Risk Stratification and Outcome of Cardiac Surgery for Patients With Body Weight &lt;2,500g in an Asian Center

Chen, Jeng‐Wei; Chen, Yih‐Sharng; Chang, Chung-I; Chiu, Ing‐Sh; Chou, Nai‐Kuan; Huang, Han Bin; Huang, Cheng‐Han; Huang, Su‐Cheng

doi:10.1253/circj.cj-13-0970

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…Small body size also increases the technical difficulty and risk for cardiopulmonary bypass and requires a relatively large amount of blood for priming. Immature organ systems also complicate postoperative care . Therefore, it is plausible that infants with low body weight after cardiac surgery may have increased risk for development of AKI.…”

Section: Discussionmentioning

confidence: 99%

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Validation of acute kidney injury according to the modified KDIGO criteria in infants after cardiac surgery for congenital heart disease

et al. 2019

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Section: Discussionmentioning

confidence: 99%

“…Immature organ systems also complicate postoperative care. 16 Therefore, it is plausible that infants with low body weight after cardiac surgery may have increased risk for development of AKI. Additionally, both prolonged cardiopulmonary bypass (CPB) and cross-clamp time are strong predictors of AKI after cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

Validation of acute kidney injury according to the modified KDIGO criteria in infants after cardiac surgery for congenital heart disease

et al. 2019

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“…Low weight is an additional risk factor in patients with congenital heart malformations at the time of surgical correction, both by increasing morbidity and mortality. Previous studies have revealed a 15-24% mortality for patients weighing less than 2500 g [10]. Low weight at the time of surgical correction was also associated with the increased risk of developing cardiac arrhythmias in the postoperative period [11].…”

Section: Weightmentioning

confidence: 99%

Postoperative Cardiac Arrhythmias in Pediatric and Neonatal Patients with Congenital Heart Disease—A Narrative Review

Ganea,

Cinteză,

Filip

et al. 2023

Life

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Cardiac arrhythmias are a frequent complication in the evolution of patients with congenital heart disease. Corrective surgery for these malformations is an additional predisposition to the appearance of arrhythmias. Several factors related to the patient, as well as to the therapeutic management, are involved in the etiopathogenesis of cardiac arrhythmias occurring post-operatively. The risk of arrhythmias in the immediate postoperative period is correlated with the patient’s young age and low weight at surgery. The change in heart geometry, hemodynamic stress, and post-surgical scars represent the main etiopathogenic factors that can contribute to the occurrence of cardiac arrhythmias in the population of patients with operated-on congenital heart malformations. Clinical manifestations differ depending on the duration of the arrhythmia, underlying structural defects, hemodynamic conditions, and comorbidities. The accurate diagnosis and the establishment of specific management options strongly influence the morbidity and mortality associated with arrhythmias. As such, identifying the risk factors for the occurrence of cardiac arrhythmias in the case of each patient is essential to establish a specific follow-up and management plan to improve the life expectancy and quality of life of children.

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“…of the arterial switch operation in neonates with transposition of the great arteries is reported to be considerably low. [1][2][3][4][5][6][7][8][9] Even in low birth weight infants, arterial switch operation was performed with acceptable morbidity and mortality; 10 however, long-term outcomes of translocated coronary arteries still remain one of the most crucial issues. [1][2][3][4][5][6][7][8][9]11,12 In fact, most peri-operative or late deaths result from coronary obstructive events.…”

Section: N the Past Decade The Peri-operative Mortalitymentioning

confidence: 99%

Chronological changes in stenosis of translocated coronary arteries on angiography after the arterial switch operation in children with transposition of the great arteries: comparison of myocardial scintigraphy and angiographic findings

et al. 2015

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Regression of ostial stenosis of the transplanted coronary artery on angiogram was observed. The stenosis regressed over time in six patients; two coronary arteries with 99% stenosis and delayed angiographic enhancement of the distal coronary artery resulted in total occlusion within 1 year after the arterial switch operation. Combination of angiography and myocardial scintigraphy could be useful to differentiate deceptive stenosis from progressive stenosis.

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Risk Stratification and Outcome of Cardiac Surgery for Patients With Body Weight <2,500g in an Asian Center

Cited by 5 publications

References 30 publications

Validation of acute kidney injury according to the modified KDIGO criteria in infants after cardiac surgery for congenital heart disease

Validation of acute kidney injury according to the modified KDIGO criteria in infants after cardiac surgery for congenital heart disease

Postoperative Cardiac Arrhythmias in Pediatric and Neonatal Patients with Congenital Heart Disease—A Narrative Review

Chronological changes in stenosis of translocated coronary arteries on angiography after the arterial switch operation in children with transposition of the great arteries: comparison of myocardial scintigraphy and angiographic findings

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