Interstage outcomes in single ventricle patients undergoing hybrid stage 1 palliation

Congenital Heart Disease
Janet M SimsicMark Galantowicz

Abstract

Interstage readmissions are common in infants with single ventricle congenital heart disease undergoing staged surgical palliation. We retrospectively examined readmissions during the interstage period. Retrospective analysis. The Heart Center at Nationwide Children's Hospital, Columbus, Ohio. Newborns undergoing hybrid stage 1 palliation from January 2012 to December 2016 who survived to hospital discharge and were followed at our institution. All patients underwent hybrid stage 1 palliation. Outcomes included (1) reason for interstage readmission; (2) feeding modality during interstage period; (3) major interstage adverse events; and (4) interstage mortality. Study group comprised 57 patients. Five patients only admitted once during the interstage period for scheduled cardiac catheterization were included in the no readmission group. Therefore, 43 patients (75%) had a total of 87 interstage readmissions. Fourteen patients had 15 major interstage adverse events accounting for 17% of total readmissions. Stroke (n = 1); sepsis (n = 1); pericardial effusion requiring drainage (n = 1); mesenteric ischemia (n = 1); shock (n = 1); and cardiac catheterization requiring intervention (n = 11)-ductal stent balloon angioplasty (n = 3), e...Continue Reading

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Citations

Aug 12, 2020·Pediatric Cardiology·Marie VincentiFrank Cetta
Nov 23, 2019·Archives of Cardiovascular Diseases·Estibaliz ValdeomillosUNKNOWN Filiale de cardiologie pédiatrique et congénitale de la Société française de cardiologie
Sep 8, 2019·Archives of Cardiovascular Diseases·David Kalfa, Alejandro J Torres
Mar 9, 2021·World Journal for Pediatric & Congenital Heart Surgery·R Allen LigonSteve Bibevski
Feb 22, 2021·The Journal of Thoracic and Cardiovascular Surgery·David Bichell

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