Mechanical support of the pediatric cardiac patient

Delius, Ralph E.; Caldarone, Christopher A.

doi:10.1053/tc.2000.6045

Cited by 8 publications

(8 citation statements)

References 24 publications

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“…This is comparable to what has been previously published for similar populations. [31][32][33][34][35][36] It is higher than reports from Aharon et al, 37 Rogers et al, 38 and Walters et al, 39 although 2 of these 3 studies had an older patient population. The Extracorporeal Life Support Organization, a registry inclusive of ECMO centers worldwide, reported in January 2003 that the survival to hospital discharge rate was 37% for neonates who had cardiac disease and received ECMO and 42% for pediatric patients with cardiac disease.…”

Section: Discussionmentioning

confidence: 97%

“…It accounted for approximately one quar- ter of the indications to withdraw support in this cohort, lower than 2 other cohorts. 31,35 Statistically significant clinical differences between the survivor and nonsurvivor groups were cardiac arrest as an indication for ECMO, a longer aortic cross-clamp time, and need for CAVH. Of interest, the indication for ECMO in patients with CHD that is typically associated with the highest mortality rate is failure to wean from CPB.…”

Section: Discussionmentioning

confidence: 99%

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Neurodevelopmental Outcome of Infants Supported With Extracorporeal Membrane Oxygenation After Cardiac Surgery

et al. 2003

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Neurodevelopmental Outcome of Infants Supported With Extracorporeal Membrane Oxygenation After Cardiac Surgery

et al. 2003

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“…26 Encouraging results have been achieved with the use of cardiac mechanical support as a bridge to recovery in the postoperative setting of ALCAPA. 15,21,25,27,28 Such support measures include LV assist devices, 21,27 ECMO, 15,25,29 and intra-aortic balloon pumps 30 in older children. In a report by Del Nido and associates, 27 5 survivors among 7 infants who underwent surgical correction of ALCAPA and intractable LV failure were successfully supported with an LV assist device.…”

Section: Discussionmentioning

confidence: 99%

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin of the left coronary artery from the pulmonary artery?

Brown¹,

Ruzmetov²,

Parent

et al. 2008

The Journal of Thoracic and Cardiovascular Surgery

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Background: Anomalous origin of the left coronary artery from the pulmonary artery causes severe myocardial ischemia, global left ventricular dysfunction, and annular dilatation producing varying degrees of mitral regurgitation. Mitral regurgitation secondary to the left ventricular or papillary muscle dysfunction in infants will usually improve in the absence of ongoing ischemia. The aim of this study is to determine the influence of the degree of preoperative mitral regurgitation on the early and late outcomes of patients with anomalous origin of the left coronary artery from the pulmonary artery who underwent coronary reimplantation.Methods: Twenty-five patients underwent coronary reimplantation and 1 early patient had ligation during a 30-year period (median age, 4 months; range, 1 month to 16 years), with a median follow-up of 7 years (range, 4 months to 25 years). Before repair, 7 infants (27%) presented in extremis requiring ventilatory and inotropic support, and 17 patients (65%) presented with heart failure. Mitral regurgitation was present in all patients: trivial in 6 patients, mild in 12 patients, moderate in 5 patients, and severe in 3 patients. No patient underwent mitral valve repair or replacement at the time of anomalous origin of the left coronary artery from the pulmonary artery repair.Results: Hospital survival was 92%. Three patients underwent mitral valve repair or replacement at the mean time of 3.5 years (all with severe preoperative mitral regurgitation). The degree of mitral regurgitation gradually improved in all remaining patients with preoperative mild and moderate mitral regurgitation. Echocardiographic studies demonstrated improvement in left ventricular function in all children. None of the patients showed any evidence of supravalvar pulmonary stenosis as a result of their pulmonary artery reconstruction.

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“…The safety of open cardiac surgical procedures was markedly changed with the introduction of bypass in 1953 by Dr. John Gibbon and was complemented by the development of the disposable pump oxygenator by Dr. Denton Cooley in 1962 [21–23]. The use of the technique to support cardiopulmonary compromise in neonates developed in the 1970s with subsequent reports of prolonged support for patients following cardiac surgery in the 1980s [24–38]. Over the past decade, there have been increasing reports of cardiac catheterization to assess and treat postoperative patients requiring mechanical support [39].…”

Section: Hybrid Strategiesmentioning

confidence: 99%

Transcatheter techniques in the management of perioperative vascular obstruction

Nykanen

Zahn

2005

Cathet. Cardiovasc. Intervent.

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The role of transcatheter intervention for the treatment of vascular obstruction is well documented in the preoperative or remote postoperative settings. More recently, the roles of angioplasty and stent implantation have been advocated as intraoperative and immediate postoperative strategies. As one considers the inherent advantages in this cooperative approach to congenital heart disease, the development of a truly hybrid interventional suite seems imperative.

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Mechanical support of the pediatric cardiac patient

Cited by 8 publications

References 24 publications

Neurodevelopmental Outcome of Infants Supported With Extracorporeal Membrane Oxygenation After Cardiac Surgery

Neurodevelopmental Outcome of Infants Supported With Extracorporeal Membrane Oxygenation After Cardiac Surgery

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin of the left coronary artery from the pulmonary artery?

Transcatheter techniques in the management of perioperative vascular obstruction

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