Semin Pediatr Surg
June 2024
Heart failure is a highly morbid syndrome, recognized as a major cause of adult mortality. Heart failure in pediatric patients, whether in the setting of congenital or acquired heart disease, is similarly associated with high mortality and resource utilization. Understanding the clinical presentation, diagnosis, and initial stabilization of pediatric heart failure is paramount for any acute care clinician as it may mimic common childhood ailments like viral respiratory or gastrointestinal illnesses.
View Article and Find Full Text PDF• Double-orifice left AV valve complicates successful repair of common AV canal. • Two-dimensional imaging may not recognize or define double-orifice left AV valve. • Three-dimensional echocardiography is useful for visualizing these complex valves.
View Article and Find Full Text PDFBackground Packed red blood cell transfusion may improve oxygen content in single-ventricle neonates, but its effect on clinical outcomes after Stage 1 palliation is unknown. Methods and Results Retrospective multicenter analysis of packed red blood cell transfusion exposures in neonates after Stage 1 palliation, excluding those with intraoperative mortality or need for extracorporeal membrane oxygenation. Transfusion practice variability was assessed, and multivariable regression used to identify transfusion risk factors.
View Article and Find Full Text PDFIntroduction: Neonates may require increased red cell mass to optimise oxygen content after stage 1 palliation; however, data informing transfusion practices are limited. We hypothesise there is a patient-, provider-, and institution-based heterogeneity in red cell transfusion decision-making after stage 1 palliation.
Methods: We conducted an online survey of Pediatric Cardiac Intensive Care Society practitioners in 2016.