Kimberlee Gauvreau
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View article: Foster Care Status as an Understudied Social Driver of Health Outcomes for Children Needing Cardiac Surgery
Foster Care Status as an Understudied Social Driver of Health Outcomes for Children Needing Cardiac Surgery Open
Background Children and youth in foster care (CYFC) are known to have greater health care needs than children not in foster care; however, little is known about the outcomes among those with heart disease. Methods This single‐center, retro…
View article: Prolonged Length of Stay After Elective Same-Day Admissions for Pediatric or Congenital Cardiac Catheterizations: A Potential Measure for Procedural Harm
Prolonged Length of Stay After Elective Same-Day Admissions for Pediatric or Congenital Cardiac Catheterizations: A Potential Measure for Procedural Harm Open
Prolonged admission after outpatient catheterization is a potential alternative measure of safety after pediatric or congenital cardiac catheterization. It is independently associated not only with patient, procedure, and operator factors …
View article: Annulus downsizing in valve-sparing aortic root replacement predicts aortic valve reoperation in children and young adults
Annulus downsizing in valve-sparing aortic root replacement predicts aortic valve reoperation in children and young adults Open
Valve-sparing root replacement is safe and effective for aortic root aneurysms in children and young adults. Early arrhythmias, recurrent regurgitation, and midterm reoperation remain concerns. Graft upsizing or leaflet modification should…
View article: Aortic valve repair using aortic wall as leaflet patch material in children
Aortic valve repair using aortic wall as leaflet patch material in children Open
Pediatric AVr using AW as leaflet patch material has similar short-term outcomes as AP. Given the potential advantages of using a living autologous cardiovascular material, AW patches for AVr may demonstrate superior valve performance and …
View article: Fate of Discarded Hearts Donated After Circulatory Death: Is There an Opportunity for Novel Use?
Fate of Discarded Hearts Donated After Circulatory Death: Is There an Opportunity for Novel Use? Open
View article: Mid-term ventricular function in patients with tetralogy of Fallot after transcatheter pulmonary valve replacement: Relationship to baseline right ventricular loading conditions
Mid-term ventricular function in patients with tetralogy of Fallot after transcatheter pulmonary valve replacement: Relationship to baseline right ventricular loading conditions Open
Patients with PR had lower LV systolic function and exercise capacity than those with PS or MIXED prior TPVR with normalization of systolic function midterm in all thereafter. Overall, about 1 in 8 remained free from reintervention after 1…
View article: Donor History of Drug Use and Graft Survival in Pediatric Heart Transplant Recipients
Donor History of Drug Use and Graft Survival in Pediatric Heart Transplant Recipients Open
Importance Older children awaiting a heart transplant (HT) sometimes receive a heart offer from a donor with a history of drug use (HDU). The effect of using such donor hearts on posttransplant survival in pediatric recipients is unclear. …
View article: Comparative Congenital Cardiac Catheterization Registry Analysis From the United States and Low- and Middle-Income Countries
Comparative Congenital Cardiac Catheterization Registry Analysis From the United States and Low- and Middle-Income Countries Open
View article: Electrocardiographic Changes in Pregnant Patients With Congenital Heart Disease
Electrocardiographic Changes in Pregnant Patients With Congenital Heart Disease Open
Background Electrocardiograms (EKGs) are routinely performed in pregnant patients with pre‐existing cardiovascular disease. However, in pregnant patients with congenital heart disease (CHD), EKG changes during gestation have not been explo…
View article: Association between procedure duration and adverse events in congenital cardiac catheterization
Association between procedure duration and adverse events in congenital cardiac catheterization Open
Background: Procedure duration is an important predictor of patient outcomes in surgery. However, the relationship between procedure duration and adverse events in congenital cardiac catheterization is largely unexplored. Methods: All case…
View article: Congenital Cardiac Catheterization Risk Assessment in Infants Under 2.5kg
Congenital Cardiac Catheterization Risk Assessment in Infants Under 2.5kg Open
Background: Premature and small-for-gestational-age neonates with congenital heart disease increasingly require congenital cardiac catheterization (CCC). These patients present unique procedural and patient-specific risks that standard ris…
View article: Propensity Score Analysis of Possible Medication Effects on Outcomes in Patients With Systemic Right Ventricles
Propensity Score Analysis of Possible Medication Effects on Outcomes in Patients With Systemic Right Ventricles Open
View article: Associations With Adverse Postoperative Outcomes in Children Undergoing Atrial Septal Defect Closure in Lower-Resource Settings
Associations With Adverse Postoperative Outcomes in Children Undergoing Atrial Septal Defect Closure in Lower-Resource Settings Open
High-quality surgical programs in low- and middle-income countries experienced an over 5-fold reduction in in-hospital mortality and an over 2-fold reduction of infection after ASD surgery over the past decade, with rates now comparable to…
View article: Socioeconomic Status and Major Adverse Transplant Events in Pediatric Heart Transplant Recipients
Socioeconomic Status and Major Adverse Transplant Events in Pediatric Heart Transplant Recipients Open
Importance Low socioeconomic status (SES) has been associated with higher risk of rejection and graft loss in pediatric heart transplant (HT) recipients. The association of SES with other posttransplant morbidities is unknown. Objective To…
View article: Exercise testing in clinical context: Reference ranges for interpreting anaerobic threshold as an outcome for congenital heart disease patients
Exercise testing in clinical context: Reference ranges for interpreting anaerobic threshold as an outcome for congenital heart disease patients Open
The baseline distribution of reported VAT is relatively broad, varied by units, and was not explained by differences in rater experience or test modality, but varies by patient factors. When evaluating clinical relevance, a change in the V…
View article: Preoperative Echocardiographically Derived Mean dP/dTic Predicts Early Post-operative Dysfunction in Children Undergoing Mitral Valve Surgery
Preoperative Echocardiographically Derived Mean dP/dTic Predicts Early Post-operative Dysfunction in Children Undergoing Mitral Valve Surgery Open
View article: Preoperative Malnutrition Increases Risk of In‐Hospital Mortality, Major Infection, and Longer Intensive Care Unit Stay After Ventricular Septal Defect Closure
Preoperative Malnutrition Increases Risk of In‐Hospital Mortality, Major Infection, and Longer Intensive Care Unit Stay After Ventricular Septal Defect Closure Open
Background High energy requirements and poor feeding can lead to growth failure in patients with ventricular septal defect (VSD), but effects of preoperative malnutrition on surgical outcomes are poorly understood, especially in low‐resour…
View article: OR1-3 | A Multicenter Predictive Model for Clinically Meaningful Adverse Events in Pediatric Patients Undergoing Transcatheter Pulmonary Vein Interventions
OR1-3 | A Multicenter Predictive Model for Clinically Meaningful Adverse Events in Pediatric Patients Undergoing Transcatheter Pulmonary Vein Interventions Open
Pulmonary vein stenosis (PVS) in pediatric patients, a condition requiring frequent transcatheter palliative interventions with high morbidity and mortality, necessitates development of a multicenter predictive model for clinically meaning…
View article: B-5 | Incidence of Anesthesia Related Adverse Events with Increasing PREDICT Risk Category in Congenital Cardiac Catheterization: A Review of the C3PO Database
B-5 | Incidence of Anesthesia Related Adverse Events with Increasing PREDICT Risk Category in Congenital Cardiac Catheterization: A Review of the C3PO Database Open
View article: Preoperative Echocardiographically Derived Mean dP/dTic Predicts Early Post-operative Dysfunction in Children Undergoing Mitral Valve Surgery
Preoperative Echocardiographically Derived Mean dP/dTic Predicts Early Post-operative Dysfunction in Children Undergoing Mitral Valve Surgery Open
Background Mean dP/dtic is a quantitative measurement of ventricular function that can be obtained noninvasively by echocardiography. In adults with mitral regurgitation (MR) it has been shown to be a more sensitive predictor of…
View article: Premature ventricular contractions in children and young adults: natural history and clinical implications
Premature ventricular contractions in children and young adults: natural history and clinical implications Open
View article: Early and long-term outcomes following cardiac surgery for patients with heterotaxy syndrome
Early and long-term outcomes following cardiac surgery for patients with heterotaxy syndrome Open
View article: Impact of a positive crossmatch on pediatric heart transplant outcomes
Impact of a positive crossmatch on pediatric heart transplant outcomes Open
View article: Social Determinants of Health Including Child Opportunity Index Leading to Gaps in Care for Patients With Significant Congenital Heart Disease
Social Determinants of Health Including Child Opportunity Index Leading to Gaps in Care for Patients With Significant Congenital Heart Disease Open
Background Gaps in care (GIC) are common for patients with congenital heart disease (CHD) and can lead to worsening clinical status, unplanned hospitalization, and mortality. Understanding of how social determinants of health (SDOH) contri…
View article: Growth of the right ventricular outflow tract in repaired tetralogy of Fallot: A longitudinal CMR study
Growth of the right ventricular outflow tract in repaired tetralogy of Fallot: A longitudinal CMR study Open
All parameters of RVOT size continued to grow with increasing age but growth was more rapid in the decade after TOF repair (for minimum systolic diameter, mean increase of 5.7 mm per 10 years up to year 12, subsequently 2.3 mm per 10 years…
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Table of Contents Open
View article: Impact of pre-bypass ultrafiltration on prime values and clinical outcomes in neonatal and infant cardiopulmonary bypass
Impact of pre-bypass ultrafiltration on prime values and clinical outcomes in neonatal and infant cardiopulmonary bypass Open
Background : A standard blood prime for cardiopulmonary bypass (CPB) in congenital cardiac surgery may possess non-physiologic values for electrolytes, glucose, and lactate. Pre-bypass Ultrafiltration (PBUF) can make these values more phys…
View article: Prospective randomized controlled trial of the safety and feasibility of a novel mesenchymal precursor cell therapy in hypoplastic left heart syndrome
Prospective randomized controlled trial of the safety and feasibility of a novel mesenchymal precursor cell therapy in hypoplastic left heart syndrome Open
View article: Mobile Cardiac Telemetry Use to Predict Adverse Pregnancy Outcomes in Patients With Congenital Heart Disease
Mobile Cardiac Telemetry Use to Predict Adverse Pregnancy Outcomes in Patients With Congenital Heart Disease Open
Patients with CHD had a high rate of positive MCT findings. This was associated with CSAE and adverse maternal cardiac outcomes. Patients with ≥moderate CHD complexity may benefit from screening MCT to improve preconceptual counseling and …
View article: Analysis of perioperative and long-term outcomes among presentations of anomalous left coronary artery from the pulmonary artery diagnosed beyond infancy versus during infancy
Analysis of perioperative and long-term outcomes among presentations of anomalous left coronary artery from the pulmonary artery diagnosed beyond infancy versus during infancy Open
Background Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) typically presents in infancy; however, there are cases of patients who survive the infant period and present later in life. We aimed to characterize patients wit…