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Article ; Online: Biatrial reentrant tachycardia after surgery for congenital heart disease: Completing the circle with Mines on our mind.

Kanter, Ronald J / Hanfland, Robert

2021 Volume 18, Issue 11, Page(s) 1842–1843

MeSH term(s)	Heart Defects, Congenital/surgery ; Humans ; Tachycardia ; Tachycardia, Atrioventricular Nodal Reentry
Language	English
Publishing date	2021-07-17
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	2229357-7
ISSN	1556-3871 ; 1547-5271
ISSN (online)	1556-3871
ISSN	1547-5271
DOI	10.1016/j.hrthm.2021.07.037
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Article ; Online: Hypoplastic Left Heart Syndrome: The Case Against Palliative Surgery.

Erkonen, Gwen E / Hanfland, Robert A

The American journal of bioethics : AJOB

2017 Volume 17, Issue 7, Page(s) 71–72

MeSH term(s)	Cardiac Surgical Procedures/adverse effects ; Cardiac Surgical Procedures/ethics ; Contraindications ; Decision Making/ethics ; Humans ; Hypoplastic Left Heart Syndrome/psychology ; Hypoplastic Left Heart Syndrome/surgery ; Infant, Newborn ; Palliative Care/ethics ; Parental Consent/ethics ; Parents/education ; Parents/psychology ; Patient Education as Topic ; Quality of Life/psychology
Language	English
Publishing date	2017-06-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2060433-6
ISSN	1536-0075 ; 1526-5161
ISSN (online)	1536-0075
ISSN	1526-5161
DOI	10.1080/15265161.2017.1314053
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Book ; Online: The Lagrangian Atmospheric Radionuclide Transport Model (ARTM) – Sensitivity studies and evaluation using airborne measurements of power plant emissions

Hanfland, Robert / Brunner, Dominik / Voigt, Christiane / Fiehn, Alina / Roiger, Anke / Pattantyús-Ábrahám, Margit

eISSN:

2023

Abstract: The Atmospheric Radionuclide Transport Model (ARTM) operates at the meso-γ-scale and simulates the dispersion of radionuclides originating from nuclear facilities under routine operation within the planetary boundary layer. This study presents the ... ...

Abstract	The Atmospheric Radionuclide Transport Model (ARTM) operates at the meso-γ-scale and simulates the dispersion of radionuclides originating from nuclear facilities under routine operation within the planetary boundary layer. This study presents the extension and validation of this Lagrangian particle dispersion model and consists of three parts: i) a sensitivity study that aims to assess the impact of key input parameters on the simulation results; ii) the evaluation of the mixing prop- erties of five different turbulence models using the well-mixed criterion; and iii) a comparison of model results to airborne observations of carbon dioxide (CO 2 ) emissions from a power plant and the evaluation of related uncertainties. In the sensitiv- ity study, we analyse the effects of stability class, roughness length, zero-plane displacement factor and source height on the three-dimensional plume extent as well as the distance between source and maximum concentration at the ground. The results show that the stability class is the most sensitive input parameter as expected. The five turbulence models are the default turbu- lence models of ARTM 2.8.0 and ARTM 3.0.0, one alternative built-in turbulence model of ARTM and two further turbulence models implemented for this study. The well-mixed condition tests showed that all five turbulence models are able to preserve an initially well-mixed atmospheric boundary layer reasonably well. The models deviate only 6 % from the expected uniform concentration below 80 % of the mixing layer height except for the default turbulence model of ARTM 3.0.0 with deviations by up to 18 %, respectively. CO 2 observations along a flight path in the vicinity of the lignite power plant Bełchatów, Poland measured by the DLR Cessna aircraft during the CoMet campaign in 2018 allow to evaluate the model performance for the different turbulence models under unstable boundary layer conditions. All simulated mixing ratios are in the same order of magnitude as the airborne in situ data. An extensive ...
Subject code	551
Language	English
Publishing date	2023-03-16
Publishing country	de
Document type	Book ; Online
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Article ; Online: Impact of Cardiac Risk Factors in the Postsurgical Outcomes of Patients With Cleft Lip.

Goodenough, Christopher J / Anderson, Kathryn T / Cepeda, Alfredo / Smith, Kari E / Hanfland, Robert A / Wadhwa, Nitin / Teichgraeber, John F / Greives, Matthew R

The Journal of craniofacial surgery

2021 Volume 32, Issue 3, Page(s) 944–946

Abstract: Abstract: Congenital cardiac comorbidities represent a potentially elevated risk for complications in patients undergoing cleft lip repair. National databases, such as the National Surgical Quality Improvement Program Pediatric (NSQIP-P) allow for ... ...

Abstract	Abstract: Congenital cardiac comorbidities represent a potentially elevated risk for complications in patients undergoing cleft lip repair. National databases, such as the National Surgical Quality Improvement Program Pediatric (NSQIP-P) allow for analysis of large national datasets to assess these risks and potential complications. The aim of this study is to assess the risk of complications in patients undergoing cleft lip repair with congenital cardiac co-morbidities using the NSQIP-P.The 2012 to 2014 NSQIP-P databases were queried for patients undergoing cleft lip repair. Data abstracted for analysis included demographic, clinical, and outcomes data. Patients with cleft lip were stratified based on the presence or absence of congenital cardiac comorbidities. Univariate analysis and step-wise, forward logistic regression were performed to compare these groups.Nationally, between 2012 and 2014, 2126 patients underwent cleft lip repair, 227 with cardiac disease, and 1899 without cardiac disease. Weights were similar between the groups at the time of surgery, though patients with cardiac comorbidities were older. Postoperatively, cardiac disease patients were more likely to experience an adverse event. Specifically, they were more likely to experience reintubation, reoperation, longer length of stay, and death. Rates of surgical site infection and dehiscence were not different between the groups.This study demonstrates that cleft lip repair in patients with congenital heart defects is safe. However, patients undergoing cleft lip repair with comorbid congenital cardiac disease were more likely to experience adverse events. Cardiac patients require special preoperative evaluation before repair of their cleft lip, but do not appear to experience worse wound-related outcomes.
MeSH term(s)	Child ; Cleft Lip/complications ; Cleft Lip/surgery ; Cleft Palate/surgery ; Humans ; Infant ; Postoperative Complications/epidemiology ; Quality Improvement ; Reoperation ; Risk Factors ; Surgical Wound Infection
Language	English
Publishing date	2021-01-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	1159501-2
ISSN	1536-3732 ; 1049-2275
ISSN (online)	1536-3732
ISSN	1049-2275
DOI	10.1097/SCS.0000000000007349
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Article ; Online: Resuscitating the Chimney Graft to Innominate Artery for Straightforward Cannulation During Infancy.

Chen, Peter C / Dodge-Khatami, Jannika / Hanfland, Robert A / Sinha, Raina / Salazar, Jorge / Dodge-Khatami, Ali

The Annals of thoracic surgery

2020 Volume 109, Issue 5, Page(s) e379–e381

Abstract: Arterial cannulation with a chimney polytetrafluoroethylene graft to the innominate artery is commonly used for antegrade cerebral perfusion during neonatal aortic arch surgery. When properly retained and prepared before sternal closure, resuscitation of ...

Abstract	Arterial cannulation with a chimney polytetrafluoroethylene graft to the innominate artery is commonly used for antegrade cerebral perfusion during neonatal aortic arch surgery. When properly retained and prepared before sternal closure, resuscitation of the polytetrafluoroethylene graft to innominate artery can be performed months later during sternal reentry. It is a safe and reproducible technique for expeditious arterial cannulation at stage II palliation in single-ventricle patients or complete intracardiac repair of biventricular lesions. We report our experience utilizing this technique successfully during reoperation in 90 of 92 patients, with no adverse thromboembolic events identified.
MeSH term(s)	Aorta, Thoracic/abnormalities ; Aorta, Thoracic/surgery ; Blood Vessel Prosthesis Implantation/methods ; Brachiocephalic Trunk/surgery ; Brain/blood supply ; Catheterization/methods ; Humans ; Infant, Newborn ; Norwood Procedures ; Palliative Care ; Polytetrafluoroethylene ; Postoperative Complications/prevention & control ; Reoperation ; Thromboembolism/prevention & control
Chemical Substances	Polytetrafluoroethylene (9002-84-0)
Language	English
Publishing date	2020-01-24
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	211007-6
ISSN	1552-6259 ; 0003-4975
ISSN (online)	1552-6259
ISSN	0003-4975
DOI	10.1016/j.athoracsur.2019.11.053
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Article ; Online: Impact of Cardiac Risk Factors in the Postsurgical Outcomes of Patients With Cleft Palate: Analysis of the 2012-2014 NSQIP Database.

Goodenough, Christopher J / Anderson, Kathryn T / Smith, Kari E / Hanfland, Robert A / Wadhwa, Nitin / Teichgraeber, John F / Greives, Matthew R

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

2018 Volume 56, Issue 5, Page(s) 595–600

Abstract: Objective: To assess the risk of complication in patients undergoing cleft palate repair with congenital cardiac comorbidities in a large, national cohort.: Design: Retrospective review.: Patients/setting: Using the 2012-2014 National Surgical ... ...

Abstract	Objective: To assess the risk of complication in patients undergoing cleft palate repair with congenital cardiac comorbidities in a large, national cohort. Design: Retrospective review. Patients/setting: Using the 2012-2014 National Surgical Quality Improvement Program (NSQIP) Pediatric database, patients undergoing cleft palate repair were selected for analysis. Patients with cleft palate repairs were stratified based on the presence or absence congenital cardiac comorbidities. Univariate and stepwise forward logistic regression were conducted. Main outcome measures: It is hypothesized that risk of postoperative adverse events in patients with congenital cardiac comorbidities is higher than in patients without cardiac disease. Results: Nationally, between 2012 and 2014, 3240 patients underwent cleft palate repair, 422 (13.0%) with cardiac disease, and 2818 (87.0%) without cardiac disease. Patients with cardiac disease were smaller (10.5 [6.6] kg vs 11.6 [8.6] kg, P < .01) and more likely to be premature (4.6% vs 13.0%, P < .01) compared to those without cardiac disease. Postoperatively, patients with cardiac conditions were more likely to experience an adverse event (8.8% vs 4.2%, P < .01). Specifically, they were more likely to experience reintubation (1.7% vs 0.4%, P < .01), reoperation (2.1% vs 0.6%, P < .01), and longer length of stay (2.7 [7.0] vs 1.6 [2.8] days, P < .01). Rates of surgical site infection and dehiscence were not different. Conclusions: Cleft palate repair in patients with concurrent congenital cardiac defects is a safe procedure but carries elevated risk in the postoperative period as demonstrated in this analysis of the NSQIP-Pediatric database. Technical risks are equivalent. Additional anesthesia and surgical awareness of these potential complications is essential to minimize perianesthesia risks.
MeSH term(s)	Child ; Cleft Palate/surgery ; Heart Diseases ; Humans ; Postoperative Complications ; Quality Improvement ; Reoperation ; Retrospective Studies ; Risk Factors ; Treatment Outcome
Language	English
Publishing date	2018-09-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	1069409-2
ISSN	1545-1569 ; 0009-8701 ; 1055-6656
ISSN (online)	1545-1569
ISSN	0009-8701 ; 1055-6656
DOI	10.1177/1055665618799224
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Article ; Online: Airway evaluation in children with single ventricle cardiac physiology.

Ting, Jose / Roy, Soham / Navuluri, Sriram / Hanfland, Robert / Mulcahy, Lauren / Yuksel, Sancak / Huang, Zhen / Jiang, Zi Yang

International journal of pediatric otorhinolaryngology

2018 Volume 111, Page(s) 115–118

Abstract: Objective: Children with single ventricle cardiac physiology (SVC) often require airway procedures as an adjunct to their care. Descriptive analysis with a focus on outcomes of airway procedures in SVC patients have not been fully described in the ... ...

Abstract	Objective: Children with single ventricle cardiac physiology (SVC) often require airway procedures as an adjunct to their care. Descriptive analysis with a focus on outcomes of airway procedures in SVC patients have not been fully described in the literature. Methods: Retrospective, single-center cohort review of 270 patients born between Aug-2007 and Jan-2017. Patients were identified by cardiac database for single ventricle pathophysiology. A subset of these patients were identified to have been evaluated by otolaryngology with airway evaluations and/or interventions. Results: 88/270 patients (32.6%) required investigation or intervention for airway pathology. The most frequent procedure was flexible fiberoptic laryngoscopy (58/88 patients); it was the only procedure performed in 40 patients. Seventeen patients required tracheostomies with an associated increased length of stay (p < 0.001). Patients with cardiac procedures involving dissection around the aortic arch were considered higher airway risk due to the threat of recurrent laryngeal nerve injury, and were more likely to have vocal cord paralysis (58%) compared to patients with lower risk procedures (21%; p < 0.001). However, on multivariate logistic regression, vocal cord paralysis did not statistically impact the odds for tracheostomy placement, although the presence of subglottic stenosis increased the odds ratio of tracheostomy by 14.7 (p = 0.02). Conclusions: Children with SVC often require airway evaluation and intervention. Patients with high risk cardiac procedures had a higher risk of recurrent laryngeal nerve injury but the presence of subglottic stenosis was the best predictor for a tracheostomy. This study represents one of the largest series of SVC children evaluated for airway pathology.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Female ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/surgery ; Heart Ventricles/abnormalities ; Heart Ventricles/surgery ; Humans ; Infant ; Infant, Newborn ; Laryngoscopy/statistics & numerical data ; Laryngostenosis/epidemiology ; Laryngostenosis/etiology ; Logistic Models ; Male ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Recurrent Laryngeal Nerve Injuries/epidemiology ; Recurrent Laryngeal Nerve Injuries/etiology ; Retrospective Studies ; Risk Factors ; Tracheostomy/statistics & numerical data ; Vocal Cord Paralysis/epidemiology ; Vocal Cord Paralysis/etiology
Language	English
Publishing date	2018-06-05
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	754501-0
ISSN	1872-8464 ; 0165-5876
ISSN (online)	1872-8464
ISSN	0165-5876
DOI	10.1016/j.ijporl.2018.06.004
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Article ; Online: Multimodality lymphatic imaging of postoperative chylothorax in an infant with Noonan syndrome: a case report.

Pham, Kay T / Balaguru, Duraisamy / Tammisetti, Varaha S / Guevara, Carlos J / Rasmussen, John C / Zvavanjanja, Rodrick C / Hanfland, Robert / Sevick-Muraca, Eva M / Aldrich, Melissa B

European journal of medical research

2020 Volume 25, Issue 1, Page(s) 55

Abstract: Background: Chylothorax is a rare complication of pediatric cardiac operations that occurs more frequently in children with Noonan syndrome, a genetic disorder associated with cardiac defects and lymphatic anomalies.: Case presentation: We report a ... ...

Abstract	Background: Chylothorax is a rare complication of pediatric cardiac operations that occurs more frequently in children with Noonan syndrome, a genetic disorder associated with cardiac defects and lymphatic anomalies. Case presentation: We report a case of postoperative chylothorax in a 6-month-old infant with Noonan syndrome where multimodality lymphatic imaging guided management was followed. Drainage patterns of the lymphatic capillaries in the lower and upper extremities were visualized during near-infrared fluorescence lymphatic imaging (NIRFLI). Dynamic magnetic resonance lymphangiography (MRL) further identified the site of leakage in the thoracic duct and subsequently guided surgical intervention. Conclusions: Application of multimodality imaging allows for greater individualization of treatment and should be considered in patients with complex cases such as those with syndromes associated with a higher incidence of chylothorax. IRB Number: HSC-MS-13-0754, December 10, 2013.
MeSH term(s)	Chylothorax/diagnostic imaging ; Female ; Humans ; Infant ; Lymphatic Vessels/diagnostic imaging ; Lymphedema/complications ; Lymphedema/diagnostic imaging ; Lymphography/methods ; Multimodal Imaging/methods ; Noonan Syndrome/complications ; Noonan Syndrome/diagnostic imaging ; Noonan Syndrome/surgery ; Postoperative Complications/diagnostic imaging
Language	English
Publishing date	2020-11-04
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	1329381-3
ISSN	2047-783X ; 0949-2321
ISSN (online)	2047-783X
ISSN	0949-2321
DOI	10.1186/s40001-020-00455-w
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Book ; Online: Evaluation of simulated CO2 power plant plumes from six high-resolution atmospheric transport models

Brunner, Dominik / Kuhlmann, Gerrit / Henne, Stephan / Koene, Erik / Kern, Bastian / Wolff, Sebastian / Voigt, Christiane / Jöckel, Patrick / Kiemle, Christoph / Roiger, Anke / Fiehn, Alina / Krautwurst, Sven / Gerilowski, Konstantin / Bovensmann, Heinrich / Borchardt, Jakob / Galkowski, Michal / Gerbig, Christoph / Marshall, Julia / Klonecki, Andrzej /

Prunet, Pascal / Hanfland, Robert / Pattantyús-Ábrahám, Margit / Wyszogrodzki, Andrzej / Fix, Andreas

eISSN: 1680-7324

2023

Abstract: Power plants and large industrial facilities contribute more than half of global anthropogenic CO 2 emissions. Quantifying the emissions of these point sources is therefore one of the main goals of the planned constellation of anthropogenic CO 2 ... ...

Abstract	Power plants and large industrial facilities contribute more than half of global anthropogenic CO 2 emissions. Quantifying the emissions of these point sources is therefore one of the main goals of the planned constellation of anthropogenic CO 2 monitoring satellites (CO2M) of the European Copernicus program. Atmospheric transport models may be used to study the capabilities of such satellites through observing system simulation experiments and to quantify emissions in an inverse modeling framework. How realistically the CO 2 plumes of power plants can be simulated and how strongly the results may depend on model type and resolution, however, is not well known due to a lack of observations available for benchmarking. Here, we use the unique data set of aircraft in situ and remote sensing observations collected during the CoMet (Carbon Dioxide and Methane Mission) measurement campaign downwind of the coal-fired power plants at Bełchatów in Poland and Jänschwalde in Germany in 2018 to evaluate the simulations of six different atmospheric transport models. The models include three large-eddy simulation (LES) models, two mesoscale numerical weather prediction (NWP) models extended for atmospheric tracer transport, and one Lagrangian particle dispersion model (LPDM) and cover a wide range of model resolutions from 200 m to 2 km horizontal grid spacing. At the time of the aircraft measurements between late morning and early afternoon, the simulated plumes were slightly (at Jänschwalde) to highly (at Bełchatów) turbulent, consistent with the observations, and extended over the whole depth of the atmospheric boundary layer (ABL; up to 1800 m a.s.l. (above sea level) in the case of Bełchatów). The stochastic nature of turbulent plumes puts fundamental limitations on a point-by-point comparison between simulations and observations. Therefore, the evaluation focused on statistical properties such as plume amplitude and width as a function of distance from the source. LES and NWP models showed similar performance and ...
Subject code	551
Language	English
Publishing date	2023-02-27
Publishing country	de
Document type	Book ; Online
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Article ; Online: Cardiac Injury After All-Terrain Vehicle Accidents in 2 Children and a Review of the Literature.

Ngo, Kimberly D / Pian, Phillip / Hanfland, Robert / Nichols, Christopher S / Merritt, Glenn R / Campbell, David / Ing, Richard J

Pediatric emergency care

2016 Volume 32, Issue 7, Page(s) 468–471

Abstract: All-terrain vehicle (ATV) accidents leading to severe morbidity and mortality are common. At our institution, 2 children presented within weeks of each other after ATV accidents. Both children required cardiac valve surgery. The surgical management of ... ...

Abstract	All-terrain vehicle (ATV) accidents leading to severe morbidity and mortality are common. At our institution, 2 children presented within weeks of each other after ATV accidents. Both children required cardiac valve surgery. The surgical management of these 2 children is discussed, and the literature is reviewed. On initial patient presentation, the diagnosis of a ruptured cardiac valve or ventricular septal defect (VSD) associated with these types of accidents is often delayed. We propose that patients presenting with evidence of high-energy blunt thoracic trauma after an ATV accident should undergo an electrocardiogram, cardiac enzyme assessment, and cardiac echocardiogram as part of the initial work-up to rule out significant myocardial injury.
MeSH term(s)	Adolescent ; Biomarkers/blood ; Cardiopulmonary Bypass ; Child ; Diagnosis, Differential ; Echocardiography ; Electrocardiography ; Heart Injuries/diagnosis ; Heart Injuries/etiology ; Heart Injuries/surgery ; Humans ; Male ; Mitral Valve/injuries ; Mitral Valve/surgery ; Off-Road Motor Vehicles ; Pacemaker, Artificial ; Tricuspid Valve/injuries ; Tricuspid Valve/surgery
Chemical Substances	Biomarkers
Language	English
Publishing date	2016-07
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	632588-9
ISSN	1535-1815 ; 0749-5161
ISSN (online)	1535-1815
ISSN	0749-5161
DOI	10.1097/PEC.0000000000000556
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