Evaluating Diaphragmatic Paralysis After Pediatric Cardiac Surgery and the Role of Plication in Outcome Improvement: Insights From a Single-Center Experience
Published: February 06, 2025.
Volume 16, Number 5
Pages 661-667
Contributors
Mohamed M. Elgayar, Mahmoud A. Negm, Emad Gamaleldin Nasr, Hedaia Abdullah, Sayed Hamed, Hatem Honsy
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 661-667, September 2025.
IntroductionDiaphragmatic paralysis (DP) is a significant complication following cardiac surgery, particularly impacting neonates and infants. This retrospective study aims to evaluate the incidence of DP, identify risk factors, and assess the impact of …
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Short- and Long-Term Outcomes of Patients Who Underwent the Arterial Switch Operation at Siriraj Hospital—Thailand’s Largest National Tertiary Referral Center
Published: January 28, 2025.
Volume 16, Number 5
Pages 612-619
Contributors
Juthamas Hannarong, Teerapong Tocharoenchok, Somchai Sriyoschati, Punnarerk Thongcharoen, Kriangkrai Tantiwongkosri, Ekarat Nitiyarom, Thaworn Subtaweesin
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 612-619, September 2025.
Objective: The aim of this study was to assess the short- and long-term outcomes of patients who underwent the arterial switch operation (ASO) at Siriraj Hospital in Thailand, and to identify postoperative complications and factors that significantly affect …
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Predictors of Success Following Valve-Sparing Repair of Tetralogy of Fallot
Published: February 21, 2025.
Volume 16, Number 5
Pages 595-602
Contributors
Paighton C. Miller, Michael R. Chomat, Fei Wan, Jacob R. Miller, Dilip Nath, Pirooz Eghtesady
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 595-602, September 2025.
Objective: :We aim to report predictors of success following valve-sparing repair (VSR) for Tetralogy of Fallot (TOF).Methods: :We performed a single-institution retrospective review of 70 patients who underwent VSR for TOF from 2007 to 2021. Risk factors …
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Fate of Residual Patch Leak After Surgical Closure of Congenital Perimembranous Ventricular Septal Defects
Published: March 25, 2025.
Volume 16, Number 5
Pages 632-639
Contributors
Hani N. Mufti, Ysmeen T. Bucklain, Abdulaziz M. Shaheen, Ahmed Qumsani, Arwa A. Alrrzqi, Sereen M. Kazim, Luis Acosta, Alfredo Gamboa
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 632-639, September 2025.
IntroductionVentricular septal defects (VSDs) account for 50% of congenital heart defects in children. Surgical closure of moderate to large VSDs using patch material is considered the standard treatment in children to prevent future complications….
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Surgical Ligation of Isolated Type I Aortopulmonary Window Without Cardiopulmonary Bypass is a Safe and Cost-Effective Surgical Technique
Published: February 27, 2025.
Volume 16, Number 5
Pages 628-631
Contributors
Salman A. Shah, Mohammad Umair Khan, Nabil Awan, Faiz Rasool, Tehmina Kazmi, Amina Zafar Qureshi, Saaniya Hasan, Talal Ahmad Shah, M. Asim Khan, Uzma Kazmi, Najam Hyder, Masood Sadiq
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 628-631, September 2025.
IntroductionAortopulmonary window (APW) is an extremely rare congenital anomaly of the heart where there is a direct communication between the ascending aorta and main pulmonary artery. Surgical repair of APW on cardiopulmonary bypass (CPB) is considered …
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Residual Pulmonary Valve Disease Following Repair of Tetralogy of Fallot—Is Stenosis Better Than Regurgitation?
Published: March 21, 2025.
Volume 16, Number 5
Pages 603-611
Contributors
Maria von Stumm, Gregory Heger, Julia Danner, Zahra Alalawi, Cordula Wolf, Katarzyna Gendera, Stanimir Georgiev, Peter Ewert, Jürgen Hörer, Julie Cleuziou
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 603-611, September 2025.
Background: Residual pulmonary valve disease (PVD) including pulmonary stenosis (PS), pulmonary regurgitation (PR), or both remains a known complication following repair of Tetralogy of Fallot (TOF). We sought to clarify prevalence, progression, and …
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Over 3,000 Minimally Invasive Thoracotomies From the European Congenital Heart Surgeons Association for Quality Repairs of the Most Common Congenital Heart Defects: Safe and Routine for Selected Repairs
Published: March 25, 2025.
Volume 16, Number 5
Pages 578-584
Contributors
Ali Dodge-Khatami, Juan-Miguel Gil-Jaurena, Jürgen Hörer, Paul Philipp Heinisch, Julie Cleuziou, Sara C. Arrigoni, Robert A. Cesnjevar, Hitendu H. Dave, Alessandro Giamberti, Mauro Lo Rito, Alexander Kadner, Matthias Siepe, Roman Sekelyk, Dmytro Kozhokar, Illya Yemets, Alain Poncelet, Geoffroy de Beco, Jean Rubay, Andre Rüffer, Vincent Kundt, Sameh M. Said, Zdzislaw Tobota, Jeffrey P. Jacobs, Massimo Padalino, Vladimiro Vida
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 578-584, September 2025.
Background: Minimally invasive thoracotomies to repair selected congenital heart defects are considered only a cosmetic alternative approach by many; however, they represent the routine alternative in centers of expertise.Methods: Pooled institutional data …
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Remote Didactic Pediatric Cardiac Critical Care Education Addresses Theory-Practice Gap in Low-Resource Settings
Published: March 21, 2025.
Volume 16, Number 5
Pages 656-660
Contributors
Samantha Druckman, Julianne P. Moss, Alicia H. Chaves, Peter Gaskin, Melanie L. Scala, Deborah Linehan, Jamie Tumulty, Nicholas Pietris, Christian Nicolosi, Jessica R. Eichner, Svetlana Streltsova-Verma, Vincent U. Ohaju, Chimaobi Nwagboso, Ede Jude Ebere, Uzuoma Nwogu, Njoku Faustina Oluchi, Adrian Holloway
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 656-660, September 2025.
In order to bridge the theory-practice gap in pediatric cardiac critical care among clinicians in a low-resource setting, multidimensional training is crucial. In this study, we implemented a dual-methodology approach to cardiac critical care education in …
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Long-Term Clinical and Echocardiographic Follow-Up After Aortic Valve Tricuspidization With Polytetrafluoroethylene in Children: 15-Year Experience at a Single Center
Published: March 21, 2025.
Volume 16, Number 5
Pages 648-655
Contributors
Matej Nosáľ, Fadi Sabateen, Pavel Valentík, Michal Šagát, Aref Saif Nagi, Vladimír Soják
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 648-655, September 2025.
Objective: sAortic valve repair by tricuspidization with leaflet extensions is utilized in the management of aortic valve disease in children and adolescents. The aim of this study is to evaluate the long-term outcomes following aortic valve …
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Complete Atrioventricular Septal Defect Repair in Patients With Down Syndrome Presenting Beyond Six Months— A Single Center Experience
Published: April 03, 2025.
Volume 16, Number 5
Pages 640-647
Contributors
Kartik Patel, Chandrasekaran Ananthanarayanan, Trushar Gajjar, Amit Mishra, Bhavik Champaneri, Jigar Surti, Himani Pandya
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 640-647, September 2025.
Background: Complete atrioventricular septal defect (cAVSD) is the most common cardiac lesions associated with Down syndrome (DS). In DS, cAVSD repair is ideally performed before six months of age to prevent irreversible pulmonary artery hypertension (PAH). …
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A Basic Machine Learning Primer for Surgical Research in Congenital Heart Disease
Published: May 14, 2025.
Volume 16, Number 5
Pages 571-577
Contributors
Steven J. Staffa, David Zurakowski
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 571-577, September 2025.
Artificial intelligence and machine learning are rapidly transforming medicine, healthcare, and surgery. Machine learning is a valuable tool for surgeons and researchers in pediatric cardiovascular and thoracic surgery, with innovative applications …
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The Association Between Platelet Transfusion and Acute Kidney Injury Following Fontan Surgery
Published: March 13, 2025.
Volume 16, Number 5
Pages 668-673
Contributors
Marianne E. Nellis, Asaf Mandel, Yshia Langer, Salmas Watad, Hiba Abuelhija, Yshai Salem, David Mishaly, Alain E. Serraf, Uri Pollak
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 668-673, September 2025.
Objective: s:Previous studies have demonstrated an association between transfusion and increased organ dysfunction. We sought to determine the association between transfusion of blood components (red blood cell [RBC], plasma, platelet, and cryoprecipitate …
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Conduit Size, Branch Pulmonary Artery Size, and Reoperation in Patients With Truncus Arteriosus
Published: February 21, 2025.
Volume 16, Number 5
Pages 620-627
Contributors
Christopher W. Mastropietro, Andrew Rodenbarger, Jeremy L. Herrmann
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 620-627, September 2025.
Background: Optimal right ventricle-to-pulmonary artery (RV-PA) conduit size for patients with truncus arteriosus is controversial. We aimed to determine the relationship between branch PA size and the need for conduit reoperation following repair of …
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Mid-Term Outcomes of Valve-Sparing Repair With Intraoperative Balloon Dilation in Tetralogy of Fallot
Published: May 30, 2025.
Volume 16, Number 5
Pages 585-594
Contributors
Morgan K. Moroi, Iris Feng, Alice V. Vinogradsky, Christine G. Yang, Stephanie N. Nguyen, David M. Kalfa, Andrew B. Goldstone, Emile A. Bacha1Division of Cardiac, Thoracic, and Vascular Surgery, Section of Pediatric and Congenital Cardiac Surgery, New York Presbyterian-Morgan Stanley Children’s Hospital, Columbia University Irving Medical Center, New York, NY, USA
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 585-594, September 2025.
Background: Late sequelae associated with chronic severe pulmonary regurgitation (PR) following transannular patch (TAP) repair of tetralogy of Fallot (TOF) have driven the use of alternative approaches. This study investigates mid-term pulmonic valve (PV) …
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Management of a Paraganglioma in a Fontan Patient: A Complex Case of Adrenergic Imbalance and Perioperative Care
Published: April 14, 2025.
Volume 16, Number 5
Pages 688-691
Contributors
Carlos A. Carmona, Michael R. Bykhovsky, Elizabeth D. Sherwin, Gregory K. Yurasek
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 688-691, September 2025.
Pheochromocytomas and paragangliomas (PPGLs) are neuroendocrine tumors that secrete catecholamines. They can induce severe hypertension and tachycardia; thus, complicating the health of patients with stabilized congenital heart disease. Chronic hypoxemia …
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Surgical Management of a Patient With Non-Fallot-Type Absent Pulmonary Valve Syndrome
Published: April 15, 2025.
Volume 16, Number 5
Pages 694-696
Contributors
Jason J. Breithaupt, Charles Fraser, Ryan Leahy, Brian Mejak, Dale Burkett, Megan Albertz, John Kim, Matthew L. Stone
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 694-696, September 2025.
We describe the presentation and management of an infant with the unique constellation of a massive patent ductus arteriosus, severely insufficient pulmonary valve, hypoplastic tricuspid valve, and a resultant profoundly dilated and hypertrophic right …
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Unintended Consequences of Innominate Artery Cannulation in a Pediatric Patient: Infection of Innominate Artery Graft Stump With Subsequent Formation of Right Common Carotid Artery Pseudoaneurysm
Published: April 25, 2025.
Volume 16, Number 5
Pages 696-699
Contributors
Andreas Polycarpou, Satoshi Miyairi, Pranava Sinha, Edward Martin-Chaffee, Syed Murfad Peer
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 696-699, September 2025.
Indirect arterial cannulation techniques, such as cannulation of the innominate artery (IA) using an end-to-side anastomosed vascular graft, are commonly used to establish cardiopulmonary bypass in congenital cardiac surgery. Although rare, unintended …
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Monomorphic Ventricular Tachycardia Secondary to an Epicardial Pacing Lead
Published: April 25, 2025.
Volume 16, Number 5
Pages 699-703
Contributors
Mitchell I. Cohen, Christopher Moalli, Rob Przybylski, Lucas Collazo
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 699-703, September 2025.
Epicardial pacing leads are frequently used in small children and in complex congenital heart disease that precludes transvenous lead placement. While lead failure is not uncommon from epicardial pacing leads, proarrhythmic events are rare. We present an …
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Rapid Aneurysmal Degeneration of CorMatrix Patch Following Coarctation Repair
Published: May 02, 2025.
Volume 16, Number 5
Pages 683-685
Contributors
Chance Benner, Marcus Haw
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 683-685, September 2025.
We present a case of rapid aneurysmal degeneration and pseudoaneurysm formation following a coarctation repair that utilized an acellular extracellular matrix (ECM) patch. Patch excision and aortic arch reconstruction using aortic homograft were …
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Unexpected Finding of an Inflammatory Myofibroblastic Tumor of the Heart Causing Pulmonary Artery Obstruction in an Asymptomatic Toddler
Published: April 15, 2025.
Volume 16, Number 5
Pages 685-687
Contributors
Sara B. A. Morel, Elie Fadel, Sophie W. Gao, Dorothée Dal Soglio, Pierre-Luc Bernier
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 685-687, September 2025.
Inflammatory myofibroblastic tumor (IMT) of the heart is a very rare tumor, constituting less than 5% of primary heart tumors. This case report describes the unexpected finding of IMT of the heart causing pulmonary artery obstruction in an asymptomatic …
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Bridge to Heart Transplantation Using the Impella Device in a Pediatric Patient
Published: April 28, 2025.
Volume 16, Number 5
Pages 691-694
Contributors
Hüseyin Sicim, Mohamad Alaeddine, Daniel A. Velez1Department of Congenital Cardiac Surgery, 14524Phoenix Children’s Hospital, Phoenix, AZ, USA
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 691-694, September 2025.
Mechanical circulatory support options for pediatric patients with acute heart failure are limited. These patients can be challenging to manage depending on their size and the type of extracorporeal support required including the need for a left …
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Surgical Management of a Giant Left Atrial Appendage Aneurysm in a Symptomatic Neonate
Published: June 17, 2025.
Volume 16, Number 5
Pages 703-705
Contributors
Matej Nosáľ, Fadi Sabateen, Pavel Valentík, Vladimír Soják
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 703-705, September 2025.
A 4-day-old, 3.7-kg neonate presented to our institution with a systolic heart murmur and signs of respiratory distress and was found to have a giant left atrial appendage aneurysm on transthoracic echocardiogram. Given the compression of the left …
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Historical, Cultural, and Structural Barriers for Cardiac Surgery in Sub-Saharan Africa: Lessons Learned From Angola
Published: June 26, 2025.
Volume 16, Number 5
Pages 674-682
Contributors
Valdano Manuel, Dominique Vervoort, Joaquim Gouveia, Frank Edwin, Jeffrey P. Jacobs
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 674-682, September 2025.
Cardiac surgery (CS) in sub-Saharan Africa (SSA) faces unique challenges that go beyond resource scarcity. Historical, cultural, and structural barriers continue to hinder the development of the specialty in SSA, impacting professional accreditation and …
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Response to Reader Comment on: Outcomes and Risk Factors for Morbidity and Mortality of Systemic-to-Pulmonary Shunts in a Tertiary Hospital in Thailand
Published: June 12, 2025.
Volume 16, Number 5
Pages 707-707
Contributors
Khunthorn Kadeetham, Piya Samankatiwat
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 707-707, September 2025.
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Reader Comment on: Outcomes and Risk Factors for Morbidity and Mortality of Systemic-to-Pulmonary Shunts in a Tertiary Hospital in Thailand
Published: June 12, 2025.
Volume 16, Number 5
Pages 706-706
Contributors
Dac-Dai Tran, Hoang-Long Vo, Ngoc-Thanh Le
World Journal for Pediatric and Congenital Heart Surgery, Volume 16, Issue 5, Page 706-706, September 2025.
