Publications by authors named "C Merino-Cejas"
Article Synopsis
- Patients with a single ventricle circulation face significant challenges when it comes to heart transplants due to their complex medical history and higher risks of complications post-surgery.
- A recent case report discusses a child with tricuspid atresia who has prohibitive pulmonary vascular resistance, making traditional surgeries like Fontan not feasible.
- To support the patient's condition and prepare for a heart transplant, an EXCOR ventricular assist device (Berlin Heart) was employed, alongside reconstruction of the central pulmonary arteries.
Objectives: To describe the use of ventricular assist devices (VAD) in children in Spain and to identify variables related to survival.
Methods: This is an observational cohort study of all children younger than 18 years of age who underwent an initial implantation of a VAD at any of the 6 paediatric heart transplant centres from May 2006 to December 2020. Subjects were identified retrospectively from each hospital's database.
Background: We studied the determinants of hemodynamics and analyzed the incidence, risk factors, and clinical impact of pulmonary homograft dysfunction following Ross surgery, after a 20-year follow-up at our referral center.
Methods: From 1997 to 2017, a total of 142 patients underwent surgery using the Ross procedure. The development of moderate-severe stenosis (peak transhomograft pressure gradient 36 mm Hg or greater) and surgical or percutaneous Ross homograft reinterventions were evaluated by echocardiography in the immediate postoperative period and at annual intervals.
Objective: To determine the predictive value of the inotropic score (IS) and vasoactive-inotropic score (VIS) in low cardiac output syndrome (LCOS) in children after congenital heart disease surgery involving cardiopulmonary bypass (CPB), and to establish whether mid-regional pro-adrenomedullin (MR-proADM) and cardiac troponin I (cTn-I), associated to the IS and VIS scores, increases the predictive capacity in LCOS.
Design: A prospective observational study was carried out.
Setting: A Paediatric Intensive Care Unit.
Cardiac Biomarkers of Low Cardiac Output Syndrome in the Postoperative Period After Congenital Heart Disease Surgery in Children.
Rev Esp Cardiol (Engl Ed)
April 2017
Introduction And Objectives: To assess the predictive value of atrial natriuretic peptide, β-type natriuretic peptide, copeptin, mid-regional pro-adrenomedullin (MR-proADM) and cardiac troponin I (cTn-I) as indicators of low cardiac output syndrome in children with congenital heart disease undergoing cardiopulmonary bypass (CPB).
Methods: After corrective surgery for congenital heart disease under CPB, 117 children (aged 10 days to 180 months) were enrolled in a prospective observational pilot study during a 2-year period. The patients were classified according to whether they developed low cardiac output syndrome.