Publications by authors named "J I Pihkala"

Article Synopsis
  • This study looked at how early thymectomy during heart surgery affects kids' health in Finland.
  • It involved kids aged 1-15 who had heart surgery and compared their health to other kids without heart issues.
  • The results showed that kids who had the surgery were more likely to get infections, pneumonia, asthma, and wheezing than those who didn’t have the surgery, pointing out the need for better health check-ups for these kids.
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Background: Immune-mediated factors such as acute cellular rejections and donor-specific antibodies (DSAs) are risk factors for cardiac allograft vasculopathy (CAV). We studied a national cohort with a unified setting and thorough protocol endomyocardial biopsy (EMB) data for an association between cellular rejections, especially when mild and recurrent, and DSAs with CAV in pediatric heart transplant (HTx) patients.

Methods: This is a retrospective, national cohort study of 94 pediatric HTxs performed between 1991 and 2019 and followed until December 31, 2020.

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. It has been unclear whether simple atrial septal defect (ASD) is an independent risk factor for infective endocarditis (IE). This study aimed to untangle the risk of endocarditis in a large nationwide cohort.

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Background: Coarctation of the aorta (CoA), a congenital narrowing of the proximal descending thoracic aorta, is a relatively common form of congenital heart disease. Untreated significant CoA has a major impact on morbidity and mortality. In the past 3 decades, transcatheter intervention (TCI) for CoA has evolved as an alternative to surgery.

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Background: Transcatheter (TC) atrial septal defect (ASD) closure has been the mainstay of therapy for secundum-type ASDs for over 20 years.

Aims: This nationwide cohort evaluated the long-term outcome of transcatheter-closed ASDs.

Methods: The study enrolled every transcatheter ASD closure performed in Finland from 1999 to 2019.

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