductus arteriosus surgical ligation: Still a lot to understand.

Kalfa D, Krishnamurthy G, Cheung E.

J Thorac Cardiovasc Surg. 2016 Aug;152(2):505-6. doi: 10.1016/j.jtcvs.2016.04.013. Epub 2016 Apr 9. No abstract available.

 

  1. Detachment of the tricuspid valve for ventricular septal defect closure in infants younger than 3 months.

Bang JH, Park CS, Park JJ, Yun TJ, Baek JS, Yu JJ, Kim YH, Ko JK.

J Thorac Cardiovasc Surg. 2016 Aug;152(2):491-6. doi: 10.1016/j.jtcvs.2016.03.067. Epub 2016 Apr 12.

 

  1. The Concept of the Arch Window in the Spiral Switch of the Great Arteries.

Chiu IS, Lee ML, Huang SC, Chang CI, Chen YS, Wu MH, Anderson RH.

Pediatr Cardiol. 2016 Aug;37(6):1153-61. doi: 10.1007/s00246-016-1412-9. Epub 2016 Jun 6.

 

  1. Comparison of Extracellular Matrix Patch and Standard Patch Material in the Pulmonary Arteries.

Y Fraint H, E Richmond M, A Bacha E, Turner ME.

Pediatr Cardiol. 2016 Aug;37(6):1162-8. doi: 10.1007/s00246-016-1413-8. Epub 2016 Jun 4.

 

  1. The Impact of Aortic Valve Replacement on Left Ventricular Remodeling in Children.

Singh AK, Ungerleider RM, Law YM.

Pediatr Cardiol. 2016 Aug;37(6):1022-7. doi: 10.1007/s00246-016-1383-x. Epub 2016 May 21.

 

  1. Extended Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy in Children and Adolescents.

Xu H, Yan J, Wang Q, Li D, Guo H, Li S, Wang J, Lou S, Zeng Q.

Pediatr Cardiol. 2016 Aug;37(6):1091-7. doi: 10.1007/s00246-016-1396-5. Epub 2016 May 9.

 

  1. Impact and Challenges of a Policy Change to Early Track Extubation in the Operating Room for Fontan.

Kawaguchi A, Liu Q, Coquet S, Yasui Y, Cave D.

Pediatr Cardiol. 2016 Aug;37(6):1127-36. doi: 10.1007/s00246-016-1406-7. Epub 2016 May 9.

 

  1. Intermediate-Term Results After Extracardiac Conduit Fontan Palliation in Children and Young Adults with Single Ventricle Physiology-A Single-center Experience.

Raj S, Rosenkranz E, Sears B, Swaminathan S.

Pediatr Cardiol. 2016 Aug;37(6):1111-8. doi: 10.1007/s00246-016-1402-y. Epub 2016 May 9.

 

  1. Mechanical Ventilation After Bidirectional Superior Cavopulmonary Anastomosis for Single-Ventricle Physiology: A Comparison of Pressure Support Ventilation and Neurally Adjusted Ventilatory Assist.

Zhu L, Xu Z, Gong X, Zheng J, Sun Y, Liu L, Han L, Zhang H, Xu Z, Liu J, Rimensberger PC.

Pediatr Cardiol. 2016 Aug;37(6):1064-71. doi: 10.1007/s00246-016-1392-9. Epub 2016 Apr 18.

 

  1. Preoperative Intubation and Lack of Enteral Nutrition are Associated with Prolonged Stay After Arterial Switch Operation.

Iliopoulos I, Burke R, Hannan R, Bolivar J, Cooper DS, Zafar F, Rossi A.

Pediatr Cardiol. 2016 Aug;37(6):1078-84. doi: 10.1007/s00246-016-1394-7. Epub 2016 Apr 15.

 

  1. Timely Post-discharge Telephone Follow-Up is a Useful Tool in Identifying Post-discharge Complications Patients After Congenital Heart Surgery.

Lushaj EB, Nelson K, Amond K, Kenny E, Badami A, Anagnostopoulos PV.

Pediatr Cardiol. 2016 Aug;37(6):1106-10. doi: 10.1007/s00246-016-1398-3. Epub 2016 Apr 11.

 

  1. Complex Chronic Conditions Among Children Undergoing Cardiac Surgery.

Chan T, Di Gennaro J, Wechsler SB, Bratton SL.

Pediatr Cardiol. 2016 Aug;37(6):1046-56. doi: 10.1007/s00246-016-1387-6. Epub 2016 Mar 31.

 

  1. Donor-recipient height ratio and outcomes in pediatric heart transplantation.

Patel A, Bock MJ, Wollstein A, Nguyen K, Malerba S, Lytrivi ID.

Pediatr Transplant. 2016 Aug;20(5):652-7. doi: 10.1111/petr.12734. Epub 2016 Jun 17.

 

  1. Challenging the convention of size matching by weight in pediatric heart transplantation.

Flyer JN, Zuckerman WA.

Pediatr Transplant. 2016 Aug;20(5):602-3. doi: 10.1111/petr.12717. Epub 2016 May 2. No abstract available.

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CHD Surgery Featured Articles of July 2016

  1. Summary of Clinical Experience of Modified Double Root Translocation in the Management of Complete Transposition of Great Arteries with Left Ventricular Outflow Tract Obstruction.

Yang B, Xu J, Zhou Z, Wang K, Chen J, Chen H, Wen M, Liang Q.

Int Heart J. 2016 Jul 27;57(4):473-6. doi: 10.1536/ihj.15-487. Epub 2016 Jul 11.

Take Home Points:

  1. A modified approach for double root translocation with the left ventricular outflow tract enlargement on the left ventricular free wall is suggested by the authors.
  2. This novel approach is feasible with comparable results.
  3. The study is limited by the number of patients and brief follow up period. Further studies are needed for validation and long term results.

shashidharanCommentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a small case series for a modification of corrective approach for transposition with VSD with LVOTO comprising about 20% of TGA patients.  Traditionally, Rastelli, REV, Nikaidoh or double root translocation techniques have been utilized for correction of this problem. The authors have proposed a modified technique which in their experience has less evidence of bleeding and immediate post-operative cardiac dysfunction.  In their series of 6 patients, one patient developed low cardiac output resulting in death.  Intubation time was 19 ± 7.5 hours, ICU stay was 68 ± 12 hours in the survivors.  During the 3 month to 2 year follow up, LVEF 65% ± 2.7%, Velocity of aortic valve was 1.2 ± 0.3m/sec, two patients had micro aortic regurgitation, while the other three had no aortic regurgitation.  One patient had moderate pulmonary regurgitation, while the other four had mild pulmonary regurgitation. No left ventricular rupture was noted.

 

  1. Late outcomes in children with Shone’s complex: a single-centre, 20-year experience.

Nicholson GT, Kelleman MS, De la Uz CM, Pignatelli RH, Ayres NA, Petit CJ.

Cardiol Young. 2016 Jul 26:1-9. [Epub ahead of print]

Take Home Points:

  1. Shone’s complex with biventricular repair can be performed with good long term outcomes.
  2. Most of the mortality occurred within a year.
  3. Most patients had growth of left ventricular structures, especially when there was no ASD.
  4. Pulmonary hypertension was associated with higher mortality. The role of pulmonary vasodilators needs to be evaluated.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is an important paper for outcomes in Shone’s complex.  This is a largest reported retrospective review of long term outcomes in Shone’s complex from a single center.  All patients with Shone’s complex with biventricular circulation treated surgically between 1978 and 2010 were evaluated.  A total of 121 patients with median age of 28 days (0-17.3 years) were followed for 7.2 years (0.01 to 35.5 years). 121 patients had 258 interventions, median interventions of 2 (0-6). 10 year survival was 86.1% (78-92% with 95 % confidence interval).  Total of 17 deaths in the cohort, seven of which had no interventions.  14 of the 17 deaths were within the first 10 months.  Two patients underwent heart transplantation, both of whom died, leaving the 10 year survival at 86%.  Mitral valve repair versus replacement had no difference in outcome.  Pulmonary hypertension was associated with lower survival (78%) versus without pulmonary hypertension (93%).  Patients with lower mitral valve Z score, left ventricular end diastolic dimension and left ventricular end systolic function showed increase in Z scores with time. This effect was more marked in patients without an atrial septal defect. Older age at presentation had an inverse relationship with change in aortic valve annular size. Presence or absence of atrial septal defect had no correlation with presence of pulmonary hypertension. Presence of coarctation increases the chances of repeat intervention.

 

  1. Growing potential of small aortic valve with aortic coarctation or interrupted aortic arch after bilateral pulmonary artery banding.

Fuchigami T, Nishioka M, Akashige T, Higa S, Takahashi K, Nakayashiro M, Nabeshima T, Sashinami A, Sakurai K, Takefuta K, Nagata N.

Interact Cardiovasc Thorac Surg. 2016 Jul 1. pii: ivw230. [Epub ahead of print]

Take Home Points:

  1. Interrupted aortic arch with small aortic valve and subvalvar apparatus can be palliated with bilateral branch pulmonary artery banding as stage one in an effort to grow the aortic valve annulus.  This increases the chance of conventional complete repair, which the authors hypothesize may have a better outcome than Yasui.
  2. B/L PA bands can also be utilized as an intermediate palliative strategy in neonates, hence delaying the decision pathway slightly.
  3. Only two of the ten patients needed additional pulmonary artery reconstruction.
  4. The study is limited by small numbers and short follow up without any results on outcomes making it difficult for comparison.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a small case series which looks at using bilateral pulmonary artery banding as stage one for patients with small aortic valve annulus to determine the feasibility of traditional arch repair (aortic arch augmentation with ventricular septal defect) versus staged biventricular repair. The authors hypothesize that performing bilateral pulmonary artery banding allows aortic valve growth and hence increases the chance of a conventional two ventricle repair.  A group of ten patients (2010-2015) were compared with twelve patients during similar time frame as controls. Patients with aortic valve annulus >50% normal value, adequate LV size, feasibility of arch repair without compensation and feasibility of VSD repair underwent conventional repair (CR). Patients who did not meet the criteria, or low birthweight or poor pre-operative condition underwent bilateral PA banding. 50% of the patients with PA bands underwent CR about 2 months from the initial banding. All these patients had growth of the aortic valve annulus from mean of 3.7mm to 4.6mm at stage two.  4/5 of the remainder patients had Norwood reconstruction. Two have undergone Yasui. Two are awaiting Yasui. One patient went on to Fontan.

 

  1. Impacts of early cardiac catheterization for children with congenital heart disease supported by extracorporeal membrane oxygenation.

Kato A, Lo Rito M, Lee KJ, Haller C, Guerguerian AM, Sivarajan VB, Honjo O.

Catheter Cardiovasc Interv. 2016 Jul 14. doi: 10.1002/ccd.26632. [Epub ahead of print]

Take Home Points:

  1. Short ECMO duration, early catheterization, absence of renal and respiratory complications showed better prognosis in univariate analysis.
  2. In multivariate analysis, absence of renal and respiratory complication showed successful weaning from ECMO.
  3. Kaplan-Meier analysis showed higher survival probability at 30 days for patients who underwent early catheterization versus late catheterization.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a single center retrospective study aimed to evaluate if timing of cardiac catheterization was a factor for separation in patients who were placed on ECMO for congenital heart disease.  The study included patients placed on vena-arterial ECMO who underwent cardiac cauterization.  Patients with normal cardiac anatomy with cardiomyopathy were excluded. Patients placed for respiratory indications were excluded. Patients with recent sternotomy (<14days) were placed on central ECMO. Patients without sternotomy or remote sternotomy (>14 days) were placed on ECMO via neck cannulation. Indication for catheterization was determined by multidisciplinary meeting. Catheterization performed less than 48 hours from initiation of ECMO was considered early.  49 catheterizations were performed in 47 patients. Half of the patients were placed on ECMO during ECPR. 70% of patients were weaned off ECMO. 51% of these patients were discharged home alive. 85% of patients experienced one or more complications of ECMO.  Compared to patients who underwent late cauterization, patients who underwent early catheterization had successful decannulation – 83% v/s 50% (P=0.02), higher survival to discharge – 66% v/s 28% (P=0.03) and the duration of ECMO was shorter – median 4 days v/s 8 days (P=0.03).

 

  1. Surgical results for pulmonary atresia with intact ventricular septum: a single-centre 15-year experience and medium-term follow-up.

Zheng J, Gao B, Zhu Z, Shi G, Xu Z, Liu J, He X.

Eur J Cardiothorac Surg. 2016 Jul 1. pii: ezw226. [Epub ahead of print]

Take Home Points:

  1. Both single stage and staged repair for PA/IVS is feasible with acceptable outcomes.
  2. Initial intervention is beneficial for neonates to promote RV growth.
  3. Definitive repair is beneficial for older patients since no RV growth expected.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a retrospective review of outcomes for pulmonary atresia with intact ventricular septum from a single center between 1999 to 2014. Both surgical and catheter based interventions were evaluated.  170 patients who underwent surgical or catheter interventions performed were recruited and reviewed.  90 patients underwent diagnostic catheterization, 39 patients underwent CT scan.  33/170 patients had one stage repair, 137/170 patients had staged repair.  One stage repair patients were older than three months. Patients with mild RV hypoplasia underwent biventricular repair, with moderate hypoplasia underwent 1.5 ventricle repair and severe hypoplasia underwent univentricular repair.  Patients who underwent staged repair were neonates (median 2.5 months). Median interval from initial surgery to repair was 2.4 years.  54/137 patients who underwent staged repair had biventricular repair.  There were three deaths in the one stage surgery group with 1, 5 and 15 year survival of 97%, 93% and 88.5%.  In the staged surgery group 23 patients died including 15 during the waiting period. 1, 5 and 15 year survival was 89.8, 88.2 and 69.1% without any significant difference between the two groups.  Severe RV hypoplasia and TV Z scores were independent predictors of mortality.

 

CHD Surgery Articles – July 2016

  1. Summary of Clinical Experience of Modified Double Root Translocation in the Management of Complete Transposition of Great Arteries With Left Ventricular Outflow Tract Obstruction.

Yang B, Xu J, Zhou Z, Wang K, Chen J, Chen H, Wen M, Liang Q.

Int Heart J. 2016 Jul 27;57(4):473-6. doi: 10.1536/ihj.15-487. Epub 2016 Jul 11.

  1. Congenital Heart Surgery Case Mix Across North American Centers and Impact on Performance Assessment.

Pasquali SK, Wallace AS, Gaynor JW, Jacobs ML, O’Brien SM, Hill KD, Gaies MG, Romano JC, Shahian DM, Mayer JE, Jacobs JP.

Ann Thorac Surg. 2016 Jul 22. pii: S0003-4975(16)30364-2. doi: 10.1016/j.athoracsur.2016.04.034. [Epub ahead of print]

  1. Postcardiotomy ECMO Support after High-risk Operations in Adult Congenital Heart Disease.

Acheampong B, Johnson JN, Stulak JM, Dearani JA, Kushwaha SS, Daly RC, Haile DT, Schears GJ.

Congenit Heart Dis. 2016 Jul 20. doi: 10.1111/chd.12396. [Epub ahead of print]

  1. The Use of Neonatal Extracorporeal Life Support in Pediatric Cardiac Intensive Care Unit.

Öztürk E, Yıldız O, Çine N, Tüzün B, Onan S, Ergül Y, Güzeltaş A, Haydin S, Yeniterzi M, Bakır İ.

J Matern Fetal Neonatal Med. 2016 Jul 18:1-15. [Epub ahead of print]

  1. Surgical options after Fontan failure.

van Melle JP, Wolff D, Hörer J, Belli E, Meyns B, Padalino M, Lindberg H, Jacobs JP, Mattila IP, Berggren H, Berger RM, Prêtre R, Hazekamp MG, Helvind M, Nosál M, Tlaskal T, Rubay J, Lazarov S, Kadner A, Hraska V, Fragata J, Pozzi M, Sarris G, Michielon G, di Carlo D, Ebels T.

Heart. 2016 Jul 15;102(14):1127-33. doi: 10.1136/heartjnl-2015-309235. Epub 2016 Apr 13.

  1. Heart transplantation in Fontan patients across Australia and New Zealand.

Shi WY, Yong MS, McGiffin DC, Jain P, Ruygrok PN, Marasco SF, Finucane K, Keogh A, d’Udekem Y, Weintraub RG, Konstantinov IE.

Heart. 2016 Jul 15;102(14):1120-6. doi: 10.1136/heartjnl-2015-308848. Epub 2016 Mar 21.

  1. A response to the letter by Liu et al.: Surgical correction of a Giant isolated congenital left ventricular diverticulum.

Ling Y, Fan Q, Wang Y, An Q.

Int J Cardiol. 2016 Jul 15;215:422-3. doi: 10.1016/j.ijcard.2016.04.138. Epub 2016 Apr 19. No abstract available.

  1. Perioperative management of pediatric en-bloc combined heart-liver transplants: a case series review.

Navaratnam M, Ng A, Williams GD, Maeda K, Mendoza JM, Concepcion W, Hollander SA, Ramamoorthy C.

Paediatr Anaesth. 2016 Jul 12. doi: 10.1111/pan.12950. [Epub ahead of print]

  1. Complications related to surgically constructed septum in adults with congenital heart disease.

Hodgson S, Dehghani P.

Int J Cardiol. 2016 Jul 5;221:839-840. doi: 10.1016/j.ijcard.2016.07.011. [Epub ahead of print] No abstract available.

  1. Creating a lesion-specific “roadmap” for ambulatory care following surgery for complex congenital cardiac disease.

Wernovsky G, Lihn SL, Olen MM.

Cardiol Young. 2016 Jul 4:1-15. [Epub ahead of print]

  1. Comparison of speed of inhalational induction in children with and without congenital heart disease.

Hasija S, Chauhan S, Jain P, Choudhury A, Aggarwal N, Pandey RK.

Ann Card Anaesth. 2016 Jul-Sep;19(3):468-74. doi: 10.4103/0971-9784.185531.

  1. Polytetrafluoroethylene Bicuspid Pulmonary Valve Replacement: A 5-Year Experience in 119 Patients With Congenital Heart Disease.

Lee C, Lee CH, Kwak JG.

Ann Thorac Surg. 2016 Jul;102(1):163-9. doi: 10.1016/j.athoracsur.2016.01.056. Epub 2016 Apr 12.

  1. The Coagulative Profile of Cyanotic Children Undergoing Cardiac Surgery: The Role of Whole Blood Preoperative Thromboelastometry on Postoperative Transfusion Requirement.

Vida VL, Spiezia L, Bortolussi G, Marchetti ME, Campello E, Pittarello D, Gregori D, Stellin G, Simioni P.

Artif Organs. 2016 Jul;40(7):698-705. doi: 10.1111/aor.12629. Epub 2015 Nov 27.

  1. Surgical results for pulmonary atresia with intact ventricular septum: a single-centre 15-year experience and medium-term follow-up.

Zheng J, Gao B, Zhu Z, Shi G, Xu Z, Liu J, He X.

Eur J Cardiothorac Surg. 2016 Jul 1. pii: ezw226. [Epub ahead of print]

  1. Standardization of reporting would help to define best treatment for pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arteries.

d’Udekem Y.

Eur J Cardiothorac Surg. 2016 Jul;50(1):167-8. doi: 10.1093/ejcts/ezw033. Epub 2016 Apr 3. No abstract available.

  1. Modified Blalock-Taussig shunt: simple but unpredictable.

Dave HH.

Eur J Cardiothorac Surg. 2016 Jul;50(1):178-9. doi: 10.1093/ejcts/ezw115. Epub 2016 Mar 31. No abstract available.

  1. Factors affecting death and progression towards next stage following modified Blalock-Taussig shunt in neonates.

Alsoufi B, Gillespie S, Mori M, Clabby M, Kanter K, Kogon B.

Eur J Cardiothorac Surg. 2016 Jul;50(1):169-77. doi: 10.1093/ejcts/ezw017. Epub 2016 Feb 23.

  1. Valve-sparing aortic root replacement in adult patients previously operated for congenital heart defects: an initial experience.

Baliulis G, Ropponen JO, Salmon TP, Kaarne MO.

Eur J Cardiothorac Surg. 2016 Jul;50(1):155-9. doi: 10.1093/ejcts/ezv446. Epub 2015 Dec 30.

  1. Evolving hybrid approaches: the preservation of the ‘neglected’ pulmonary valve function in patients with congenital heart disease.

Vida VL, Bacha E, Stellin G.

Expert Rev Cardiovasc Ther. 2016 Jul;14(7):793-8. doi: 10.1586/14779072.2016.1162711. Epub 2016 Apr 20.

  1. Fate of Hancock valve in tricuspid position 36 years after implantation.

Kitamura H, Kimura A, Okawa Y, Maeda M.

Gen Thorac Cardiovasc Surg. 2016 Jul 1. [Epub ahead of print]

  1. Outcomes of Adult Patients With Congenital Heart Disease After Heart Transplantation: Impact of Disease Type, Previous Thoracic Surgeries, and Bystander Organ Dysfunction.

Lewis M, Ginns J, Schulze C, Lippel M, Chai P, Bacha E, Mancini D, Rosenbaum M, Farr M.

J Card Fail. 2016 Jul;22(7):578-82. doi: 10.1016/j.cardfail.2015.09.002. Epub 2015 Nov 11.

  1. A 20-year study on treating childhood infective endocarditis with valve replacement in a single cardiac center in China.

Xiao J, Yin L, Lin Y, Zhang Y, Wu L, Wang Z.

J Thorac Dis. 2016 Jul;8(7):1618-24. doi: 10.21037/jtd.2016.06.15.

  1. Physics-driven impeller designs for a novel intravascular blood pump for patients with congenital heart disease.

Chopski SG, Fox CS, McKenna KL, Riddle ML, Kafagy DH, Stevens RM, Throckmorton AL.

Med Eng Phys. 2016 Jul;38(7):622-32. doi: 10.1016/j.medengphy.2016.03.010. Epub 2016 Apr 26.

  1. Severe Acute Kidney Injury Following Stage 1 Norwood Palliation: Effect on Outcomes and Risk of Severe Acute Kidney Injury at Subsequent Surgical Stages.

Wong JH, Selewski DT, Yu S, Leopold KE, Roberts KH, Donohue JE, Ohye RG, Charpie JR, Goldberg CS, DeWitt AG.

Pediatr Crit Care Med. 2016 Jul;17(7):615-23. doi: 10.1097/PCC.0000000000000734.

  1. Association of Hospital Structure and Complications With Mortality After Pediatric Extracorporeal Membrane Oxygenation.

Nasr VG, Faraoni D, DiNardo JA, Thiagarajan RR.

Pediatr Crit Care Med. 2016 Jul;17(7):684-91. doi: 10.1097/PCC.0000000000000723.

  1. Tracheostomy in Infants With Congenital Heart Disease: A Nationwide Population-Based Study in Taiwan.

Lee YS, Jeng MJ, Tsao PC, Soong WJ, Chou P.

Respir Care. 2016 Jul;61(7):958-64. doi: 10.4187/respcare.04266. Epub 2016 Mar 22.

  1. Pulmonary Valve Replacement With Small Intestine Submucosa-Extracellular Matrix in a Porcine Model.

Miller JR, Henn MC, Lancaster TS, Lawrance CP, Schuessler RB, Shepard M, Anderson M, Kovacs A, Matheny RG, Eghtesady P, Damiano RJ, Boston US.

World J Pediatr Congenit Heart Surg. 2016 Jul;7(4):475-83. doi: 10.1177/2150135116651113.

  1. Acute Kidney Injury Following Cardiac Surgery in Neonates and Young Infants: Experience of a Single Center Using Novel Perioperative Strategies.

Kumar TK, Allen Ccp J, Spentzas Md T, Berrios Ccp L, Shah Md S, Joshi Md VM, Ballweg Md JA, Knott-Craig Md CJ.

World J Pediatr Congenit Heart Surg. 2016 Jul;7(4):460-6. doi: 10.1177/2150135116648305.

  1. Mortality Following Congenital Heart Surgery in Adults Can Be Predicted Accurately by Combining Expert-Based and Evidence-Based Pediatric Risk Scores.

Hörer J, Kasnar-Samprec J, Cleuziou J, Strbad M, Wottke M, Kaemmerer H, Schreiber C, Lange R.

World J Pediatr Congenit Heart Surg. 2016 Jul;7(4):425-35. doi: 10.1177/2150135116656001.

  1. Integration of Hybrid and Single Ventricle Rehabilitation Techniques to Treat a Neonate After Iatrogenic Mitral Injury.

Ashfaq A, Seckeler M, Pophal S, Rhee E, Ryan J, Rao R, Klewer S, Nigro JJ.

World J Pediatr Congenit Heart Surg. 2016 Jul;7(4):498-501. doi: 10.1177/2150135115604469. Epub 2016 Feb 10.

  1. Off-pump mitral valved stent implantation: comparison of apical and subannular fixation techniques.

Pokorny S, Huenges K, Hansen JH, Schadow Y, Fischer G, Morlock MM, Cremer J, Lutter G.

Eur J Cardiothorac Surg. 2016 Jul 29. pii: ezw223. [Epub ahead of print]

  1. Assessment of plasma B7-H3 levels in pediatric patients with different degrees of surgical stress.

Li Y, Yuan Q, Huang J, Li YP, Pan J, Feng X, Zhang XG, Wang JH, Wang J.

BMC Pediatr. 2016 Jul 26;16:110. doi: 10.1186/s12887-016-0655-1.

  1. Late outcomes in children with Shone’s complex: a single-centre, 20-year experience.

Nicholson GT, Kelleman MS, De la Uz CM, Pignatelli RH, Ayres NA, Petit CJ.

Cardiol Young. 2016 Jul 26:1-9. [Epub ahead of print]

  1. Biomechanics of Failed Pulmonary Autografts Compared With Normal Pulmonary Roots.

Mookhoek A, Krishnan K, Chitsaz S, Kuang H, Ge L, Schoof PH, Bogers AJ, Takkenberg JJ, Tseng EE.

Ann Thorac Surg. 2016 Jul 22. pii: S0003-4975(16)30489-1. doi: 10.1016/j.athoracsur.2016.05.010. [Epub ahead of print]

  1. Impact of Surgical Complexity on Health-Related Quality of Life in Congenital Heart Disease Surgical Survivors.

O’Connor AM, Wray J, Tomlinson RS, Cassedy A, Jacobs JP, Jenkins KJ, Brown KL, Franklin RC, Mahony L, Mussatto K, Newburger JW, Wernovsky G, Ittenbach RF, Drotar D, Marino BS.

J Am Heart Assoc. 2016 Jul 22;5(7). pii: e001234. doi: 10.1161/JAHA.114.001234.

  1. Cardiac output: a central issue in patients with respiratory extracorporeal support.

Romagnoli S, Zagli G, Ricci Z, Villa G, Barbani F, Pinelli F, De Gaudio R, Chelazzi C.

Perfusion. 2016 Jul 20. pii: 0267659116658112. [Epub ahead of print]

  1. Toward computer-assisted image-guided congenital heart defect repair: an initial phantom analysis.

Kwartowitz DM, Mefleh FN, Baker GH.

Int J Comput Assist Radiol Surg. 2016 Jul 19. [Epub ahead of print]

  1. Mechanical Circulatory Support as Bridge to Transplantation for the Failing Single Ventricle.

Arnaoutakis GJ, Blitzer D, Fuller S, Eckhauser AW, Montenegro LM, Rossano JW, Gaynor JW.

Ann Thorac Surg. 2016 Jul 14. pii: S0003-4975(16)30496-9. doi: 10.1016/j.athoracsur.2016.05.015. [Epub ahead of print]

  1. Scimitar Syndrome Repair in Adults: Intermediate-Term Results Using an Extracardiac Conduit.

Guerra NC, Pernot M, Nesseris G, Al-Yamani M, Roques X, Thambo JB, Kreitmann B, Roubertie F.

Ann Thorac Surg. 2016 Jul 14. pii: S0003-4975(16)30490-8. doi: 10.1016/j.athoracsur.2016.05.011. [Epub ahead of print]

  1. Impacts of early cardiac catheterization for children with congenital heart disease supported by extracorporeal membrane oxygenation.

Kato A, Lo Rito M, Lee KJ, Haller C, Guerguerian AM, Sivarajan VB, Honjo O.

Catheter Cardiovasc Interv. 2016 Jul 14. doi: 10.1002/ccd.26632. [Epub ahead of print]

  1. Heart transplantation after Fontan: Results from a surgical Fontan cohort.

Pundi KN, Pundi K, Driscoll DJ, Dearani JA, Li Z, Dahl SH, Mora BN, O’Leary PW, Daly RC, Cetta F, Johnson JN.

Pediatr Transplant. 2016 Jul 10. doi: 10.1111/petr.12753. [Epub ahead of print]

  1. The role of posterior aortopexy in the treatment of left mainstem bronchus compression.

Arcieri L, Serio P, Nenna R, Di Maurizio M, Baggi R, Assanta N, Moschetti R, Noccioli B, Mirabile L, Murzi B.

Interact Cardiovasc Thorac Surg. 2016 Jul 5. pii: ivw209. [Epub ahead of print]

  1. Red Blood Cell Transfusion in the Postoperative Care of Pediatric Cardiac Surgery: Survey on Stated Practice.

Tremblay-Roy JS, Poirier N, Ducruet T, Lacroix J, Harrington K.

Pediatr Cardiol. 2016 Jul 5. [Epub ahead of print]

  1. Biventricular repair of pulmonary atresia with intact ventricular septum and severely hypoplastic right ventricle: a case report of a minimum intervention surgical approach.

Hata H, Sumitomo N, Ayusawa M, Shiono M.

J Cardiothorac Surg. 2016 Jul 4;11(1):94. doi: 10.1186/s13019-016-0486-z.

  1. Tacrolimus-associated hemolytic uremic syndrome in a pediatric heart transplant recipient.

Gray JM, Ameduri RK.

Pediatr Transplant. 2016 Jul 2. doi: 10.1111/petr.12744. [Epub ahead of print]

  1. Successful Repair of Hypoplastic Left Heart Syndrome With Intact Atrial Septum, Congenital Diaphragm Hernia, and Anomalous Origin of Coronary Artery: Defying the Odds.

Sathanandam S, Kumar TK, Feliz A, Knott-Craig CJ.

Ann Thorac Surg. 2016 Jul;102(1):e55-7. doi: 10.1016/j.athoracsur.2015.12.052.

  1. Partial Anomalous Pulmonary Venous Connection to the Azygous Vein: Unusual Pathology Requiring Unusual Repair.

Perez M, Kumar TK, Briceno-Medina M, Knott-Craig CJ.

Ann Thorac Surg. 2016 Jul;102(1):e41-2. doi: 10.1016/j.athoracsur.2015.11.059.

  1. Norwood Stage 1 With Surgical Ventricular Reconstruction and Mitral Valve Repair for Neonatal Idiopathic Left Ventricular Dilated Cardiomyopathy.

Myers PO, Sologashvili T, Beghetti M, Tissot C.

Ann Thorac Surg. 2016 Jul;102(1):e15-7. doi: 10.1016/j.athoracsur.2015.11.005.

  1. Near Catastrophic Accelerated Structural Degeneration of the Perimount Magna Pericardial Bioprosthesis in Children.

Philip R, Kumar TK, Waller BR, McCoy M, Knott-Craig CJ.

Ann Thorac Surg. 2016 Jul;102(1):308-11. doi: 10.1016/j.athoracsur.2015.09.088.

  1. Novel Modifications of a Ventricular Assist Device for Infants and Children.

Mongé MC, Kulat BT, Eltayeb O, Balasubramanya S, Sarwark AE, Zingle NR, Moss ST, Moga MA, Gossett JG, Pahl E, Costello JM, Backer CL.

Ann Thorac Surg. 2016 Jul;102(1):147-53. doi: 10.1016/j.athoracsur.2016.04.043. Epub 2016 May 28.

  1. Intervention for Supravalvar Pulmonary Stenosis After the Arterial Switch Operation.

Nellis JR, Turek JW, Aldoss OT, Atkins DL, Ng BY.

Ann Thorac Surg. 2016 Jul;102(1):154-62. doi: 10.1016/j.athoracsur.2016.01.068. Epub 2016 Apr 19.

  1. Achieving 12 Hour Normothermic Ex Situ Heart Perfusion: An Experience of 40 Porcine Hearts.

Trahanas JM, Witer LJ, Alghanem F, Bryner BS, Iyengar A, Hirschl JR, Hoenerhoff MJ, Potkay JA, Bartlett RH, Rojas-Pena A, Owens GE, Bocks ML.

ASAIO J. 2016 Jul-Aug;62(4):470-6. doi: 10.1097/MAT.0000000000000382.

  1. Pediatric Extracorporeal Life Support Using a Third Generation Diagonal Pump.

Speth M, Münch F, Purbojo A, Glöckler M, Toka O, Cesnjevar RA, Rüffer A.

ASAIO J. 2016 Jul-Aug;62(4):482-90. doi: 10.1097/MAT.0000000000000385.

  1. 9th Hatter Biannual Meeting: position document on ischaemia/reperfusion injury, conditioning and the ten commandments of cardioprotection.

Bell RM, Bøtker HE, Carr RD, Davidson SM, Downey JM, Dutka DP, Heusch G, Ibanez B, Macallister R, Stoppe C, Ovize M, Redington A, Walker JM, Yellon DM.

Basic Res Cardiol. 2016 Jul;111(4):41. doi: 10.1007/s00395-016-0558-1. Epub 2016 May 10. Review.

  1. Outcomes in children with advanced heart failure in Japan: importance of mechanical circulatory support.

Shimizu M, Nishinaka T, Inai K, Nakanishi T.

Heart Vessels. 2016 Jul;31(7):1162-7. doi: 10.1007/s00380-015-0722-9. Epub 2015 Aug 5.

  1. Growing potential of small aortic valve with aortic coarctation or interrupted aortic arch after bilateral pulmonary artery banding.

Fuchigami T, Nishioka M, Akashige T, Higa S, Takahashi K, Nakayashiro M, Nabeshima T, Sashinami A, Sakurai K, Takefuta K, Nagata N.

Interact Cardiovasc Thorac Surg. 2016 Jul 1. pii: ivw230. [Epub ahead of print]

  1. Late outcome after paediatric heart transplantation in Finland.

Raissadati A, Pihkala J, Jahnukainen T, Jokinen E, Jalanko H, Sairanen H.

Interact Cardiovasc Thorac Surg. 2016 Jul;23(1):18-25. doi: 10.1093/icvts/ivw086. Epub 2016 Mar 30.

  1. Evidence supports severe renal insufficiency as a relative contraindication to heart transplantation.

Hong KN, Merlo A, Chauhan D, Davies RR, Iribarne A, Johnson E, Jeevanandam V, Russo MJ.

J Heart Lung Transplant. 2016 Jul;35(7):893-900. doi: 10.1016/j.healun.2016.02.003. Epub 2016 Mar 11.

  1. Improved survival after heart transplant for failed Fontan patients with preserved ventricular function.

Miller JR, Simpson KE, Epstein DJ, Lancaster TS, Henn MC, Schuessler RB, Balzer DT, Shahanavaz S, Murphy JJ, Canter CE, Eghtesady P, Boston US.

J Heart Lung Transplant. 2016 Jul;35(7):877-83. doi: 10.1016/j.healun.2016.02.005. Epub 2016 Mar 10.

  1. Extracorporeal life support for victims of drowning.

Burke CR, Chan T, Brogan TV, Lequier L, Thiagarajan RR, Rycus PT, McMullan DM.

Resuscitation. 2016 Jul;104:19-23. doi: 10.1016/j.resuscitation.2016.04.005. Epub 2016 Apr 20.

  1. Pentalogy of Cantrell: A View From Fetus to Operation With Multimodality Imaging.

Steele J, Stewart RD, Pettersson G, Attia T, Komarlu R, Edwards T.

World J Pediatr Congenit Heart Surg. 2016 Jul;7(4):525-6. doi: 10.1177/2150135116651096.

  1. Color Doppler and pulse wave assessment of flow in anomalous origin of left coronary artery from pulmonary artery: Pre- and post-surgery.

Bhalgat PS, Naik AV, Salvi PR, Joshi SV.

Ann Pediatr Cardiol. 2016 May-Aug;9(2):192-4. doi: 10.4103/0974-2069.180675.

  1. Scimitar syndrome: Surgical approach to an unusual anatomy of the scimitar vein.

Varghese R, Omoregbee B, Saheed S.

Ann Pediatr Cardiol. 2016 May-Aug;9(2):173-5. doi: 10.4103/0974-2069.180667.

  1. Complex aortopulmonary window in a single ventricle setting: Technical considerations for staged palliation.

Salve GG, Jain SA, Katkade SS, Shivaprakash K.

Ann Pediatr Cardiol. 2016 May-Aug;9(2):167-9. doi: 10.4103/0974-2069.180673.

  1. Pulmonary venous hypertension may allow delayed palliation of single ventricle physiology with pulmonary hypertension.

Kalantre A, Sunil GS, Kumar RK.

Ann Pediatr Cardiol. 2016 May-Aug;9(2):147-52. doi: 10.4103/0974-2069.177517.

  1. Procalcitonin as a biomarker of bacterial infection in pediatric patients after congenital heart surgery.

Chakravarti SB, Reformina DA, Lee TM, Malhotra SP, Mosca RS, Bhatla P.

Ann Pediatr Cardiol. 2016 May-Aug;9(2):115-9. doi: 10.4103/0974-2069.180665.

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CHD Surgery Featured Articles of June 2016

  1. Impact of Timing of ECMO Initiation on Outcomes after Pediatric Heart Surgery: A Multi-Institutional Analysis.

Gupta P, Robertson MJ, Rettiganti M, Seib PM, Wernovsky G, Markovitz BP, Simsic J, Tobias JD.

Pediatr Cardiol. 2016 Jun;37(5):971-8. doi: 10.1007/s00246-016-1379-6. Epub 2016 Apr 1.

PMID: 27037549

Take Home Points:

  1. Most ECMO in the participating centers was initiated on the day of surgery (60%).
  2. The timing of ECMO initiation was not related to mortality or composite poor outcome. However, increasing duration of time from surgery to ECMO initiation was associated with prolonged length of ECMO, prolonged ICU LOS, prolonged hospital LOS, and prolonged ventilator requirement.  Although this relationship was statistically significant, the odds for prolonged length of ECMO, prolonged length of ventilation, prolonged length of ICU stay, and prolonged length of hospital stay increased by only 1–3% for every 1-day increase in ECMO that may be clinically insignificant.
  3. Furthermore, the study did not demonstrate any relationship between the timing of ECMO initiation and mortality among the patients of varying age groups, and patients undergoing cardiac surgery of varying complexity.

shashidharanCommentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a large retrospective dataset review obtained from the Pediatric Health Information System.  Date was reviewed from 2004 to 2013 from 42 hospitals in the USA.  A total of 2908 patients who had undergone cardiac surgery under the age of 18 were included in the study. The median timing for initiation of ECMO was 0 days. 60% had ECMO initiation on the day of cardiac surgery. 40% had ECMO initiation ≥1day. The overall mortality for the study population was 45%.  Mortality for patients who had ECMO initiation on the day of surgery was 41%.  Mortality for group with ECMO initiation ≥1 day was 51%.

 

  1. Comparison of Extracellular Matrix Patch and Standard Patch Material in the Pulmonary Arteries.

Y Fraint H, E Richmond M, A Bacha E, Turner ME.

Pediatr Cardiol. 2016 Jun 4. [Epub ahead of print]

PMID: 27262451

Take Home Points:

  1. As in several other studies, there is no clear benefit to using ECM for pulmonary artery reconstruction.
  2. The choice should be based on surgeon preference and cost.
  3. Aortic cross clamping had longer duration of re-intervention free survival, possibly since aortic cross clamping allowed for more extensive pulmonary arterioplasty.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  The objective of this study was to compare patients who underwent PA patch augmentation with extracellular matrix patch (ECM) versus standard patch material (SP) in an effort to understand the difference in time to surgical or catheterization-based reintervention for residual or recurrent pulmonary stenosis.  Retrospective data was collected at Columbia University between 2004 and 2013.  221 patients were included in the study.  48 patients had ECM and 173 had standard patch (including autologous, allograft and synthetic materials). Most patients in both groups had bi-ventricular physiology, although single ventricle physiology was more likely to have a standard patch.   There was no difference in the period of intubation (1 day in ECM vs. 2 days in SP), or no difference in median duration of ICU stay.  There was no difference in post-operative complications between the two groups.  There was no difference in re-intervention free survival between the two patches.  In multivariable analysis, after adjusting for surgeon and patch type, longer re-intervention free survival was associated with SV physiology and aortic cross clamping.

 

  1. Factors Associated With Mortality in Neonates Requiring Extracorporeal Membrane Oxygenation for Cardiac Indications: Analysis of the Extracorporeal Life Support Organization Registry Data.

Ford MA, Gauvreau K, McMullan DM, Almodovar MC, Cooper DS, Rycus PT, Thiagarajan R.

Pediatr Crit Care Med. 2016 Jun 28. [Epub ahead of print]

PMID: 27355824

 

Take Home Points:

  1. This is a large study which shows overall trends in ECMO utilization. Some generalizations can be made from this study for potential causes of increased mortality.
  2. There is a clear linear increase in mortality as the birth weight reduces. Also, there was increased mortality with single ventricle physiology which multiplies with birth weight.
  3. Several other factors were also noted in non survivors, notably, time to initiation of ECMO, lower pH at initiation of ECMO, longer duration on ECMO, and increased RACH score for the procedure.
  4. 67% of neonates were able to separate from ECMO by day 8, but only 41% survived to discharge.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a large retrospective cohort study of the dataset from Extracorporeal Life Support Organization Registry between 2001 and 2011.  4471 neonates (<30 days) with congenital cardiac disease supported with ECMO from 230 US and international centers were included. Overall 41% of the neonates on ECMO survived to discharge.  Certain pre-ECMO demographics were associated with higher survival.  Survivors weighed ≥ 3.0kg (with a median weight of 3.2 kg) versus non survivors had weight of ≤ 3.0kg. 56% percent of the survivors had two ventricle physiology versus 65% for single ventricle physiology.  Survival was similar for patients who had surgery versus not.  Lower pH (≤7.2) was associated with increased mortality.  The odds of mortality were 1.74 times if pH was less than 7.01 compared with 1.2 times for pH between 7.01 and 7.2.   Increasing time from intubation to ECMO was associated with increasing mortality.  The odds of mortality increased from 1 for < 10 hours to 1.35 times between 10-71 hours and 1.8 times for >72 hours.

 

  1. Association of 24/7 In-House Intensive Care Unit Attending Physician Coverage With Outcomes In Children Undergoing Heart Operations.

Gupta P, Rettiganti M, Jeffries HE, Brundage N, Markovitz BP, Scanlon MC, Simsic JM.

Ann Thorac Surg. 2016 Jun 18. pii: S0003-4975(16)30372-1. doi: 10.1016/j.athoracsur.2016.04.042. [Epub ahead of print]

PMID: 27324525

Take Home Points:

  1. The findings of this large observational study demonstrated that the presence of 24-hour in-ICU attending-physician coverage in children undergoing cardiac operations is associated with an improved survival benefit compared with patients treated in ICUs staffed by on-demand attending-level intensivist coverage. The study also demonstrated a lower incidence of cardiac arrest, less frequent use of ECMO, a higher rate of extubation within 48 hours, a lower rate of reintubation, and a shorter duration of arterial line and central venous line use in the 24-hour in-ICU attending physician–coverage model.
  2. There was no difference in ICU stay or duration of mechanical ventilation between the two groups, which may be a function of the severity of illness and the complexity of the surgical procedure performed (and not the rate of complication).

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a multi-center analysis of the effects of round the clock (24/7) in-house intensive care attending coverage on outcomes in children undergoing cardiac surgery using the Virtual Pediatric Systems database.  Multi-institution prospective data on a cohort of patients under the age of 18 from 54 hospitals between 2009 and 2014 were evaluated.  25,159 patients were included.  Overall ICU mortality was 2.9%.  Cardiac arrest occurred in 2.6%.  ECMO was employed in 3.6%.   ICU mortality was lower in 24/7 coverage versus no 24/7 coverage (2.8% versus 4.0%). There was no difference in ICU stay or duration of mechanical ventilation between the two groups.  Mortality was lower in 24/7 coverage for both high-complexity (8% versus 10.5%) and low-complexity cases (1.0% versus 1.8%).  Incidence of cardiac arrest, extubation within 48 hours, rate of re-intubation, duration of central venous line and arterial line use after operation were all significantly improved in the 24/7 group.  Both high volume (>250 cases) and low volume centers showed similar results comparing 24/7 coverage versus no 24/7 coverage.  The postulated reasons for improved outcomes with around-the-clock mandatory attending-level intensivist coverage include improved diagnostic and therapeutic efficiency, timely evaluation and documentation, and timely reductions of preventable medical errors in the immediate postoperative period. The other postulated reasons for implementing 24/7 coverage include improvement in staff and parental satisfaction and increased trainee supervision.

 

  1. Is the Lecompte technique the last word on transposition of the great arteries repair for all patients? A magnetic resonance imaging study including a spiral technique two decades postoperatively.

Rickers C, Kheradvar A, Sievers HH, Falahatpisheh A, Wegner P, Gabbert D, Jerosch-Herold M, Hart C, Voges I, Putman LM, Kristo I, Fischer G, Scheewe J, Kramer HH.

Interact Cardiovasc Thorac Surg. 2016 Jun;22(6):817-25. doi: 10.1093/icvts/ivw014. Epub 2016 Feb 25.

PMID: 26920722 Free Article

Take Home Points:

  1. Adult TGA patients 20 years after neonatal spiral anastomoses presented with a more physiological blood flow profiles in their great arteries compared with patients who underwent a Lecompte procedure.
  2. There is more LPA stenosis with the LeCompte procedure.

Commentary from Dr. Subi Shashidharan (Atlanta), section co-editor of Congenital Heart Surgery Journal Watch:  This is a review of small series of patients undergoing an arterial switch operation (ASO) by a single surgeon.  Comparison was made between ASO performed with the Lecompte maneuver versus ASO performed with maintaining the spiral anatomic arrangement.  9 patients underwent Lecompte and 6 had normal spiral arrangement. Patients were studied at a mean age of 20.8+/-2.1 years.  Cardiovascular magnetic resonance imaging (MRI) was used to comprehensively evaluate cardiovascular anatomy and function, including novel 3D time-resolved phase contrast MRI techniques (4D-flow) to assess blood flow dynamics in patients and controls.  Aortic root was larger in the TGA group (both Lecompte and spiral) compared to the control group.  The ascending aorta was smaller in the spiral group.  Cross sectional area of the left pulmonary artery was smaller in the Lecompte group and the aortic arch was steeper.  The angle of the aortic root changed significantly in the spiral group towards the control group.  No difference was noted in ventricular function, myocardial scarring and aortic elastic characteristics.  Pulmonary insufficiency was noted in 3 patients in the Lecompte group versus none in the spiral group.  Pulmonary stenosis was noted in 2 in the Lecompte group versus 1 in spiral group.  More than trace aortic regurgitation was noted in 2 patients in the Lecompte group versus none in the spiral group.

CHD Surgery Articles – June 2016

  1. Circulating histones for predicting prognosis after cardiac surgery: a prospective study.

Gao H, Zhang N, Lu F, Yu X, Zhu L, Mo X, Wang W.

Interact Cardiovasc Thorac Surg. 2016 Jun 29. pii: ivw198. [Epub ahead of print]

PMID: 27357468 Free Article

  1. The Impact of Concomitant Left Ventricular Non-compaction with Congenital Heart Disease on Perioperative Outcomes.

Ramachandran P, Woo JG, Ryan TD, Bryant R, Heydarian HC, Jefferies JL, Towbin JA, Lorts A.

Pediatr Cardiol. 2016 Jun 29. [Epub ahead of print]

PMID: 27357002

  1. Retrospective Cohort Study Comparing Redo Operations Using Ferromagnetic Dissection and Conventional Monopolar Dissection.

Starr JP, Gates RN, Palafox BA, Quill A.

Surg Innov. 2016 Jun 29. pii: 1553350616656279. [Epub ahead of print]

PMID: 27357105

  1. Effect of Induction Therapy on Graft Survival in Primary Pediatric Heart Transplantation: A Propensity Score Analysis of the UNOS Database.

Butts R, Davis M, Savage A, Burnette A, Kavarana M, Bradley S, Atz A, Nietert PJ.

Transplantation. 2016 Jun 29. [Epub ahead of print]

PMID: 27362312

  1. Factors Associated With Mortality in Neonates Requiring Extracorporeal Membrane Oxygenation for Cardiac Indications: Analysis of the Extracorporeal Life Support Organization Registry Data.

Ford MA, Gauvreau K, McMullan DM, Almodovar MC, Cooper DS, Rycus PT, Thiagarajan R.

Pediatr Crit Care Med. 2016 Jun 28. [Epub ahead of print]

PMID: 27355824

  1. Comparison of Intraoperative Aminophylline Versus Furosemide in Treatment of Oliguria During Pediatric Cardiac Surgery.

Onder AM, Rosen D, Mullett C, Cottrell L, Kanosky S, Grossman OK, Iqbal HI, Seachrist E, Samsell L, Gustafson K, Rhodes L, Gustafson R.

Pediatr Crit Care Med. 2016 Jun 28. [Epub ahead of print]

PMID: 27355823

  1. Aortic Valve Replacement in Children and Young Adults.

David TE.

J Am Coll Cardiol. 2016 Jun 21;67(24):2871-3. doi: 10.1016/j.jacc.2016.04.023. No abstract available.

PMID: 27311526

  1. Aortic Valve Replacement and the Ross Operation in Children and Young Adults.

Sharabiani MT, Dorobantu DM, Mahani AS, Turner M, Peter Tometzki AJ, Angelini GD, Parry AJ, Caputo M, Stoica SC.

J Am Coll Cardiol. 2016 Jun 21;67(24):2858-70. doi: 10.1016/j.jacc.2016.04.021.

PMID: 27311525

  1. Association of 24/7 In-House Intensive Care Unit Attending Physician Coverage With Outcomes In Children Undergoing Heart Operations.

Gupta P, Rettiganti M, Jeffries HE, Brundage N, Markovitz BP, Scanlon MC, Simsic JM.

Ann Thorac Surg. 2016 Jun 18. pii: S0003-4975(16)30372-1. doi: 10.1016/j.athoracsur.2016.04.042. [Epub ahead of print]

PMID: 27324525

  1. Humanitarian Outreach in Cardiothoracic Surgery: From Setup to Sustainability.

Dearani JA, Jacobs JP, Bolman RM 3rd, Swain JD, Vricella LA, Weinstein S, Farkas EA, Calhoon JH.

Ann Thorac Surg. 2016 Jun 17. pii: S0003-4975(16)30177-1. doi: 10.1016/j.athoracsur.2016.03.062. [Epub ahead of print] Review.

PMID: 27319988

  1. Prevalence of Noncardiac and Genetic Abnormalities in Neonates Undergoing Cardiac Operations: Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database.

Patel A, Costello JM, Backer CL, Pasquali SK, Hill KD, Wallace AS, Jacobs JP, Jacobs ML.

Ann Thorac Surg. 2016 Jun 17. pii: S0003-4975(16)30317-4. doi: 10.1016/j.athoracsur.2016.04.008. [Epub ahead of print]

PMID: 27319986

  1. Association of nadir oxygen delivery on cardiopulmonary bypass with serum glial fibrillary acid protein levels in paediatric heart surgery patients.

Magruder JT, Hibino N, Collica S, Zhang H, Harness HL, Heitmiller ES, Jacobs ML, Cameron DE, Vricella LA, Everett AD.

Interact Cardiovasc Thorac Surg. 2016 Jun 16. pii: ivw194. [Epub ahead of print]

PMID: 27316657 Free Article

  1. Evaluation of Acute Rejection by Measuring Strain and Strain Rate in Children With Heart Transplant: A Preliminary Report.

Gursu HA, Varan B, Sade E, Erdogan I, Sezgin A, Aslamaci S.

Exp Clin Transplant. 2016 Jun 15. doi: 10.6002/ect.2015.0330. [Epub ahead of print]

PMID: 27310367 Free Article

  1. Perioperative risk factors for impaired neurodevelopment after cardiac surgery in early infancy.

Gunn JK, Beca J, Hunt RW, Goldsworthy M, Brizard CP, Finucane K, Donath S, Shekerdemian LS.

Arch Dis Child. 2016 Jun 6. pii: archdischild-2015-309449. doi: 10.1136/archdischild-2015-309449. [Epub ahead of print]

PMID: 27272973

  1. Dexmedetomidine is Associated with an Increased Incidence of Bradycardia in Patients with Trisomy 21 After Surgery for Congenital Heart Disease.

Ueno K, Ninomiya Y, Shiokawa N, Hazeki D, Eguchi T, Kawano Y.

Pediatr Cardiol. 2016 Jun 6. [Epub ahead of print]

PMID: 27272693

  1. Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study.

Ödek Ç, Kendirli T, Uçar T, Yaman A, Tutar E, Eyileten Z, Taşar M, Ramoğlu M, Ateş C, Uysalel A, İnce E, Atalay S.

Pediatr Cardiol. 2016 Jun 6. [Epub ahead of print]

PMID: 27272692

  1. [15 years of minimally invasive paediatric cardiac surgery; development and trends].

Gil-Jaurena JM, González-López MT, Pérez-Caballero R, Pita A, Castillo R, Miró L.

An Pediatr (Barc). 2016 Jun;84(6):304-10. doi: 10.1016/j.anpedi.2015.06.007. Epub 2015 Jul 26. Spanish.

PMID: 26216279 Free Article

  1. Tracheostomy After Operations for Congenital Heart Disease: An Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database.

Mastropietro CW, Benneyworth BD, Turrentine M, Wallace AS, Hornik CP, Jacobs JP, Jacobs ML.

Ann Thorac Surg. 2016 Jun;101(6):2285-92. doi: 10.1016/j.athoracsur.2016.01.046. Epub 2016 Apr 12.

PMID: 27083243

  1. Colonization of multidrug resistant pathogens in a hybrid pediatric cardiac surgery center.

Jaworski R, Haponiuk I, Steffens M, Arlukowicz E, Irga-Jaworska N, Chojnicki M, Kwasniak E, Zielinski J.

Arch Med Sci. 2016 Jun 1;12(3):639-44. doi: 10.5114/aoms.2016.59937. Epub 2016 May 18.

PMID: 27279859 Free PMC Article

  1. Repair of aortic coarctation in infancy: A 10-year clinical experience.

Bigdelian H, Sedighi M.

Asian Cardiovasc Thorac Ann. 2016 Jun;24(5):417-21. doi: 10.1177/0218492316643841. Epub 2016 Apr 15.

PMID: 27084872

  1. Predictors of outcomes in children awaiting heart transplantation: an experience from a National Paediatric Heart Transplantation Programme.

Shi WY, Rouse M, Weintraub RG, Zannino D, Shipp A, d’Udekem Y, Konstantinov IE.

Eur J Cardiothorac Surg. 2016 Jun;49(6):1711-8. doi: 10.1093/ejcts/ezv465. Epub 2016 Jan 22.

PMID: 26802205

  1. eComment: How to define operability in pulmonary hypertension secondary to congenital heart disease?

Myers PO, Lador F, Beghetti M.

Interact Cardiovasc Thorac Surg. 2016 Jun;22(6):859. doi: 10.1093/icvts/ivw131. No abstract available.

PMID: 27231252 Free Article

  1. Repair of complicated type B dissection with an aberrant right subclavian artery.

Zhu JM, Qi RD, Liu YM, Zheng J, Xing XY, Sun LZ.

Interact Cardiovasc Thorac Surg. 2016 Jun;22(6):718-22. doi: 10.1093/icvts/ivw043. Epub 2016 Mar 7.

PMID: 26956707 Free Article

  1. Closure of an atrial septal defect with a one-way flap patch in a patient with severe pulmonary hypertension.

Rosic M, Susak S, Redzek A, Velicki L.

Interact Cardiovasc Thorac Surg. 2016 Jun;22(6):856-8. doi: 10.1093/icvts/ivw032. Epub 2016 Feb 25.

PMID: 26920727 Free Article

  1. Is the Lecompte technique the last word on transposition of the great arteries repair for all patients? A magnetic resonance imaging study including a spiral technique two decades postoperatively.

Rickers C, Kheradvar A, Sievers HH, Falahatpisheh A, Wegner P, Gabbert D, Jerosch-Herold M, Hart C, Voges I, Putman LM, Kristo I, Fischer G, Scheewe J, Kramer HH.

Interact Cardiovasc Thorac Surg. 2016 Jun;22(6):817-25. doi: 10.1093/icvts/ivw014. Epub 2016 Feb 25.

PMID: 26920722 Free Article

  1. Vitamin D Status After Cardiopulmonary Bypass in Children With Congenital Heart Disease.

Abou Zahr R, Faustino EV, Carpenter T, Kirshbom P, Hall EK, Fahey JT, Kandil SB.

J Intensive Care Med. 2016 Jun 1. pii: 0885066616652077. [Epub ahead of print]

PMID: 27251108

  1. Intracardiac Thrombosis Involving All Four Cardiac Chambers after Extracardiac Membranous Oxygenation Associated with MTHFR Mutations.

Kim BJ, Song SH, Shin YR, Park HK, Park YH, Shin HJ.

Korean J Thorac Cardiovasc Surg. 2016 Jun;49(3):207-9. doi: 10.5090/kjtcs.2016.49.3.207. Epub 2016 Jun 5.

PMID: 27298801 Free PMC Article

  1. Aortic Root Translocation with Arterial Switch for Transposition of the Great Arteries or Double Outlet Right Ventricle with Ventricular Septal Defect and Pulmonary Stenosis.

Lee HP, Bang JH, Baek JS, Goo HW, Park JJ, Kim YH.

Korean J Thorac Cardiovasc Surg. 2016 Jun;49(3):190-4. doi: 10.5090/kjtcs.2016.49.3.190. Epub 2016 Jun 5.

PMID: 27298797 Free PMC Article

  1. Results of Extracorporeal Cardiopulmonary Resuscitation in Children.

Shin HJ, Song S, Park HK, Park YH.

Korean J Thorac Cardiovasc Surg. 2016 Jun;49(3):151-6. doi: 10.5090/kjtcs.2016.49.3.151. Epub 2016 Jun 5.

PMID: 27298791 Free PMC Article

  1. Factors Affecting Length of Postoperative Hospitalization for Pediatric Cardiac Operations in a Large North American Registry (1982-2007).

Al-Haddad BJ, Menk JS, Kochilas L, Vinocur JM.

Pediatr Cardiol. 2016 Jun;37(5):884-91. doi: 10.1007/s00246-016-1364-0. Epub 2016 Mar 10.

PMID: 26965705

  1. Clinical Factors Associated with Dose of Loop Diuretics After Pediatric Cardiac Surgery: Post Hoc Analysis.

Haiberger R, Favia I, Romagnoli S, Cogo P, Ricci Z.

Pediatr Cardiol. 2016 Jun;37(5):913-8. doi: 10.1007/s00246-016-1367-x. Epub 2016 Mar 9.

PMID: 26961571

  1. Challenging Argatroban Management of a Child on Extracorporeal Support and Subsequent Heart Transplant.

Latham GJ, Jefferis Kirk C, Falconer A, Dickey R, Albers EL, McMullan DM.

Semin Cardiothorac Vasc Anesth. 2016 Jun;20(2):168-74. doi: 10.1177/1089253215624766. Epub 2015 Dec 31.

PMID: 26721808

  1. Vascular rings.

Backer CL, Mongé MC, Popescu AR, Eltayeb OM, Rastatter JC, Rigsby CK.

Semin Pediatr Surg. 2016 Jun;25(3):165-75. doi: 10.1053/j.sempedsurg.2016.02.009. Epub 2016 Feb 22.

PMID: 27301603

  1. Hypomagnesemia in Pediatric Heart Transplant Patients Treated with Tacrolimus.

Erdogan I, Gursu HA, Varan B, Ozkan M, Sezgin A.

Exp Clin Transplant. 2016 Jun 29. doi: 10.6002/ect.2015.0371. [Epub ahead of print]

PMID: 27364480 Free Article

  1. Effect of Induction Therapy on Graft Survival in Primary Pediatric Heart Transplantation: A Propensity Score Analysis of the UNOS Database.

Butts R, Davis M, Savage A, Burnette A, Kavarana M, Bradley S, Atz A, Nietert PJ.

Transplantation. 2016 Jun 29. [Epub ahead of print]

PMID: 27362312

  1. When is the right time for Fontan conversion? The role of cardiopulmonary exercise test.

Egbe AC, Connolly HM, Dearani JA, Bonnichsen CR, Niaz T, Allison TG, Johnson JN, Poterucha JT, Said SM, Ammash NM.

Int J Cardiol. 2016 Jun 28;220:564-568. doi: 10.1016/j.ijcard.2016.06.209. [Epub ahead of print]

PMID: 27390988

  1. Batista Procedure for a Coronary Anomaly in an Infant: Long-Term Follow-Up.

González-López MT, Cuenca-Peiró V, Castillo-Martín R, Zabala-Argüelles JI, Gil-Jaurena JM.

J Card Surg. 2016 Jun 27. doi: 10.1111/jocs.12775. [Epub ahead of print]

PMID: 27345819

  1. Three-dimensional printing of a complex CHD to plan surgical repair.

Hadeed K, Dulac Y, Acar P.

Cardiol Young. 2016 Jun 20:1-3. [Epub ahead of print]

PMID: 27321706

  1. Preoperative and Intraoperative Predictive Factors of Immediate Extubation After Neonatal Cardiac Surgery.

Varghese J, Kutty S, Abdullah I, Hall S, Shostrom V, Hammel JM.

Ann Thorac Surg. 2016 Jun 18. pii: S0003-4975(16)30359-9. doi: 10.1016/j.athoracsur.2016.04.030. [Epub ahead of print]

PMID: 27324528

  1. Association of nadir oxygen delivery on cardiopulmonary bypass with serum glial fibrillary acid protein levels in paediatric heart surgery patients.

Magruder JT, Hibino N, Collica S, Zhang H, Harness HL, Heitmiller ES, Jacobs ML, Cameron DE, Vricella LA, Everett AD.

Interact Cardiovasc Thorac Surg. 2016 Jun 16. pii: ivw194. [Epub ahead of print]

PMID: 27316657 Free Article

  1. Dilatation and Dysfunction of the Neo-aortic Root and in 76 Patients After the Ross Procedure.

Zimmermann CA, Weber R, Greutmann M, Dave H, Müller C, Prêtre R, Seifert B, Buechel EV, Kretschmar O, Jost CH.

Pediatr Cardiol. 2016 Jun 14. [Epub ahead of print]

PMID: 27300557

  1. Risk Adjustment for Congenital Heart Surgery Score as a Risk Factor for Candidemia in Children Undergoing Congenital Heart Defect Surgery.

Motta FA, Dalla-Costa LM, Muro MD, Lenzi A, Picharski GL, Burger M.

Pediatr Infect Dis J. 2016 Jun 10. [Epub ahead of print]

PMID: 27294310

  1. Early Postoperative Albumin Administration Contributes to Morbidity After the Fontan Operation.

Zaccagni HJ, Alten JA, Cleveland DC, Tyler Argent R, Law MA, Bryant AS, Borasino S.

Pediatr Cardiol. 2016 Jun 9. [Epub ahead of print]

PMID: 27278633

  1. Donation after circulatory death in pediatric patients: Current utilization in the United States.

Nandi D, Miyamoto SD, Pietra BA, Shaddy RE, Rossano JW.

J Heart Lung Transplant. 2016 Jun 7. pii: S1053-2498(16)30171-1. doi: 10.1016/j.healun.2016.05.027. [Epub ahead of print] No abstract available.

PMID: 27363738

  1. Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study.

Ödek Ç, Kendirli T, Uçar T, Yaman A, Tutar E, Eyileten Z, Taşar M, Ramoğlu M, Ateş C, Uysalel A, İnce E, Atalay S.

Pediatr Cardiol. 2016 Jun 6. [Epub ahead of print]

PMID: 27272692

  1. Comparison of Extracellular Matrix Patch and Standard Patch Material in the Pulmonary Arteries.

Y Fraint H, E Richmond M, A Bacha E, Turner ME.

Pediatr Cardiol. 2016 Jun 4. [Epub ahead of print]

PMID: 27262451

  1. Thoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan Circulation.

António M, Gordo A, Pereira C, Pinto F, Fragata I, Fragata J.

Ann Thorac Surg. 2016 Jun;101(6):2370-3. doi: 10.1016/j.athoracsur.2015.08.079.

PMID: 27211948

  1. Pulmonary Valve Repair for Patients With Acquired Pulmonary Valve Insufficiency.

Said SM, Mainwaring RD, Ma M, Tacy TA, Hanley FL.

Ann Thorac Surg. 2016 Jun;101(6):2294-301. doi: 10.1016/j.athoracsur.2016.01.035. Epub 2016 Apr 12.

PMID: 27083251

  1. Postoperative Outcomes of Children With Tetralogy of Fallot, Pulmonary Atresia, and Major Aortopulmonary Collaterals Undergoing Reconstruction of Occluded Pulmonary Artery Branches.

Asija R, Koth AM, Velasquez N, Chan FP, Perry SB, Hanley FL, McElhinney D.

Ann Thorac Surg. 2016 Jun;101(6):2329-34. doi: 10.1016/j.athoracsur.2015.12.049. Epub 2016 Mar 4.

PMID: 26947013

  1. Modern Outcomes of Mechanical Circulatory Support as a Bridge to Pediatric Heart Transplantation.

Wehman B, Stafford KA, Bittle GJ, Kon ZN, Evans CF, Rajagopal K, Pietris N, Kaushal S, Griffith BP.

Ann Thorac Surg. 2016 Jun;101(6):2321-7. doi: 10.1016/j.athoracsur.2015.12.003. Epub 2016 Feb 22.

PMID: 26912304

  1. Acute biventricular interaction in pediatric patients with continuous or pulsatile flow LVAD: a simulation study.

Di Molfetta A, Ferrari G, Iacobelli R, Fresiello L, Pilati M, Toscano A, Filippelli S, Morelli S, Amodeo A.

ASAIO J. 2016 Jun 1. [Epub ahead of print]

PMID: 27258223

  1. A contemporary review of paediatric heart transplantation and mechanical circulatory support.

Kindel SJ, Everitt MD.

Cardiol Young. 2016 Jun;26(5):851-9. doi: 10.1017/S1047951116000184. Epub 2016 Mar 16.

PMID: 26979140

  1. Twenty-year experience with the Ross-Konno procedure.

Schneider AW, Bökenkamp R, Bruggemans EF, Hazekamp MG.

Eur J Cardiothorac Surg. 2016 Jun;49(6):1564-70. doi: 10.1093/ejcts/ezv434. Epub 2015 Dec 30.

PMID: 26719409

  1. Infants with Trisomy 18 and Complex Congenital Heart Defects Should Not Undergo Open Heart Surgery.

Graham EM.

J Law Med Ethics. 2016 Jun;44(2):286-91. doi: 10.1177/1073110516654122.

PMID: 27338604

  1. Venovenous extracorporeal membrane oxygenation for patients with single-ventricle anatomy: A registry report.

Aydin SI, Duffy M, Rodriguez D, Rycus PT, Friedman P, Thiagarajan RR, Weinstein S.

J Thorac Cardiovasc Surg. 2016 Jun;151(6):1730-6. doi: 10.1016/j.jtcvs.2015.12.029. Epub 2016 Jan 6.

PMID: 26832211

  1. Statins and acute kidney injury following cardiac surgery: has the last word been told?

Romagnoli S, Ricci Z.

J Thorac Dis. 2016 Jun;8(6):E451-4. doi: 10.21037/jtd.2016.04.34. No abstract available.

PMID: 27294251 Free PMC Article

  1. Erratum to: Aiming to Preserve Pulmonary Valve Function in Tetralogy of Fallot Repair: Comparing a New Approach to Traditional Management.

Sen DG, Najjar M, Yilmaz B, Levasseur SM, Kalessan B, Quaegebeur JM, Bacha EA.

Pediatr Cardiol. 2016 Jun;37(5):990. No abstract available.

PMID: 27072543

  1. Impact of Timing of ECMO Initiation on Outcomes After Pediatric Heart Surgery: A Multi-Institutional Analysis.

Gupta P, Robertson MJ, Rettiganti M, Seib PM, Wernovsky G, Markovitz BP, Simsic J, Tobias JD.

Pediatr Cardiol. 2016 Jun;37(5):971-8. doi: 10.1007/s00246-016-1379-6. Epub 2016 Apr 1.

PMID: 27037549

  1. Posterior reversible encephalopathy syndrome after pediatric heart transplantation: Increased risk for children with preexisting Glenn/Fontan physiology.

Eilers B, Albers E, Law Y, McMullan DM, Shaw D, Kemna M.

Pediatr Transplant. 2016 Jun;20(4):552-8. doi: 10.1111/petr.12702. Epub 2016 May 3.

PMID: 27139146

  1. Allosensitization does not alter post-transplant outcomes in pediatric patients bridged to transplant with a ventricular assist device.

Castleberry C, Zafar F, Thomas T, Khan MS, Bryant R, Chin C, Morales DL, Lorts A.

Pediatr Transplant. 2016 Jun;20(4):559-64. doi: 10.1111/petr.12706. Epub 2016 Apr 21.

PMID: 27102953

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