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Children
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Recent Advances in Pediatric Cardiac Surgery
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Recent Advances in Pediatric Cardiac Surgery

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Cardiology".

Deadline for manuscript submissions: closed (20 January 2024) | Viewed by 3820

Special Issue Editors

Dr. Salvatore Agati

E-Mail Website
Guest Editor
Mediterranean Pediatric Cardiology Center, Bambino Gesù Children’s Hospital, Taormina, Italy
Interests: congenital cardiac surgery; pediatric cardiology; congenital heart disease; cardiothoracic surgery
Dr. Luciana Da Fonseca Da Silva

E-Mail Website
Guest Editor
UPMC Children’s Hospital of Pittsburgh, Cardiothoracic Surgery, Pittsburgh, PA, USA
Interests: congenital cardiac surgery; pediatric cardiology; congenital heart disease; cardiothoracic surgery

Special Issue Information

Dear Colleagues,

Congenital cardiac surgery has increasingly become a common approach for the treatment of complex congenital heart defects. At the same time, patients’ age and weight at surgery has decreased, while adult patients have become more frequent in clinical practices, representing the most important patient group in personalized surgical therapy in the modern era. I strongly believe that it is time to provide an update on the results and outcomes of all new strategies in order to set a common future vision for the surgical treatment of this new population of patients. We invite you to share your clinical experience, surgical techniques, and multidisciplinary approach concepts in order to improve and optimize the overall outcome of congenital heart patients.

Dr. Salvatore Agati
Dr. Luciana Da Fonseca Da Silva
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • congenital heart disease
  • neonate
  • preterm
  • congenital cardiac surgery
  • ECMO

Published Papers (2 papers)

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Research

11 pages, 986 KiB  
Article
Capillary Refill Time and Serum Lactate as Predictors of Mortality and Postoperative Extracorporeal Membrane Oxygenation Requirement in Congenital Heart Surgery
by Gustavo Cruz, Santiago Pedroza Gómez, Akemi Arango, Paula A. Guevara, Carlos González, Jesus Aguirre, Andrea Valencia-Orozco and Antonio J. Suguimoto
Children 2023, 10(5), 875; https://doi.org/10.3390/children10050875 - 13 May 2023
Viewed by 1386
Abstract
Multiple tissue perfusion markers are described to guide therapy in critically ill pediatric patients undergoing congenital heart surgery. Given the advantages of capillary refill time, our goal is to determine its predictive capacity for mortality and postoperative extracorporeal oxygenation requirements in congenital heart [...] Read more.
Multiple tissue perfusion markers are described to guide therapy in critically ill pediatric patients undergoing congenital heart surgery. Given the advantages of capillary refill time, our goal is to determine its predictive capacity for mortality and postoperative extracorporeal oxygenation requirements in congenital heart surgery and compare it to serum lactate. We conducted a prospective cohort observational study in a single high-complexity university hospital. Serum lactate and capillary refill time were measured at five predetermined time points: preoperative, immediate postoperative, 6, 12, and 24 h after the surgery. Prolonged immediate postoperative, 6 h, and 12 h capillary refill time measurements turned out to be independent risk factors for both outcomes. The capillary refill time area under the curve ranged between 0.70 and 0.80, while the serum lactate resulted between 0.79 and 0.92 for both outcomes. Both tissue perfusion markers resulted in mortality and extracorporeal oxygenation requirement predictors. Given the advantages of capillary refill time over serum lactate, a monitoring strategy including these two perfusion markers should be considered for congenital heart surgeries. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Cardiac Surgery)
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13 pages, 2853 KiB  
Article
The Use of Automated Atrial CMR Measures and a Novel Atrioventricular Coupling Index for Predicting Risk in Repaired Tetralogy of Fallot
by Megan Gunsaulus, Alejandra Bueno, Carley Bright, Katelyn Snyder, Nikkan Das, Craig Dobson, Mark DeBrunner, Adam Christopher, Arvind Hoskoppal, Christopher Follansbee, Gaurav Arora, Laura Olivieri and Tarek Alsaied
Children 2023, 10(2), 400; https://doi.org/10.3390/children10020400 - 18 Feb 2023
Cited by 2 | Viewed by 1471
Abstract
Atrial size and function have been recognized as markers of diastolic function, and diastolic dysfunction has been identified as a predictor of adverse outcomes in repaired tetralogy of Fallot (rTOF). This was a retrospective single-center study with the objective of investigating the use [...] Read more.
Atrial size and function have been recognized as markers of diastolic function, and diastolic dysfunction has been identified as a predictor of adverse outcomes in repaired tetralogy of Fallot (rTOF). This was a retrospective single-center study with the objective of investigating the use of atrial measurements obtained via CMR for predicting outcomes in rTOF patients. Automated contours of the left and right atria (LA and RA) were performed. A novel parameter, termed the Right Atrioventricular Coupling Index (RACI), was defined as the ratio of RA end-diastolic volume to right ventricle (RV) end-diastolic volume. Patients were risk-stratified using a previously validated Importance Factor Score for the prediction of life-threatening arrhythmias in rTOF. Patients with a high-risk Importance Factor Score (>2) had a significantly larger minimum RA volume (p = 0.04) and RACI (p = 0.03) compared to those with scores ≤2. ROC analysis demonstrated RACI to be the best overall predictor of a high-risk Importance Factor Score (AUC 0.73, p = 0.03). Older age at the time of repair and a diagnosis of pulmonary atresia were associated with a larger RACI. Automated atrial CMR measurements are easily obtained from standard CMRs and have the potential to serve as noninvasive predictors of adverse outcomes in rTOF. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Cardiac Surgery)
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