Clinical implications of respiratory ciliary dysfunction in heterotaxy patients with congenital heart disease: elevated risk of postoperative airway complications Article Swipe
Tingting Zhao
,
Xianghui Huang
,
Wei-Cheng Chen
,
Han Gao
,
Zhiyu Feng
,
Chaozhong Tan
,
Jingwei Sun
,
Xiaojing Ma
,
Weili Yan
,
Wei Sheng
,
Guoying Huang
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2023.1333277
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2023.1333277
Objective Cardiac surgery in Congenital Heart Disease-Heterotaxy (CHD-HTX) patients often leads to increased postoperative airway complications. Abnormal respiratory ciliary function, resembling primary ciliary dyskinesia, has been observed. We expanded the sample size by retrospectively reviewing Ciliary Dysfunction (CD) in CHD-HTX patients to verify the increased risk of post-surgical respiratory complications. Methods We conducted a retrospective review of 69 CHD-HTX patients undergoing cardiac surgery, assessing abnormal respiratory function using nasal nitric oxide (nNO) levels and nasal ciliary motion observed in video microscopy. Data collected included demographics, surgical details, postoperative complications, length of stay, ICU hours, salvage procedures, intubation duration, and mortality. Results The CD and no-CD cohorts exhibited notable similarities in risk adjustment in Congenital Heart Surgery-1 (RACHS-1) risk categories, age at the time of surgery, and the duration of follow-up evaluations. We observed a trend toward an increased length of post-operative stay in the CD group (15.0 vs. 14.0; P = 0.0017). CHD-HTX patients with CD showed significantly higher rates of respiratory complications (70% vs. 44.4%; P = 0.008). There were no notable variances observed in postoperative hospitalization duration, mechanical ventilation period, or surgical mortality. Conclusion Our findings suggest that CHD-HTX patients with CD may face an elevated risk of respiratory complications. These results offer guidance for perioperative management and serve as a reference for further pathological studies.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fcvm.2023.1333277
- https://www.frontiersin.org/articles/10.3389/fcvm.2023.1333277/pdf?isPublishedV2=False
- OA Status
- gold
- Cited By
- 1
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390884627
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390884627Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fcvm.2023.1333277Digital Object Identifier
- Title
-
Clinical implications of respiratory ciliary dysfunction in heterotaxy patients with congenital heart disease: elevated risk of postoperative airway complicationsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2024Year of publication
- Publication date
-
2024-01-15Full publication date if available
- Authors
-
Tingting Zhao, Xianghui Huang, Wei-Cheng Chen, Han Gao, Zhiyu Feng, Chaozhong Tan, Jingwei Sun, Xiaojing Ma, Weili Yan, Wei Sheng, Guoying HuangList of authors in order
- Landing page
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https://doi.org/10.3389/fcvm.2023.1333277Publisher landing page
- PDF URL
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https://www.frontiersin.org/articles/10.3389/fcvm.2023.1333277/pdf?isPublishedV2=FalseDirect link to full text PDF
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.frontiersin.org/articles/10.3389/fcvm.2023.1333277/pdf?isPublishedV2=FalseDirect OA link when available
- Concepts
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Medicine, Perioperative, Primary ciliary dyskinesia, Heart disease, Mechanical ventilation, Airway, Surgery, Anesthesia, Respiratory system, Cardiac surgery, Tracheotomy, Pulmonary function testing, Cardiology, Bronchiectasis, Internal medicine, LungTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2024: 1Per-year citation counts (last 5 years)
- References (count)
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.retrospectively | 33 |
| abstract_inverted_index.Disease-Heterotaxy | 6 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5066843240, https://openalex.org/A5110571292 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I200296433, https://openalex.org/I4210159329 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.62589827 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |