Article
Cardiac & Cardiovascular Systems
Rohit Madani, Elizabeth Aronoff, Jessica Posey, Mohua Basu, Tawanda Zinyandu, Paul Chai, Robert Whitehill, Kevin O. Maher, Asaad G. Beshish
Summary: This study retrospectively investigated the incidence of post-surgical heart block and factors associated with recovery of atrioventricular node function in patients who underwent cardiac surgery at a single centre. The results showed that 2% of the patients developed post-operative heart block, and 0.6% required pacemaker placement. Early recovery of atrioventricular node function was associated with greater weight, single-ventricle physiology, and shorter cardiopulmonary bypass time.
CARDIOLOGY IN THE YOUNG
(2023)
Article
Cardiac & Cardiovascular Systems
Linhong Song, Qiang Meng, Changgen Liu, Gang Wang, Hui Wang, Gengxu Zhou, Zhichun Feng
Summary: This study retrospectively analyzed the clinical data and follow-up results of nine children with congenital complete atrioventricular block (CCAVB). The results showed that early implantation of a pacemaker in newborns and infants diagnosed with CCAVB can significantly improve clinical symptoms without affecting their growth and development. Further studies are needed to confirm these findings.
BMC CARDIOVASCULAR DISORDERS
(2023)
Article
Cardiac & Cardiovascular Systems
Douglas Darden, Bendelyn Asante Boateng, Andrew S. Tseng, Laith Alshawabkeh, Travis Pollema, Yong-Mei Cha, Ulrika Birgersdotter-Green
Summary: This study examined the outcomes of transvenous lead extraction (TLE) in patients with congenital complete heart block (CCHB) with cardiac implantable electronic devices. The results showed a high risk and the need for experienced centers in lead management for CCHB patients.
Article
Cardiac & Cardiovascular Systems
Jens Johansson Ramgren, Igor Zindovic, Shahab Nozohoor, Ronny Gustafsson, Nina Hakacova, Johan Sjogren
Summary: This study compared the outcomes of surgical repair in patients with nonsyndromic complete atrioventricular septal defect with and without concomitant complex cardiac anatomy. The results showed that patients without complex cardiac anatomy had good long-term survival and acceptable risk of reoperation, while patients with complex cardiac anomalies still had a higher risk of mortality.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Peter Henry Waddingham, Jonathan M. Behar, Neil Roberts, Gurpreet Dhillon, Adam J. Graham, Ross J. Hunter, Carl Hayward, Mehul Dhinoja, Amal Muthumala, Rakesh Uppal, Edward Rowland, Mark J. Earley, Richard J. Schilling, Simon Sporton, Martin Lowe, Amer Harky, Oliver R. Segal, Pier D. Lambiase, Anthony W. C. Chow
Summary: The study aimed to determine rates of cardiac implantable electronic devices (CIEDs) implants post-surgery at a high-volume tertiary centre over 3 years, finding that multi-valve surgery has a particularly high incidence of CIED implants. Patient age, left ventricle systolic impairment, infective endocarditis, and valve surgery were independent predictors of CIED implants.
Article
Cardiac & Cardiovascular Systems
Scott J. Weinreb, Oluwatimilehin Okunowo, Heather Griffis, Victoria Vetter
Summary: In this study, 23% of the 114 subjects with CCHB reached the composite outcome of cardiac morbidity and mortality, with no significant association found between age at diagnosis, fetal diagnosis, and maternal antibody status with composite cardiac morbidity and mortality. However, fetal diagnosis had a higher associated hazard of heart failure and/or cardiomyopathy.
Article
Surgery
Amanda R. Jensen, Raghavendra Rao, Jeremy L. Herrmann, Troy A. Markel, Brian W. Gray
Summary: This study compared outcomes of gastrostomy tube placement between patients undergoing cardiac surgery and those who did not. It found that patients undergoing cardiac surgery had a higher incidence of feeding intolerance and took longer to attain full feeds, but technical complications were similar between the two groups. Additionally, a significant portion of cardiac surgery patients were able to wean off supplemental enteral feeding assistance within a year after gastrostomy tube placement.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Medicine, General & Internal
Massimiliano Cantinotti, Pietro Marchese, Marco Scalese, Eliana Franchi, Nadia Assanta, Martin Koestenberger, Alessandra Pizzuto, Vitali Pak, Giuseppe Santoro, Vivek Jani, Shelby Kutty, Raffaele Giordano
Summary: This study evaluates the feasibility of atrial speckle tracking echocardiography (STE) strain analysis and the progression of atrial ε values in children after pediatric cardiac surgery. The results show that atrial ε is significantly reduced after surgery and only partially recovers in the near term. Additionally, the post-surgical atrial and ventricular ε responses correlate with each other.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Nathalie Roy, M. Fernanda Parra, Morgan L. Brown, Lynn A. Sleeper, Laura Carlson, Barbara Rhodes, Meena Nathan, Kshitij P. Mistry, Pedro J. del Nido
Summary: This study evaluated the adherence and outcomes of a comprehensive enhanced recovery program in congenital cardiac surgery. The results showed that patients following the program had reduced opioid use, increased rates of extubation in the operating room, and shorter mechanical ventilation durations.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Guocheng Shi, Jihong Huang, Mingan Pi, Xinxin Chen, Xiaofeng Li, Yiqun Ding, Hao Zhang
Summary: The study found that the COVID-19 pandemic led to a significant decrease in total surgical volume and a change in case mix, which seems to be related to traffic restrictions. Follow-up through online medical services appeared to be an effective alternative to the conventional method.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Pediatrics
Hayley Hernstadt, William Regan, Hitarth Bhatt, Eric Rosenthal, Virginie Meau-Petit
Summary: Congenital complete heart block (CCHB) is a rare condition with high mortality risk, especially in preterm infants. Preterm infants with CCHB may require more intensive treatments and interventions, such as permanent pacemaker insertion, due to increased risks of complications and death.
EUROPEAN JOURNAL OF PEDIATRICS
(2022)
Article
Immunology
Yaara Kahan, Samantha G. Tope, Adi Ovadia, Adi Shpring, Rachel Shatzman-Steuerman, Gilad Sherman, Galia Barkai, Avigdor Mandelberg, Keren Armoni-Domany, Diana Tasher
Summary: This retrospective case-control study investigated the epidemiology, clinical characteristics, and risk factors for candidemia in pediatric patients with congenital heart defects (CHD) after cardiac surgery. The incidence of candidemia was 6.3 episodes per 1000 admissions, with an attributable mortality of 28.5%. Non-albicans candida species, particularly fluconazole-resistant C. parapsilosis, were the most common pathogens. Risk factors for candidemia included cumulative antibiotic exposure, the need for total parenteral nutrition or peritoneal dialysis, male sex, and delayed sternal closure.
PEDIATRIC INFECTIOUS DISEASE JOURNAL
(2023)
Article
Biochemistry & Molecular Biology
Laszlo Kiraly, Nishant C. Shah, Osama Abdullah, Oraib Al-Ketan, Reza Rowshan
Summary: The study highlights the clinical benefits of using 3D-printed models in surgical planning for complex congenital cardiac surgeries, emphasizing the role of team learning experience and model refinement in improving operative plans.
Article
Medicine, General & Internal
Li-Na Su, Man-Yan Wu, Yu-Xia Cui, Chong-You Lee, Jun-Xian Song, Hong Chen
Summary: This case report describes a 23-year-old female patient with CCHB who, after 28 years of follow-up, maintained a good prognosis without undergoing permanent pacemaker implantation. She led a normal and active life without any clinical symptoms.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Review
Cardiac & Cardiovascular Systems
Ivan Malcic, Darko Anic
Summary: This article describes the process of establishing a pediatric cardiac service program in a resource-limited country. Croatia, as a part of the former Yugoslavia, did not have an organized strategy for pediatric cardiac care. After Croatian independence, a humanitarian mission provided by a non-governmental organization from the United States led to the development of organized care for patients with congenital heart disease (CHD). Although the Croatian team was not initially able to cover the entire range of pediatric cardiac care, the addition of a specialized congenital heart surgeon improved the program, resulting in a higher number and quality of surgeries performed in Croatia. Today, most standard congenital heart surgeries can be performed in the country.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)