Publications by authors named "Hannah McMullen"
Primary delayed sternal closure in adult cardiac surgery: a systematic review of protocols.
J Cardiovasc Surg (Torino)
October 2024
Introduction: Primary delayed sternal closure (DSC) is a useful tool in the management of certain critically unstable patients after cardiac surgery, but there is a paucity of consensus management guidelines. This review aimed to identify critical key areas in DSC management.
Evidence Acquisition: Systematic literature search was conducted in January 2023 and performed using Embase and PubMed.
Article Synopsis
- Left ventricular outflow tract obstruction (LVOTO) is a common complication after correcting interrupted aortic arch with a ventricular septal defect (IAA-VSD), making it critical to identify at-risk patients for future interventions.
- A study reviewing patients from 2006-2021 showed that 23% required reoperations for LVOTO, with key factors being smaller LVOT diameter and higher velocity measurements at discharge.
- Despite no significant differences in clinical or surgical variables, the findings indicate that smaller preoperative LVOT measurements may predict the need for subsequent LVOTO interventions.
Congenital heart disease (CHD) is the most common congenital abnormality worldwide, affecting 8 to 12 infants per 1000 births globally and causing >40% of prenatal deaths. However, its causes remain mainly unknown, with only up to 15% of CHD cases having a determined genetic cause. Exploring the complex relationship between genetics and environmental exposures is key in understanding the multifactorial nature of the development of CHD.
View Article and Find Full Text PDFBackground: Little is known about the chance of patients not experiencing complications (uneventful recovery) after aortic root replacement for aortic aneurysm. The aim of this study was to investigate the probability of uneventful recovery, identify its predictors, and address the association between the uneventful recovery and long-term survival.
Methods: Patients with aortic aneurysm who underwent elective aortic root replacement between 2005 and 2018 were retrospectively reviewed (N = 676).
Purpose: Poorer short-term outcomes have been described for females after cardiovascular surgery. We examined the influence of sex on the outcomes after aortic root replacement (ARR).
Methods: Medical records of 848 patients (females, n = 159/848, 19%) who underwent ARR at our center from 2005 to 2018 were retrospectively reviewed.