| Echocardiographic parameters that predict outcome in aortic atresia patients undergoing comprehensive stage II procedure. | |
| | |
MedLine Citation:
|
PMID: 21087424 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The hybrid procedure is one option for palliating patients with hypoplastic left heart syndrome. As experience increases with this palliation, the physiology and its influence on outcome can be better assessed. The goal of this study was to determine if echocardiographic parameters correlate with post-operative variables in patients with aortic atresia undergoing the comprehensive Stage II procedure. METHODS: Retrospective chart review on all patients with aortic atresia, who underwent the comprehensive Stage II procedure from January 2002 to December 2008, was performed. Echocardiographic indices were evaluated and correlations were made with peri-operative and hospital variables. Pair-wise Pearson's correlation tests were used to analyze the associations between continuous measures. RESULTS: Thirty-four patients met inclusion criteria. Age at comprehensive Stage II procedure was 0.45 ± 0.13 years and body surface area was 0.31 ± 0.04 m(2). Right ventricle (RV) percentage change was 45 ± 10%, eccentricity index was 1.96 ± 0.45, estimated systemic cardiac output was 7.68 ± 2.56 L/min/m(2) and estimated effective systemic cardiac output was 5.15 ± 2.24 L/min/m(2). Retrograde patent ductus arteriosu (PDA) velocity time integral (VTI) correlated with log pre-bypass lactate and maximum lactate (r = 0.53, 0.44). PDA regurgitant fraction correlated with log post-bypass lactate, length of intubation, and urine output on day four (r = 0.39, 0.46, -0.37). RV percentage change correlated with log pre-bypass lactate, and urine output on days four and five (r =-0.38, 0.43, 0.54). No echocardiographic parameter predicted renal or liver insufficiency, dialysis, extracorporeal membrane oxygenation use, or hospital death. CONCLUSION: Retrograde PDA VTI and RV percent change correlated with some peri-operative variables though no echocardiographic parameter was associated with any major morbidities or mortality. Newer echocardiographic techniques may better predict comprehensive stage II outcomes. |
| | |
Authors:
|
Brian Birnbaum; Glen Berger; Bernadette Fenstermaker; Daniel G Rowland; Bethany Boettner; Vince Olshove; Mark Galantowicz; John P Cheatham; Clifford L Cua |
Related Documents
:
|
9766704 - Impact of percutaneous transluminal coronary angioplasty on coronary bypass surgery--ch... 10892934 - Optimizing timing of early extubation in coronary artery bypass surgery patients. 7979784 - Playing by the numbers: how collecting outcomes data changed by life. 11846534 - Operating theatre ventilation standards and the risk of postoperative infection. 23636834 - Abdominal wall defect repair with biological prosthesis in transplanted patients: singl... 10502634 - A comparison of laparoscopic ultrasound versus cholangiography in the evaluation of the... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Congenital heart disease Volume: 5 ISSN: 1747-0803 ISO Abbreviation: Congenit Heart Dis Publication Date: 2010 Sep-Oct |
Date Detail:
|
Created Date: 2010-11-22 Completed Date: 2011-03-04 Revised Date: 2011-05-05 |
Medline Journal Info:
|
Nlm Unique ID: 101256510 Medline TA: Congenit Heart Dis Country: United States |
Other Details:
|
Languages: eng Pagination: 409-15 Citation Subset: IM |
Affiliation:
|
Department of Pediatrics, Heart Center Nationwide Childrens Hospital, Columbus, Ohio, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Body Surface Area Cardiac Output Cardiac Surgical Procedures* / adverse effects, mortality Ductus Arteriosus, Patent / surgery, ultrasonography Echocardiography, Doppler, Color* Echocardiography, Doppler, Pulsed* Extracorporeal Membrane Oxygenation Hospital Mortality Humans Hypoplastic Left Heart Syndrome / mortality, physiopathology, surgery*, ultrasonography* Infant Liver Diseases / etiology Ohio Palliative Care Predictive Value of Tests Renal Dialysis Renal Insufficiency / etiology, therapy Retrospective Studies Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The fetal ductus arteriosus and its abnormalities--a review.
Next Document: Hemodynamics and cerebral oxygenation following repair of tetralogy of Fallot: the effects of conver...