Publications by authors named "Shu-Sheng Wen"

Background: Studies of chylothorax after congenital heart disease in infants are rare. Chylothorax has a higher incidence in infancy, but its risk factors are not well understood.

Objective: The purpose of this study is to investigate the risk factors of chylothorax after congenital heart surgery in infants.

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Objectives: Patients with unoperated functional single ventricle (FSV) rarely survive into adulthood with good functional status and there are few reports about surgical results of adult patients with FSV. This study retrospectively reviews our experience with surgery in adult patients with FSV.

Methods: From January 2008 to September 2017, 65 adult patients with FSV underwent surgery in our hospital.

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The present study aimed to evaluate the impact of total extracorporeal circulation on hemodynamics and placental function in an ovine fetal model. Mid-term ovine fetuses (n=6) underwent extracorporeal circulation (30 min), cardioplegic arrest (20 min) and monitoring (120 min). The ascending aorta and umbilical cords of the fetuses were occluded during the bypass and an extracorporeal membrane oxygenator was used as the oxygen source.

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Introduction: Placental dysfunction characterized by vascular endothelial inflammation is one of the most notable responses to fetal cardiac bypass. Regulator of calcineurin 1 (RCAN1) is an important regulator of inflammatory responses. MicroRNAs (miRNAs) are essential post-transcriptional modulators of gene expression, and miRNA-34a (miR-34a) was showed to activate vascular endothelial inflammation.

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Article Synopsis
  • The study examined the anesthetic management of fetal lambs during cardiac bypass in ewes, using various anesthetic agents and monitoring techniques.
  • Ewes were anesthetized, intubated, and maintained on fentanyl and vecuronium, while fetal lambs received similar anesthesia via the uterine wall during a 30-minute bypass procedure.
  • Results indicated that while the fetal heart rate and blood pressure remained stable, there were signs of hypercarbia and acidosis in fetal lambs after the bypass, highlighting the importance of careful hemodynamic management and uterine relaxation during the procedure.
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