Patient Care
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Single ventricle and palliative procedures
February 16, 2018
February 1, 2018
In a prospective cross-sectional analysis of 37 adult patients palliated with a Fontan procedure, Buendía-Fuentes and colleagues assessed liver disease by three techniques: hepatic magnetic resonance imaging (MRI), acoustic radiation force impulse (ARFI) imaging, and hepatic ultrasound.
December 13, 2017
Martin and colleagues analyzed in-hospital complications, transplant-free survival, and long-term reintervention for patients receiving a Fontan operation over 20 years, with a specific focus on differences between patients with and without hypoplastic left heart syndrome (HLHS).
October 17, 2017
Hobbes and colleagues retrospectively evaluated systemic-to-pulmonary shunt procedures for 173 patients over a 10-year period at a single institution. Despite their importance for many patients with single ventricle or complex biventricular lesions, shunt procedures carry a high risk of morbidity and mortality.
July 5, 2017
Talwar and colleagues randomized 100 pediatric patients receiving bidirectional superior cavopulmonary anastomosis to on-cardiopulmonary bypass (CPB) and off-CPB groups. Significantly lower anastomosis time, postoperative inotropic support, and ICU and hospital stay duration were observed in the off-CPB group.
April 18, 2017
The authors examined characteristics of patients undergoing initial palliation for hypoplastic left heart syndrome (HLHS) who remained hospitalized and who required superior cavopulmonary anastomosis (SCPA) during the same hospitalization. 6% of nearly 5400 infants required SCPA during the same admission. A number of conditions/complications were i
January 28, 2017
The authors assessed the influence of patch material type on the incidence of recoarctation in infants undergoing Norwood I repair for hypoplastic left heart syndrome. Among 145 patients, recoarctation developed in 18% at a median of 4.3 months. At 2 years, freedom from recoarctation was about 85% for homograft and autologous pericardium, whereas i
July 4, 2016
This video demonstrates the use of a ring-reinforced ePTFE graft placed in the right ventricle through a limited ventriculotomy for the treatment of hypoplastic left heart syndrome.
June 4, 2016
In order to develop an algorithm for identifying acute deterioration (urgent intubation or cardiopulmonary resuscitation) in infants with parallel systemic and pulmonary circulation, continuous physiologic monitoring data of 25 patients were retrospecitively reviewed and analyzed. 20 events were identified in 13 infants. The algorithm was effective
May 5, 2016
The authors measured serum amino-terminal procollagen III (PIII) as a marker of myocardial fibrogenesis in patients undergoing the Fontan procedure for single ventricle circulation and in controls. Patients with single venticle circulation had elevated PIII levels compared to controls. Staged Fontan elements successively reduced PIII levels. The