OBJECTIVE: To a) describe superior mesenteric artery resistive index, as an estimate of perfusion, before and after modified Norwood; and b) assess incidence of diastolic flow reversal in the superior mesenteric artery before and after modified Norwood. DESIGN: Prospective observational trial. SETTING: Children's hospital pediatric intensive care unit. PATIENTS: Ten newborns with hypoplastic left heart syndrome. INTERVENTIONS: Ultrasound documentation of superior mesenteric artery diastolic flow direction and measurement of superior mesenteric artery resistive index 24-48 hrs before and 24-48 hrs after modified Norwood. MEASUREMENTS AND MAIN RESULTS: Seven males and three females were enrolled. There was no change between the superior mesenteric artery resistive index pre- vs. postoperatively-0.99 (95% confidence interval, 0.85, 1.12) vs. 1.07 (95% confidence interval, 1.0, 1.15) (p = .13). Incidence of retrograde diastolic blood flow in the superior mesenteric artery was not different pre- vs. postoperatively (70% vs. 50%, p = .41). No patients developed necrotizing enterocolitis and all survived to hospital discharge. CONCLUSIONS: Ultrasound measurements in neonates with hypoplastic left heart syndrome suggest that superior mesenteric artery perfusion, as measured by resistive index, is impaired. Superior mesenteric artery diastolic flow reversal is common before and immediately after modified Norwood.
OBJECTIVE: To a) describe superior mesenteric artery resistive index, as an estimate of perfusion, before and after modified Norwood; and b) assess incidence of diastolic flow reversal in the superior mesenteric artery before and after modified Norwood. DESIGN: Prospective observational trial. SETTING:Children's hospital pediatric intensive care unit. PATIENTS: Ten newborns with hypoplastic left heart syndrome. INTERVENTIONS: Ultrasound documentation of superior mesenteric artery diastolic flow direction and measurement of superior mesenteric artery resistive index 24-48 hrs before and 24-48 hrs after modified Norwood. MEASUREMENTS AND MAIN RESULTS: Seven males and three females were enrolled. There was no change between the superior mesenteric artery resistive index pre- vs. postoperatively-0.99 (95% confidence interval, 0.85, 1.12) vs. 1.07 (95% confidence interval, 1.0, 1.15) (p = .13). Incidence of retrograde diastolic blood flow in the superior mesenteric artery was not different pre- vs. postoperatively (70% vs. 50%, p = .41). No patients developed necrotizing enterocolitis and all survived to hospital discharge. CONCLUSIONS: Ultrasound measurements in neonates with hypoplastic left heart syndrome suggest that superior mesenteric artery perfusion, as measured by resistive index, is impaired. Superior mesenteric artery diastolic flow reversal is common before and immediately after modified Norwood.
Authors: Mathieu Dehaes; Henry H Cheng; Erin M Buckley; Pei-Yi Lin; Silvina Ferradal; Kathryn Williams; Rutvi Vyas; Katherine Hagan; Daniel Wigmore; Erica McDavitt; Janet S Soul; Maria Angela Franceschini; Jane W Newburger; P Ellen Grant Journal: Biomed Opt Express Date: 2015-11-09 Impact factor: 3.732
Authors: Scott L Weiss; Jeffrey G Gossett; Sunjay Kaushal; Deli Wang; Carl L Backer; Eric L Wald Journal: Pediatr Cardiol Date: 2010-12-25 Impact factor: 1.655
Authors: Kirby-Rose Carpenito; Regina Prusinski; Kristin Kirchner; Janet Simsic; Yongjie Miao; Wendy Luce; John P Cheatham; Mark Galantowicz; Carl H Backes; Clifford L Cua Journal: Pediatr Cardiol Date: 2016-02-26 Impact factor: 1.655
Authors: Carly J Scahill; Eric M Graham; Andrew M Atz; Scott M Bradley; Minoo N Kavarana; Sinai C Zyblewski Journal: World J Pediatr Congenit Heart Surg Date: 2017-01
Authors: Jillian C Trabulsi; S Y Irving; M A Papas; C Hollowell; C Ravishankar; B S Marino; B Medoff-Cooper; J I Schall; V A Stallings Journal: Pediatr Cardiol Date: 2015-06-21 Impact factor: 1.655
Authors: Jason N Johnson; Annette K Ansong; Jennifer S Li; Mingfen Xu; Jessica Gorentz; David A Hehir; Sylvia L del Castillo; Wyman W Lai; Karen Uzark; Sara K Pasquali Journal: Pediatr Cardiol Date: 2011-02-18 Impact factor: 1.655
Authors: Anthony F Rossi; Steven Fishberger; Robert L Hannan; Jo Ann Nieves; Juan Bolivar; Nancy Dobrolet; Redmond P Burke Journal: Pediatr Cardiol Date: 2008-11-15 Impact factor: 1.655