The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Brain magnetic resonance imaging abnormalities after the Norwood procedure using regional cerebral perfusion
Open accessAbstract
OBJECTIVES Neurologic deficits are common after the Norwood procedure for hypoplastic left heart syndrome. Because of the association of deep hypothermic circulatory arrest with adverse neurologic outcome, regional low-flow cerebral perfusion has been used to limit the period of intraoperative brain ischemia. To evaluate the effect of this technique on brain ischemia, we performed serial brain magnetic resonance imaging in a cohort of infants before and after the Norwood operation using regional cerebral perfusion. METHODS Twenty-two term neonates with hypoplastic left heart syndrome were studied with brain magnetic resonance imaging before and at a median of 9.5 days after the Norwood operation. Results were compared with preoperative, intraoperative, and postoperative risk factors to identify predictors of neurologic injury. RESULTS Preoperative magnetic resonance imaging (n = 22) demonstrated ischemic lesions in 23% of patients. Postoperative magnetic resonance imaging (n = 15) demonstrated new or worsened ischemic lesions in 73% of patients, with periventricular leukomalacia and focal ischemic lesions occurring most commonly. Prolonged low postoperative cerebral oximetry (<45% for >180 minutes) was associated with the development of new or worsened ischemia on postoperative magnetic resonance imaging (P = .029). CONCLUSIONS Ischemic lesions occur commonly in neonates with hypoplastic left heart syndrome before surgical intervention. Despite the adoption of regional cerebral perfusion, postoperative cerebral ischemic lesions are frequent, occurring in the majority of infants after the Norwood operation. Long-term follow-up is necessary to assess the functional effect of these lesions.
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Newburger, J. W., Jonas, R. A., Wernovsky, G., Wypij, D., Hickey, P. R., Kuban, K., Farrell, D. M., Holmes, G. L., Helmers, S. L., Constantinou, J., et al. (1993) · New England Journal of Medicine · doi:10.1056/nejm199310073291501 · Cited by 702
Bellinger, D. C., Wypij, D., duPlessis, A. J., Rappaport, L. A., Jonas, R. A., Wernovsky, G., & Newburger, J. W. (2003) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/s0022-5223(03)00711-6 · Cited by 681
Preoperative cerebral blood flow is diminished in neonates with severe congenital heart defects
Licht, D. J., Wang, J., Silvestre, D. W., Nicolson, S. C., Montenegro, L. M., Wernovsky, G., Tabbutt, S., Durning, S. M., Shera, D. M., Gaynor, J. W., et al. (2004) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2004.07.022 · Cited by 332
Shore, S., Nelson, D. P., Pearl, J. M., Manning, P. B., Wong, H., Shanley, T. P., Keyser, T., & Schwartz, S. M. (2001) · The American Journal of Cardiology · doi:10.1016/s0002-9149(01)01751-9 · Cited by 141 · cited 1×
“1524 The Journal of Thoracic and Cardiovascular Surgery ● Dec overall status, a preoperative inotropic score was calculated as the sum of all inotrope doses, correcting for potency.(15,16) Preoperative”
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Marino, B. S., Lipkin, P. H., Newburger, J. W., Peacock, G., Gerdes, M., Gaynor, J. W., Mussatto, K. A., Uzark, K., Goldberg, C. S., Johnson, W. H., et al. (2012) · Circulation · doi:10.1161/cir.0b013e318265ee8a · Cited by 1,608
Brain maturation is delayed in infants with complex congenital heart defects
Licht, D. J., Shera, D. M., Clancy, R. R., Wernovsky, G., Montenegro, L. M., Nicolson, S. C., Zimmerman, R. A., Spray, T. L., Gaynor, J. W., & Vossough, A. (2009) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2008.10.025 · Cited by 629
Temporal and anatomic risk profile of brain injury with neonatal repair of congenital heart defects
McQuillen, P. S., Barkovich, A. J., Hamrick, S. E. G., Perez, M., Ward, P., Glidden, D. V., Azakie, A., Karl, T., & Miller, S. P. (2007) · Stroke · doi:10.1161/01.str.0000247941.41234.90 · Cited by 379
Mahle, W. T., Newburger, J. W., Matherne, G. P., Smith, F. C., Hoke, T. R., Koppel, R., Gidding, S. S., Beekman, R. H., Grosse, S. D., & on behalf of the American Heart Association Congenital Heart Defects Committee of the Council on Cardiovascular Disease in the Young, C. O. C. N. (2009) · Pediatrics · doi:10.1542/peds.2009-1397 · Cited by 346
Andropoulos, D. B., Hunter, J. V., Nelson, D. P., Stayer, S. A., Stark, A. R., McKenzie, E. D., Heinle, J. S., Graves, D. E., & Fraser, C. D. (2010) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2009.08.022 · Cited by 318
Metadata
- Authors
- Dent, C. L., Spaeth, J. P., Jones, B. V., Schwartz, S. M., Glauser, T. A., Hallinan, B., Pearl, J. M., Khoury, P. R., & Kurth, C. D.
- Venue
- The Journal of Thoracic and Cardiovascular Surgery
- Publisher
- Elsevier BV
- Published
- 2005-12
- Volume
- 130
- Issue
- 6
- Pages
- 1523-1530
- ISSN
- 0022-5223 (ISSN-L)
- OpenAlex
- W2045372837
- Cited by
- 275
- References
- 4
- FWCI
- 7.42
- Type
- journal article
- Language
- en
- Status
- Retracted
- Open access
- bronze
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- Dent, C. L., Spaeth, J. P., Jones, B. V., Schwartz, S. M., Glauser, T. A., Hallinan, B., Pearl, J. M., Khoury, P. R., & Kurth, C. D. (2005). Brain magnetic resonance imaging abnormalities after the Norwood procedure using regional cerebral perfusion. The Journal of Thoracic and Cardiovascular Surgery. https://doi.org/10.1016/j.jtcvs.2005.07.051
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