Publications by authors named "Steven J Healan"
Article Synopsis
- - The study analyzed neonates with symptomatic tetralogy of Fallot (sTOF) to examine how hypoplastic pulmonary arteries (hPA) impact survival and treatment outcomes, reviewing data from 2005 to 2017 on 542 cases.
- - Results showed that while reintervention was more common in the hPA group, survival rates and mortality did not differ significantly between those with hPA and those with normal pulmonary arteries.
- - Notably, the hPA cohort experienced better pulmonary artery growth after one year, suggesting that having hPA does not negatively affect the overall outcomes for neonates with sTOF.
Article Synopsis
- Neonates with tetralogy of Fallot and pulmonary atresia rely on the arterial duct for blood flow and require early surgical intervention, either through primary repair or staged repair, but the best method remains unclear.* -
- A review of 282 neonates revealed that while mortality rates were similar between primary and staged repair, those undergoing staged repair faced greater early reintervention rates and had larger conduit sizes during complete repair.* -
- Primary repair generally showed better outcomes in terms of lower complications, shorter hospital stays, and better growth of the right pulmonary artery, while staged repair is more common in patients with greater risk factors such as DiGeorge syndrome.*
Objective: To evaluate early growth following primary or staged repair of neonatal symptomatic tetralogy of Fallot (sTOF).
Study Design: We performed a retrospective, multicenter cohort study of consecutive infants with sTOF who underwent initial intervention at age ≤30 days, from 2005 to 2017. Management strategies were either primary repair or staged repair (ie, initial palliation followed by complete repair).
Background: Recent data have demonstrated that overall mortality and adverse events are not significantly different for primary repair (PR) and staged repair (SR) approaches to management of neonates with symptomatic tetralogy of Fallot (sTOF). Cost data can be used to compare the relative value (cost for similar outcomes) of these approaches and are a potentially more sensitive measure of morbidity.
Objectives: This study sought to compare the economic costs associated with PR and SR in neonates with sTOF.
Patients with congenital heart disease frequently have aneurysms or coronary artery fistulae that necessitate treatment. Metal vascular coils have been a mainstay of treatment for these lesions. In 2002, coils coated or filled with expandable hydrogel were introduced to treat cerebral aneurysms; however, the literature on their use in patients with congenital heart disease is limited.
View Article and Find Full Text PDFObesity has become increasingly recognized in adults with Fontan palliation, yet the relationship between weight changes in adulthood and Fontan failure is not clearly defined. We hypothesize that increasing weight in adulthood among Fontan patients is associated with the development of Fontan failure. Single-center data from adults with Fontan palliation who were not in Fontan failure at their first clinic visit in adulthood and who received ongoing care were retrospectively collected.
View Article and Find Full Text PDFBackground: Neonates with tetralogy of Fallot and symptomatic cyanosis (sTOF) require early intervention.
Objectives: This study sought to perform a balanced multicenter comparison of staged repair (SR) (initial palliation [IP] and subsequent complete repair [CR]) versus primary repair (PR) treatment strategies.
Methods: Consecutive neonates with sTOF who underwent IP or PR at ≤30 days of age from 2005 to 2017 were retrospectively reviewed from the Congenital Cardiac Research Collaborative.