Publications by authors named "V L Vida"
Adult patients with congenital heart disease (ACHD) requiring heart transplantation (HT) usually show complex anatomies, posing surgical challenges. Consequently, we analyzed technical aspects and early and long-term outcomes of additional surgical repairs during HT in ACHD. Forty patients were identified (23 males, median age: 38 years, interquartile range [IQR]: 26-50).
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- - Metabolomics can help identify high-risk infants undergoing surgery for complex congenital heart disease (CHD), as it provides insights into their metabolic profiles and how genetics and environment influence health outcomes.
- - A systematic review of seven studies, involving 509 infants, showed links between specific metabolites (like amino acids) and adverse outcomes such as mortality and acute kidney injury post-surgery.
- - While the evidence is limited because of varying study designs and small sample sizes, the research suggests metabolomics could be useful for predicting complications in infants undergoing cardiac surgery.
Objectives: The functional roles of ventricular dominance and additional ventricular chamber after Fontan operation are still uncertain. We aim to assess and correlate such anatomical features to late clinical outcomes.
Methods: Fontan patients undergoing cardiac MRI and cardiopulmonary exercise test between January 2020 and December 2022 were retrospectively reviewed.
Article Synopsis
- The study focuses on the long-term effects of chronic pulmonary insufficiency after surgical repairs for tetralogy of Fallot (TOF) and evaluates new techniques for preserving the pulmonary valve (PV).
- It includes 134 patients who underwent surgery from 2008 to 2022, comparing those treated with traditional methods and those using PV preservation techniques.
- Results showed that 73.9% of patients successfully maintained their pulmonary valve function with preservation techniques, leading to improved right ventricular performance and reduced pulmonary insufficiency compared to the traditional method.
Despite the clinical results of the Fontan operation have certainly improved, it still presents with an inherent surgical risk of death and early morbidities. This is a retrospective clinical study of children undergoing Fontan operation in 9 congenital cardiac centers in Italy between 1990 and 2023. Clinical and surgical data were collected via a dedicated RedCap database.
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