Publications by authors named "A Varrica"
Background: The increasing complexity of congenital cardiac surgery has led to greater utilization of extracorporeal membrane oxygenation (ECMO) support for children post-surgery. This study aims to identify risk factors for mortality and brain injury in pediatric patients requiring post-cardiotomy ECMO and to evaluate their neurological outcomes.
Methods: This retrospective study includes pediatric patients with congenital heart diseases who required ECMO after surgery.
Article Synopsis
- The study compares outcomes of cardiac surgery in adults with congenital heart disease (ACHD) and those with acquired heart disease, highlighting the growing ACHD population.
- While ACHD patients are younger and undergo more previous operations, they experience lower surgical mortality and shorter ICU stays compared to acquired disease patients.
- Overall, the surgical treatment of ACHD has excellent results, showing comparable or better outcomes than those for acquired cardiac conditions.
We describe a case of a voluminous rhabdomyoma (R) detected by fetal echocardiography at 32 weeks' gestation (w.g.) obstructing the left ventricular inflow and aortic outflow tract, with a moderate aortic gradient at birth, not needing immediate surgery.
View Article and Find Full Text PDFMinimally invasive surgeries for pediatric patients have been proposed for decades, with different approaches in mind. Minimal right axillary thoracotomy (MRAT), proposed two decades ago, allows the preservation of patients' safety alongside faster aesthetic and functional recovery. The MRAT did not become widely adopted due to the prejudice that to follow a minimally invasive approach, safety and efficacy must be compromised.
View Article and Find Full Text PDFBackground: This is the first meta-analysis to analyze all reports of published pediatric cases of cervical aortic arch (CAA) by highlighting the clinical characteristics and treatment outcomes using the reported individual data of the patients. The aim of the study is to investigate the clinical features and surgical outcomes of such a rare disease in the pediatric population.
Methods: A comprehensive search was conducted in various academic databases, including PubMed, ScienceDirect, SciELO, DOAJ, and Cochrane Library, until June 2022 for case reports describing the presence of cervical aortic arch in the pediatric age.