Publications by authors named "D Steflik"

Objective: To investigate acute kidney injury (AKI) in neonates with a patent ductus arteriosus (PDA) including incidence, risk factors, and possible correlations between PDA-related echocardiographic measurements and AKI incidence.

Study Design: We conducted a single-center retrospective cohort study of infants admitted to the neonatal intensive care unit with a diagnosis of a PDA between July 2015 and July 2017. Infants were evaluated for development of AKI based on the KDIGO criteria and a multivariable logistic regression analysis was performed.

View Article and Find Full Text PDF
Article Synopsis
  • A 10-month-old girl was diagnosed with a right coronary sinus of Valsalva aneurysm that ruptured into her right atrial appendage, which was indicated by a heart murmur.
  • Surgical intervention involved using a pericardial patch to repair the aneurysm from the aorta and to close the rupture site in the atrium.
  • This case is notable as it represents the youngest patient documented with this type of aneurysm rupture in existing literature.
View Article and Find Full Text PDF

Objective: Speckle tracking echocardiography (STE) may be a useful modality for assessing ventricular performance in patients with single ventricle physiology. However, STE's ability to accurately assess ventricular performance in this population is unknown. The objective of this study was to perform a preliminary comparison of STE measures of myocardial deformation to reference standard measures of function derived from pressure-volume loop (PVL) analysis.

View Article and Find Full Text PDF
Article Synopsis
  • The use of postoperative drains in total joint arthroplasty traditionally aims to reduce wound complications like infections but can incur costs and potential health risks.
  • A study reviewing 227 total knee arthroplasties showed no significant increase in wound complications when drains were not used, suggesting drains may not be necessary.
  • Cementless total knee arthroplasties exhibited even lower complication rates compared to those with cemented or drained procedures, indicating a potential shift in surgical practice.
View Article and Find Full Text PDF

The extended proximal femoral osteotomy is becoming increasingly popular in revision total hip replacement. Our study was done to determine the femoral stem length required for stable fixation of a cementless femoral component after an extended proximal femoral osteotomy. Three lengths of the S-ROM femoral stem were implanted in paired cadaver femora and tested under torsional and axial loads.

View Article and Find Full Text PDF