scholarly journals Are outcomes in congenital cardiac surgery better than ever?

2022 ◽  
Author(s):  
Ryan M. Holcomb ◽  
Akif Ündar
Keyword(s):  
Cardiac Surgery ◽  
Congenital Cardiac Surgery ◽  
Better Than

Application of robotics in congenital cardiac surgery

2003 ◽  
Vol 6 (1) ◽  
pp. 72-83 ◽  
Author(s):  
Jeremy W. Cannon ◽  
Robert D. Howe ◽  
Pierre E. Dupont ◽  
John K. Triedman ◽  
Gerald R. Marx ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Congenital Cardiac Surgery

Recent Advances in Congenital Cardiac Surgery

1988 ◽  
Vol 15 (3) ◽  
pp. 713-719 ◽  
Author(s):  
William I. Norwood ◽  
John D. Pigott
Keyword(s):  
Cardiac Surgery ◽  
Congenital Cardiac Surgery ◽  
Recent Advances

scholarly journals Oral sildenafil for persistent pulmonary hypertension early after congenital cardiac surgery in children☆

2010 ◽  
Vol 38 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Shintaro Nemoto ◽  
Tomoyasu Sasaki ◽  
Hideki Ozawa ◽  
Takahiro Katsumata ◽  
Kanta Kishi ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Cardiac Surgery ◽  
Persistent Pulmonary Hypertension ◽  
Congenital Cardiac Surgery

Redefining Palliative Surgery: the Congenital Cardiac Surgery Experience

2021 ◽  
Author(s):  
David Blitzer ◽  
Ana Berlin ◽  
Alvise Guariento ◽  
John E. Mayer
Keyword(s):  
Cardiac Surgery ◽  
Palliative Surgery ◽  
Congenital Cardiac Surgery

Abstract 17199: Airway Mucociliary Clearance is Impaired After Infant Congenital Cardiac Surgery

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Phillip S Adams ◽  
Timothy Corcoran ◽  
Michael Czachowski ◽  
Al Saville ◽  
Ivy Lin ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Period ◽  
Mucociliary Clearance ◽  
Sulfur Colloid ◽  
Congenital Cardiac Surgery ◽  
Icu Length Of Stay ◽  
Quantitative Measurements ◽  
First Time ◽  
Ciliary Dyskinesia ◽  
Postoperative Pulmonary Dysfunction

Introduction: A link between congenital heart disease and airway ciliary dyskinesia has been identified. Postoperative pulmonary dysfunction is highly prevalent after cardiac surgery and contributes to morbidity, mortality, and healthcare costs. We hypothesized that respiratory mucociliary clearance (MCC) would be impaired in the immediate postoperative period after infant congenital cardiac surgery. Methods: 41 infants from 5-254 days old underwent MCC scans using nebulized technetium-99m sulfur colloid either immediate postoperative or later postoperative periods after congenital cardiac surgery. Physiologic variables and medications at the time of scan were recorded. Results: There was no significant correlation between MCC and age, gender, race or any of the of the physiologic variables, such as temperature, SpO2, or FiO2, at the time of the MCC scan. MCC was lowest on the first 2 postoperative days, increased at days 3-7, and highest beyond postoperative day 7 (Fig1). Fentanyl (p=0.023) and paralytics agents (p=0.018) were significantly associated with lower MCC, while benzodiazepines (p=0.447) and dexmedetomidine (p=0.675) showed no measurable impact (Table 1). Conclusion: We show for the first time, with quantitative measurements, the near absence of infant MCC in the immediate postoperative period after congenital cardiac surgery. This may be exacerbated by opioid exposure, which should be minimized. Our results further suggest sedative alternatives such as benzodiazepines and dexmedetomidine are preferable to help optimize infant airway clearance. This may reduce ICU length of stay and improve outcomes after cardiac surgery.

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