Publications by authors named "A Kalloghlian"
Objectives: Survival of children having cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR) is very poor. We sought to examine current era outcomes of extracorporeal CPR (ECPR) support for refractory arrest following surgical correction of congenital heart disease.
Methods: Demographic, anatomical, clinical, surgical and support details of children requiring postoperative ECPR (2007-12) were included in multivariable logistic regression models to determine the factors associated with survival.
Objectives: Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction (SVOTO) following volume unloading with cavopulmonary connection (CPC). We aim to evaluate the value of Damus-Kaye-Stansel (DKS) anastomosis at the time of CPC in eliminating late SVOTO risk.
Methods: Retrospective review of single ventricle patients who underwent DKS concurrent with CPC between 1997 and 2012 was performed.
Article Synopsis
- The Ross procedure is a complex aortic valve replacement surgery favored for small children, but it may lead to complicated future cardiac reoperations, which have high risks associated with them.
- A study reviewed 227 children's medical records post-Ross procedure, finding that 50 patients underwent 58 reoperations, typically around age 15, with various factors impacting the likelihood of needing further surgery.
- Outcomes were mostly positive, with a 10-year survival rate of 98% and a reduction in the need for further surgeries; however, certain conditions like aortic regurgitation increased the risk for additional operations.
Objectives: Delayed first-stage palliation of children with hypoplastic left heart syndrome and related pathologies can be associated with poor outcomes because of development of progressive pulmonary vascular disease and volume load effects on the systemic ventricle and atrioventricular valve. We examine the current era's survival in this subgroup.
Methods: Fifty-five infants older than 2 weeks underwent the Norwood operation (2003-2007).
Outcomes and associated risk factors for mitral valve replacement in children.
Eur J Cardiothorac Surg
September 2011
Objective: We aim to report time-related outcomes following mitral valve replacement (MVR) in children and to identify factors affecting outcomes.
Methods: Clinical records from 307 children who underwent MVR between 1985 and 2004 were reviewed. Competing-risks methodology determined time-related prevalence of three mutually exclusive end-states: death, mitral reoperation and survival without subsequent MVR, and their associated risk factors.