Congenital cardiac anomalies and white matter injury
Open accessAbstract
Cardiac abnormalities are the most common birth defects. Derangement of circulatory flow affects many vital organs; without proper supply of oxygenated blood, the brain is particularly vulnerable. Although surgical interventions have greatly reduced mortality rates, patients often suffer an array of neurological deficits throughout life. Neuroimaging provides a macroscopic assessment of brain injury and has shown that white matter (WM) is at risk. Oligodendrocytes and myelinated axons have been identified as major targets of WM injury, but still little is known about how congenital heart anomalies affect the brain at the cellular level. Further integration of animal model studies and clinical research will define novel therapeutic targets and new standards of care to prevent developmental delay associated with cardiac abnormalities.
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This suggests a link among abnormal cerebral haemodynamics, brain immaturity, and acquired white matter injury in critical congenital heart disease.
“This suggests a link among abnormal cerebral haemodynamics, brain immaturity, and acquired WMI in critical CHD.86”
From Neuroimaging, cardiovascular physiology, and functional outcomes in infants with congenital heart disease (2017) · cites this paper as [86]
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Hypothermic Circulatory Arrest Increases Permeability of the Blood Brain Barrier in Watershed Areas
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Self-citationOptimal flow rate for antegrade cerebral perfusion
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Neurodevelopmental Outcomes of the Child with Congenital Heart Disease
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Self-citationUbiquitin and Receptor-Dependent Mitophagy Pathways and Their Implication in Neurodegeneration
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Abnormal neurogenesis and cortical growth in congenital heart disease
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Cortical Dysmaturation in Congenital Heart Disease
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Self-citationAntenatal and Perioperative Mechanisms of Global Neurological Injury in Congenital Heart Disease
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Stinnett, G. R., Lin, S., Korotcov, A. V., Korotcova, L., Morton, P. D., Ramachandra, S. D., Pham, A., Kumar, S., Agematsu, K., Zurakowski, D., et al. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.117.005997 · Cited by 22 · see citing works
Self-citationNonapoptotic caspases in neural development and in anesthesia-induced neurotoxicity
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Self-citationImpact of Cardiopulmonary Bypass on Neurogenesis and Cortical Maturation
Dhari, Z., Leonetti, C., Lin, S., Prince, A., Howick, J. F., Zurakowski, D., Wang, P. C., Jonas, R. A., & Ishibashi, N. (2021) · Annals of Neurology · doi:10.1002/ana.26235 · Cited by 19 · see citing works
Self-citationDevelopmental Care Practice and Documentation Variability in the Cardiac ICU
Miller, T. A., Elhoff, J. J., Alexander, N. M., Butler, S., Uzark, K. C., Glotzbach, K. L., Mahle, W. T., & Lisanti, A. J. (2022) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000002881 · Cited by 15 · see citing works
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Hypoxia diminishes the protective function of white-matter astrocytes in the developing brain
Agematsu, K., Korotcova, L., Morton, P. D., Gallo, V., Jonas, R. A., & Ishibashi, N. (2015) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2015.08.076 · Cited by 12 · see citing works
Self-citationCognitive Impairment in Survivors of Pediatric Extracranial Solid Tumors and Lymphomas
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Sanz, J. H., Cox, S. M., Donofrio, M. T., Ishibashi, N., McQuillen, P. S., Peyvandi, S., & Schlatterer, S. D. (2023) · Child Neuropsychology · doi:10.1080/09297049.2023.2173162 · Cited by 11 · see citing works
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Cassidy, A. R., Bernstein, J. H., Bellinger, D. C., Newburger, J. W., & DeMaso, D. R. (2018) · The Clinical Neuropsychologist · doi:10.1080/13854046.2018.1503333 · Cited by 11 · see citing works
Hattori, K., Tago, K., Memezawa, S., Ochiai, A., Sawaguchi, S., Kato, Y., Sato, T., Tomizuka, K., Ooizumi, H., Ohbuchi, K., et al. (2021) · Medicines · doi:10.3390/medicines8020009 · Cited by 10 · see citing works
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Can Erythropoietin Reduce Hypoxemic Neurological Damages in Neonates With Congenital Heart Defects?
Ottolenghi, S., Milano, G., Dei, M., Findley, T. O., Paroni, R. C., & Corno, A. F. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.770590 · Cited by 7 · see citing works
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Expression of kinase-deficient MEK2 ameliorates Pelizaeus-Merzbacher disease phenotypes in mice
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Brain pathology in patients with congenital heart disease
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Cancer Neuroscience: Linking Neuronal Plasticity with Brain Tumor Growth and Resistance
Khafaga, D. S. R., Basem, Y., AlAtar, H. M., Sherif, A., Ata, A., Sabry, F., El-Morsy, M. T., & Attia, S. S. (2026) · Biology · doi:10.3390/biology15020108 · Cited by 3 · see citing works
Neurologic Disorders in Children With Heart Disease
Licht, D. J., Brandsema, J. F., Jacobwitz, M., von Rhein, M., Ehrler, M., & Latal, B. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-10944-7.00177-3 · Cited by 2 · see citing works
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Anomalies of Ventriculoarterial Connections and Immature Brain Development
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Neurologic Disorders in Children with Heart Disease
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Incidence of delayed psychomotor development in pediatric patients with congenital heart defectsPreprint
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Congenital Heart Disease and Neonatal Brain Injury
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Fetal MRI Reveals Altered Subplate Development in Congenital Heart DiseasePreprint
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- Authors
- Morton, P. D., Ishibashi, N., Jonas, R. A., & Gallo, V.
- Affiliations
- Children's National (US)
- Corresponding author
- Gallo, Vittorio
- Venue
- Trends in Neurosciences
- Publisher
- Elsevier BV
- Published
- 2015-06
- Volume
- 38
- Issue
- 6
- Pages
- 353-363
- ISSN
- 0166-2236 (ISSN-L)
- PMC
- PMC4461528
- OpenAlex
- W1983192965
- Cited by
- 55
- References
- 112
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 1 · 2023: 2 · 2022: 6 · 2021: 8 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 10 · 2016: 3 · 2015: 1
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Trends in Neurosciences (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL104173)
- National Institute of Neurological Disorders and Stroke (R01NS045702, R01NS056427)
- Topics
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
- Keywords
- congenital heart disease, white matter injury, hypoxic-ischemic brain injury, oligodendrocytes, myelinated axons, cerebral hypoxia, developmental delay
- MeSH terms
- Animals, Brain, Heart Defects, Congenital, Humans, White Matter
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