Open anastomosis of extracardiac conduit for total cavopulmonary connection decreases post-operative pleural effusion.

Abstract:

OBJECTIVE:The goal of this study was to see whether the open anastomosis technique using vacuum-assisted venous drainage at the time of the Fontan procedure was associated with decreased post-operative pleural effusion. METHODS:We analysed a subgroup of patients with a functional single ventricle who underwent non-fenestrated total cavopulmonary connection completion with the insertion of an extracardiac conduit as the sole or predominant procedure conducted by a single surgeon at a single institute, using either an open or closed anastomosis technique. RESULTS:Median age and weight were 2.3 years, with a range from 1.3 to 27.6 years and 11.4 kilograms, with a range from 9.7 to 43 kilograms, respectively. The open anastomosis technique was associated with a shorter bypass run (p = 0.015), decreased surgical duration (p = 0.032), fewer pleural effusion days (p = 0.049), and lesser pleural effusion (p = 0.013) than closed anastomosis. Correlation analysis demonstrated a significant relationship between the amount of pleural effusion and surgical duration (correlation efficient, 0.535; p = 0.033). A logistic regression model showed that the open technique was associated with a 20-fold increase in the likelihood of having a total chest tube discharge of less than 300 millilitres (p = 0.027). CONCLUSIONS:The open anastomosis technique shortens operative duration and bypass run, which in turn might contribute to decreased pleural effusion soon after the modified Fontan procedure.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Aeba R,Morita M,Matayoshi T,Yozu R

doi

10.1017/S1047951110001010

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

686-91

issue

6

eissn

1047-9511

issn

1467-1107

pii

S1047951110001010

journal_volume

20

pub_type

杂志文章
  • New outpatient referrals to a tertiary paediatric cardiac centre: evidence of increasing workload and evolving patterns of referral.

    abstract:OBJECTIVES:To assess the volume and range of diagnosis in new patients referred to paediatric cardiac outpatient clinics. METHODS:Data was collected prospectively, using a proforma completed at all outpatient clinics over a period of three months. RESULTS:There were 526 new referrals, representing an increase of almo...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951105000090

    authors: Murugan SJ,Thomson J,Parsons JM,Dickinson DF,Blackburn ME,Gibbs JL

    更新日期:2005-02-01 00:00:00

  • Successful slide tracheoplasty and partial atrioventricular septal defect repair following extracorporeal membrane oxygenation support.

    abstract::A two-year-old boy with a background history of Down syndrome and partial atrioventricular septal defect presented with acute respiratory distress requiring intubation and mechanical ventilation. He continued to deteriorate, despite ventilation; direct laryngoscopy, bronchoscopy, and computed tomography demonstrated s...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951114000468

    authors: Kelleher EM,Nolke L,McMahon CJ

    更新日期:2015-03-01 00:00:00

  • Anthracycline-related acute cardiotoxicity in a very young Omani patient with acute myeloid leukaemia.

    abstract::Anthracycline-related cardiomyopathy is of concern in children treated for acute myeloid leukemia (AML). Risk is dose-dependent, increasing with higher doses. We aim to highlight the risk of early-onset cardiotoxicity with low-cumulative anthracycline dose in a young Omani boy with AML. We conclude in the presence of ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120003960

    authors: Tony S,Mevada R,Joshi N

    更新日期:2020-11-24 00:00:00

  • Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg.

    abstract::Chest pain in adolescents is rarely associated with cardiac disease. Adolescents with medically unexplained chest pain usually have high levels of anxiety and depression. Psychological stress may trigger non-cardiac chest pain. This study evaluated risk factors that particularly characterise adolescence, such as major...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S1047951116002109

    authors: Eliacik K,Kanik A,Bolat N,Mertek H,Guven B,Karadas U,Dogrusoz B,Bakiler AR

    更新日期:2017-08-01 00:00:00

  • Sudden death in a patient with Noonan syndrome.

    abstract::We report here the case of a 27-year-old woman with Noonan syndrome presenting with ventricular fibrillation. After successful defibrillation, echocardiography revealed hypertrophic cardiomyopathy associated with left ventricular outflow tract obstruction. Normal echocardiographic cardiac structure and function were r...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951110001708

    authors: Aydin A,Yilmazer MS,Gurol T

    更新日期:2011-04-01 00:00:00

  • Non-operating room anaesthesia for embolisation of ductus closure device to the pulmonary artery in a child with patent ductus arteriosus.

    abstract::ABSTRACTPatent ductus arteriosus is among the most common congenital heart diseases. With the increasing use of transcatheter closure procedures, the incidence of complications related to the procedure has increased. Embolization of the ductus closure device to the pulmonary artery is a very rare complication. Since t...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119000921

    authors: Kılıç Y,Harbelioğlu MA

    更新日期:2019-05-01 00:00:00

  • A premature low-birth-weight infant with congenital complete atrioventricular block and myocarditis successfully treated by staged pacemaker implantation.

    abstract::Congenital complete atrioventricular block is a known lethal condition. Although antenatal diagnosis and the technical advances of pacemaker treatment have reduced its mortality, treatment of premature babies with significant myocardial damage remains a challenge. In this paper, we report the case of a premature low-b...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951116000433

    authors: Fujioka T,Nii M,Tanaka Y

    更新日期:2016-06-01 00:00:00

  • Abnormal origins of the coronary arteries from the aortic root.

    abstract::Anomalous origin of a coronary artery from the aorta is a potentially serious anomaly that occurs in about 0.1-0.2% of the population. This percentage is small; however, it translates into about 4000 annual births with these anomalies. The clinical presentation of these anomalies is rare, and hence most are and will r...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951114000250

    authors: Hoffman JI

    更新日期:2014-10-01 00:00:00

  • Semi-automated speckle-tracking for quantitative right ventricular assessment in children and adolescents.

    abstract:BACKGROUND:Assessment of right ventricular size and function is an important part of the clinical cardiac evaluation; however, these quantitative measures are challenging by echocardiography. Automated software could be useful in place of manual measurements and qualitative assessment. This study evaluates a semi-autom...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119001641

    authors: McCloud AK,Lowisz J,Roberson DA,Lefaiver CA,Penk JS

    更新日期:2019-09-01 00:00:00

  • Transcatheter pulmonary valve insertion: when, how, and why.

    abstract::Transcatheter pulmonary valve replacement is fast becoming an accepted alternative to repeat surgical pulmonary valve replacement for selected patients and therefore a complementary strategy in the long-term management of those requiring surgical pulmonary valve replacement. With a combined surgical and percutaneous a...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951112001527

    authors: Ringewald JM,Suh EJ

    更新日期:2012-12-01 00:00:00

  • Multi-detector computed tomography demonstration of double-lumen aortic arch--persistent fifth arch--as an isolated anomaly in an adult.

    abstract::Persistent fifth - double-lumen - aortic arch is a rarely seen entity, which is usually associated with other cardiac anomalies; it has been previously reported only in children. We report a new case of double-lumen aortic arch with a systemic-to-systemic connection diagnosed incidentally during cardiac multi-detector...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111001855

    authors: Tehrai M,Saidi B,Goudarzi M

    更新日期:2012-06-01 00:00:00

  • Is the function of all cardiac valves after the arterial switch operation influenced by an associated ventricular septal defect?

    abstract::A ventricular septal defect in transposition of the great arteries is frequently closely related to the cardiac valves. The valvar function after arterial switch operation of patients with transposition of the great arteries and ventricular septal defect or intact ventricular septum was compared. We analysed the funct...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111000084

    authors: Gabriel J,Scheld HH,Tjan TD,Osada N,Krasemann T

    更新日期:2011-08-01 00:00:00

  • Tetralogy of Fallot in men: quality of life, family, education, and employment.

    abstract:INTRODUCTION:Little is known about the quality of life, health, family, education, and employment status among adult men with repaired tetralogy of Fallot. MATERIAL AND METHODS:A total of 68 men who underwent repair of tetralogy of Fallot between 1971 and 1991 were studied. Fifty-three patients answered the SF-36 heal...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111001934

    authors: Bygstad E,Pedersen LC,Pedersen TA,Hjortdal VE

    更新日期:2012-08-01 00:00:00

  • Management and outcome of Ebstein's anomaly in children.

    abstract:OBJECTIVES:To assess clinical presentation, treatment, and outcome of children with Ebstein's anomaly. BACKGROUND:Data on long-term outcome of children with Ebstein's anomaly are scarce. METHODS:Retrospective analysis of all children with Ebstein's anomaly treated between February, 1979 and January, 2009 in a single ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951112000224

    authors: Oxenius A,Attenhofer Jost CH,Prêtre R,Dave H,Bauersfeld U,Kretschmar O,Seifert B,Balmer C,Valsangiacomo Buechel ER

    更新日期:2013-02-01 00:00:00

  • Complex atrial arrhythmias as first manifestation of catecholaminergic polymorphic ventricular tachycardia: an unusual course in a patient with a new mutation in ryanodine receptor type 2 gene.

    abstract::Catecholaminergic polymorphic ventricular tachycardia is a rare life-threatening arrhythmogenic disorder. An association with paroxysmal atrial fibrillation and other atrial arrhythmias has been described, but in all published cases the initial manifestation of the disease was ventricular arrhythmia. This is the first...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113001091

    authors: Lawrenz W,Krogmann ON,Wieczorek M

    更新日期:2014-08-01 00:00:00

  • The effect of milrinone on hemodynamic and gas exchange parameters in children.

    abstract::Milrinone is a drug frequently used for hemodynamic support in children during critical illness. Although the hemodynamic changes induced by milrinone in children may appear similar to those of adults, the physiologic contributors of these changes remain vastly unknown. A systematic review was conducted to identify st...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119002865

    authors: Loomba RS,Dorsey V,Villarreal EG,Flores S

    更新日期:2020-01-01 00:00:00

  • Closure of large patent ductus arteriosus using the Amplatzer Septal Occluder.

    abstract:BACKGROUND:Percutaneous closure of patent ductus arteriosus has become the treatment of choice in many centres. In patients with large ducts and pulmonary hypertension, transcatheter closure has been achieved with success using the Amplatzer Duct Occluder or even the Amplatzer Muscular Ventricular Septal Defect Occlude...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951114000183

    authors: García-Montes JA,Camacho-Castro A,Sandoval-Jones JP,Buendía-Hernández A,Calderón-Colmenero J,Patiño-Bahena E,Zabal C

    更新日期:2015-03-01 00:00:00

  • How should we diagnose and differentiate hearts with double-outlet right ventricle?

    abstract::Many, if not most, of the controversies regarding the description of the congenitally malformed heart have been resolved over the turn of the 20th century. A group of lesions that remains contentious is the situation in which both arterial trunks, in their greater part, are supported by the morphologically right ventr...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951116001190

    authors: Bharucha T,Hlavacek AM,Spicer DE,Theocharis P,Anderson RH

    更新日期:2017-01-01 00:00:00

  • Intraoperative rescue by placement of a stent following a surgical coronary arterial injury in a child.

    abstract::An acute injury to a coronary artery was recognized during the surgical construction of the Fontan circulation. Surgical manipulation of the site of injury was not successful in restoring normal myocardial blood flow. A stent was therefore placed intraoperatively under direct vision, with restoration of normal coronar...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951104001180

    authors: Duncan WJ,LeBlanc JG,Human DG

    更新日期:2004-02-01 00:00:00

  • Anomalous origin of the right coronary artery from the posterior, non-coronary sinus of Valsalva diagnosed by cardiac magnetic resonance imaging.

    abstract::Anomalous origin of the right coronary artery from the posterior, non-coronary sinus is extremely rare and has never been reported in a paediatric-age competitive athlete. We report this very rare case of the right coronary artery arising from the posterior sinus. In the anomalous right coronary from the posterior sin...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951114001346

    authors: Adebo D,Jacobson Z,Harris MA

    更新日期:2015-06-01 00:00:00

  • Dexmedetomidine utilisation and outcomes of children with trisomy 21 undergoing congenital heart disease surgery.

    abstract:INTRODUCTION:The diagnosis of trisomy 21 in children has been associated with failed extubation after CHD surgery. Dexmedetomidine may be a useful agent to improve postoperative outcomes in these patients, such as ventilator time, ICU length of stay, or hospital length of stay. MATERIALS AND METHODS:The Pediatric Heal...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951114001462

    authors: Moffett BS,Mossad EB,Tobias JD,Cabrera AG

    更新日期:2015-06-01 00:00:00

  • Treatment of familial hypercholesterolaemia in children and adolescents in the last three decades.

    abstract:BACKGROUND:This study evaluated the effectiveness of long-term intensive lipid-lowering therapy in children and adolescents with familial hypercholesterolaemia. METHODS:The charts of 89 children and adolescents with heterozygous familial hypercholesterolaemia among ∼1000 patients treated from 1974 to 2008 were reviewe...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113000528

    authors: Elis A,Zhou R,Stein EA

    更新日期:2014-06-01 00:00:00

  • Fetal CHD and perinatal outcomes.

    abstract:OBJECTIVE:To evaluate delivery management and outcomes in fetuses prenatally diagnosed with CHD. STUDY DESIGN:A retrospective cohort study was conducted on 6194 fetuses (born between 2013 and 2016), comparing prenatally diagnosed with CHD (170) to those with non-cardiac (234) and no anomalies (5790). Primary outcomes ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120000785

    authors: Ge CJ,Mahle AC,Burd I,Jelin EB,Sekar P,Jelin AC

    更新日期:2020-05-01 00:00:00

  • Anomalous origin of the pulmonary artery from the aorta: early diagnosis and repair leading to immediate physiological correction.

    abstract:INTRODUCTION:Anomalous origin of one pulmonary artery from the ascending aorta is a rare cardiac anomaly in which the pulmonary artery abnormally arises from the ascending aorta. Physiologically, most patients develop signs of cardiac failure due to high flow to both lungs, with systemic or supra-systemic pressures in ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951110000892

    authors: Amir G,Frenkel G,Bruckheimer E,Dagan T,Katz J,Berant M,Vidne B,Birk E

    更新日期:2010-12-01 00:00:00

  • Quality of life of Malaysian children with CHD.

    abstract:OBJECTIVES:The objectives of this study were to compare the quality-of-life scores of Malaysian children with CHD and their healthy siblings, to determine the level of agreement between proxy-reports and child self-reports, and to examine variables that have an impact on quality of life in those with CHD. METHODS:Pare...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951117000166

    authors: Ong LC,Teh CS,Darshinee J,Omar A,Ang HL

    更新日期:2017-09-01 00:00:00

  • Quality of life of adult Fontan patients.

    abstract:BACKGROUND:Progress in the management of complex congenital heart disease (CHD) led to an improvement in survival rates of adults with a Fontan-like circulation. The objective of this study was to assess the subjective health status and quality of life of this population. METHODS AND RESULTS:Patients aged more than 18...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120003431

    authors: Soufi A,Gouton M,Metton O,Mitchell J,Bernard YF,Bozio A,Ninet J,Di Filippo S

    更新日期:2020-10-26 00:00:00

  • Safety of tracheal intubation in the presence of cardiac disease in paediatric ICUs.

    abstract::IntroductionChildren with CHD and acquired heart disease have unique, high-risk physiology. They may have a higher risk of adverse tracheal-intubation-associated events, as compared with children with non-cardiac disease.Materials and methodsWe sought to evaluate the occurrence of adverse tracheal-intubation-associate...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S1047951118000495

    authors: Gradidge EA,Bakar A,Tellez D,Ruppe M,Tallent S,Bird G,Lavin N,Lee A,Nadkarni V,Adu-Darko M,Bain J,Biagas K,Branca A,Breuer RK,Brown C,Bysani K,Emeriaud G,Gangadharan S,Giuliano JS,Howell JD,Krawiec C,Lee JH,Li

    更新日期:2018-07-01 00:00:00

  • Near-fatal neonatal coronary ischaemia associated with intermittent aortic regurgitation: successful surgical treatment.

    abstract::An infant presented with features suggestive of an anomalous left coronary artery was found to have normal origins of both coronary arteries. Echocardiography during episodes of ischaemia showed marked aortic regurgitation with retrograde coronary flow. The left coronary leaflet was mildly hypoplastic. Surgical re-sus...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951115002024

    authors: Likes ML,Silverman NH,Albers EL,Choy R,Bhat A,McMullan DM

    更新日期:2015-12-01 00:00:00

  • Characteristics and outcomes of children with congenital heart disease needing diaphragm plication.

    abstract:BACKGROUND:Diaphragm dysfunction following surgery for congenital heart disease is a known complication leading to delays in recovery and increased post-operative morbidity and mortality. We aimed to determine the incidence of and risk factors associated with diaphragm plication in children undergoing cardiac surgery a...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S1047951119002671

    authors: Foster CB,Cabrera AG,Bagdure D,Blackwelder W,Moffett BS,Holloway A,Mishcherkin V,Bhutta A

    更新日期:2020-01-01 00:00:00

  • Diagnosis, clinical features, management, and post-natal follow-up of fetal tachycardias.

    abstract:OBJECTIVE:To evaluate the diagnosis, clinical features, management and post-natal follow-up in consecutive fetuses identified with tachycardia. METHODS:We reviewed consecutive fetuses with tachycardia identified in a single tertiary institution between January, 2001, and December, 2008. We considered several options f...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951109990497

    authors: Lulić Jurjević R,Podnar T,Vesel S

    更新日期:2009-09-01 00:00:00