Temperature and Neurologic Outcomes in Neonates Undergoing Cardiac Surgery: A Society of Thoracic Surgeons Study.

Background: There is significant variability in postoperative neurological injury rates in patients with congenital heart disease, with early injuries impacting long-term neurodevelopmental outcomes; therefore, there is an urgent need for identifying effective strategies to mitigate such injuries.

Objectives: This study aims to assess the association between nadir intraoperative temperature (NIT) and early neurological outcomes in neonates undergoing congenital heart surgery.

Methods: Analyzing data from 24,345 neonatal cardiac operations from the Society for Thoracic Surgeons Congenital Heart Surgery Database between 2010 and 2019, NIT was assessed using a mixed-effect logistic regression model, targeting major neurological injury (stroke, seizure, or deficit at discharge) as a primary endpoint.

Retrospective Cohort Study Comparing Redo Operations Using Ferromagnetic Dissection and Conventional Monopolar Dissection.

Purpose To evaluate effectiveness of a novel hemostatic dissection tool in patients with congenital heart disease undergoing redo pericardiac dissections. Description This dissection tool employs ferromagnetic energy to cut and coagulate. The unit passes no electric current through the patient, thus eliminating cautery-induced dysrhythmias and electrical interference.

Endocarditis and Incomplete Endothelialization 12 Years after Amplatzer Septal Occluder Deployment.

A 4-year-old boy had a 15-mm atrial septal defect repaired percutaneously with use of an Amplatzer Septal Occluder. At age 16 years, he presented with a week's history of fever, chills, dyspnea, fatigue, and malaise. Cultures grew methicillin-sensitive Staphylococcus aureus.

Bipolar Versus Unipolar Temporary Epicardial Ventricular Pacing Leads Use in Congenital Heart Disease: A Prospective Randomized Controlled Study.

Background: To compare the pacing parameters of unipolar versus bipolar temporary ventricular epicardial pacing leads.

Design: Prospective Randomized Unblinded Controlled Study.

Patients And Methods: Fifty patients undergoing surgery for congenital heart disease who were anticipated to require temporary ventricular pacing leads were recruited preoperatively: 25 patients were randomized to receive unipolar temporary ventricular epicardial pacing leads; the remaining 25 were randomized to receive bipolar temporary ventricular epicardial leads.

Results with all blood retrograde microplegia as a myocardial protection strategy for complex neonatal arch reconstruction.

Neonatal arch reconstructions present a challenge for myocardial protection. We report our results for eight patients treated with intermittent cold all blood retrograde cardioplegia during arch reconstruction using continuous selective normothermic cerebral perfusion. Over a 10-month period eight consecutive neonates underwent complex arch reconstruction.

Technique for the Norwood procedure using normothermic selective cerebral perfusion.

The Norwood procedure is commonly performed using either circulatory arrest or deep hypothermia with low-flow cardiopulmonary bypass. We describe our technique for the Norwood procedure using selective cerebral perfusion with corporeal normothermia (> 32 degrees C). A right radial artery catheter was placed and cerebral NIRS applied.

Technique and results for integration of the quest MPS all-blood cardioplegia delivery unit for modified ultrafiltration.

All blood cardioplegia delivery units offer the advantage of removing additional crystalloid volumes associated with multidose crystalloid or 4:1 blood cardioplegia. Further reductions in crystalloid and prime volumes can be achieved if the cardioplegia delivery unit can be integrated as the modified ultrafiltration (MUF) unit as well. This article reports our technique and results for integration of the Quest MPS all-blood cardioplegia delivery unit (Quest Medical, Allen, TX) for modified ultrafiltration.