Residual Lesions in Single Ventricle Patients with Dr Mike Seed, division head of cardiology from Sick Kids and also a fully qualified cardiac radiologist.
Patients with otherwise normal hearts can tolerate single residual lesions fairly well, but in single ventricle patients they are often associated with major adverse outcomes. Modern management involves aggressive monitoring for and intervention on residual lesions, though interventions must always be seen in the context of the whole patient.
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Full ?of ep 2 - residual lesions in single V pts
— Pediatrica Intensiva: Art of Pediatric Crit Care (@PedsIntensiva) October 20, 2020
Feat. Mike Seed fr @SickKidsCCM @SickKidsNews, @drpetaalexander @drgregkelly & Mike Clifford
& discussion fr @lilliansu @DrKlugs @loomba_rohit @JakeKaneMD @drvishalksingh & @schws0 as bonus!#pedsICU #pedsCICU #CHD #pedscards https://t.co/V5rpfIhojY
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Selected references
- Ghanayem, N. S. et al. Interstage mortality after the Norwood procedure: Results of the multicenter Single Ventricle Reconstruction trial. J Thorac Cardiovasc Surg 144, 896–906 (2012).
- MD, M. N. et al. Intraoperative adverse events can be compensated by technical performance in neonates and infants after cardiac surgery: A prospective study. The Journal of Thoracic and Cardiovascular Surgery 142, 1098-1107.e5 (2011).
- Castellanos, D. A. et al. Outcomes Associated With Unplanned Interstage Cardiac Interventions After Norwood Palliation. The Annals of Thoracic Surgery 108, 1423–1429 (2019).
- Buelow, M. W. et al. Reintervention following stage 1 palliation: A report from the NPC-QIC Registry. Congenital heart disease 13, 919–926 (2018).
- Stage I Norwood: Optimal technical performance improves outcomes irrespective of preoperative physiologic status or case complexity. The Journal of Thoracic and Cardiovascular Surgery 139, 962–968 (2010).
- Technical performance score is associated with outcomes after the Norwood procedure. The Journal of Thoracic and Cardiovascular Surgery 148, 2208-2214.e6 (2014).
- Nathan, M. et al. The Pediatric Heart Network Residual Lesion Score Study: Design and Objectives. The Journal of Thoracic and Cardiovascular Surgery 1–9 (2019) doi:10.1016/j.jtcvs.2019.10.146.
Season 2, Episode 3
Published: October 14, 2020
Run time: 1:12
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Borderline Left Hearts & #pedsICU feat. Peter Laussen
