Pediatric

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Benefit From a Humanitarian Pediatric Congenital Heart Surgery Program Over…

Abstract Background: The charity organization Kinderherzen retten e.V. (KHR) enables humanitarian congenital heart surgery for pediatric patients from low- and middle-income countries at the University Heart Center Freiburg, Germany. The aim of this study was to assess periprocedural and mid-term outcomes of these patients for evaluation of KHR sustainability.  Methods: Part one of the..

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Cardiopulmonary bypass in neonates and infants: advantages of high flow…

Abstract Cardiopulmonary bypass is an integral and indispensable part of surgical repair of congenital heart defects. While the complications and morbidity secondary to the use of cardiopulmonary bypass has decreased considerably, there remains a significant incidence of clinically relevant renal and neurological injury. To provide more physiological delivery of oxygenated..

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Strategies to mitigate inflammation in management of complex congenital heart…

This case reports on a six month old male patient (weight 6 kg), who presented with agonal respiration and history of acute febrile illness. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2023/08/CoM_08_2023_E_web_compressed-1.pdf" title="CoM_08_2023_E_web_compressed"]  

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Venovenous Extracorporeal Membrane Oxygenation Initiation for Pediatric Acute Respiratory Distress…

Abstract Objective:  To determine the association of venovenous extracorporeal membrane oxygenation (VV-ECMO) initiation with changes in vasoactive-inotropic scores (VISs) in children with pediatric acute respiratory distress syndrome (PARDS) and cardiovascular instability. Design:  Retrospective cohort study. Setting:  Single academic pediatric ECMO center. Patients:  Children (1 mo to 18 yr) treated with VV-ECMO (2009–2019) for PARDS..

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Impact of the Pediatric ABO Policy Change on Listings, Transplants,…

Abstract Background: We assessed the impact of the liberalized ABO pediatric policy change on candidate characteristics and outcomes for children undergoing heart transplant (HT). Methods and results: Children <2 years undergoing HT with ABO strategy reported at listing and HT from December 2011 to November 2020 to the Scientific Registry of Transplant..

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Outcomes after neonatal cardiac surgery: The impact of a dedicated…

Abstract Objectives Prematurity is a risk factor for in-hospital mortality after cardiac surgery. The structure of  models designed to deliver optimal care to neonates including those born preterm with critical  is unknown. The objective of this study was to evaluate in-hospital outcomes after cardiac surgery across gestational ages in an institution with..

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Exogenous nitric oxide delivery protects against cardiopulmonary bypass–associated acute kidney…

Abstract Objective Several human studies have associated nitric oxide administration via the cardiopulmonary bypass circuit with decreased incidence of cardiopulmonary bypass–associated acute kidney injury, but histopathologic and serologic evidence of nitric oxide efficacy for acute kidney injury attenuation are lacking. Methods By using a survival ovine model (72 hours), acute kidney..

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Modified Ultrafiltration Should Not Be Routinely Used in Adult Cardiac…

Abstract Pediatric Literature As the practice of ultrafiltration arose from pediatric cardiac surgery, much of the evidence to support MUF is from low-powered pediatric studies. Some early, single-center literature, as published by Schlünzen et al., observed that MUF, when compared with CUF, increased systolic blood pressure, hematocrit, arterial oxygen, and..

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Modified Ultrafiltration Is Beneficial for Adults Undergoing Cardiac Surgery

Abstract Hemodilution and Volume Overload The use of CPB necessitates priming of the CPB circuit, which is typically accomplished using 1-to-2 liters of a crystalloid solution. In addition, 1-to-3 liters of cardioplegia (CP) are primed within a separate arm of the CPB circuit, all of which eventually make their way..

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The Nikaidoh Operation: An Aortic Translocation Repair

The patient is a two-and-a-half-year-old child with d-TGA/VSD/PS who underwent aortic translocation. The patient’s anatomy was typical of d-transposition with VSD and PS. Both coronaries were favorable in that they were off of the epicardium. The information and views presented on CTSNet.org represent the views of the authors and contributors..

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