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  1. Article ; Online: Searching for modifiable risk factors for neurodevelopment in congenital heart disease: Lessons from the Giessen/Zurich hypoplastic left heart syndrome experience.

    Seed, Mike

    International journal of cardiology

    2019  Volume 291, Page(s) 50–51

    MeSH term(s) Brain ; Child, Preschool ; Heart Defects, Congenital ; Humans ; Hypoplastic Left Heart Syndrome ; Norwood Procedures ; Risk Factors
    Language English
    Publishing date 2019-05-20
    Publishing country Netherlands
    Document type Editorial ; Comment
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2019.05.038
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  2. Article ; Online: Prenatal Diagnosis and Management of Single-Ventricle Heart Disease.

    Freud, Lindsay R / Seed, Mike

    The Canadian journal of cardiology

    2022  Volume 38, Issue 7, Page(s) 897–908

    Abstract: In the current era, most single-ventricle heart disease (SVHD) is diagnosed prenatally by means of fetal echocardiography. Disparities exist, however, by socioeconomic status and remote location, which require further attention. Prenatal diagnosis ... ...

    Abstract In the current era, most single-ventricle heart disease (SVHD) is diagnosed prenatally by means of fetal echocardiography. Disparities exist, however, by socioeconomic status and remote location, which require further attention. Prenatal diagnosis affords the opportunity to counsel expectant parents regarding the life-long course of children with SVHD, including the stages of single-ventricle palliation and challenges of the Fontan circulation; to discuss pregnancy management options; and to optimise delivery planning and perinatal care. Prognosis may be refined by specific features on the fetal echocardiogram, such as ventricular morphology, total anomalous pulmonary venous return, and atrioventricular valve regurgitation. Expectant mothers should be referred for evaluation of extracardiac anomalies and/or a genetic syndrome, which also significantly affect outcome. Fetuses with SVHD should be cared for by a multidisciplinary team and ideally delivered at term at or near a cardiac surgical center. Serial echocardiograms refine the anticipated postnatal physiology to optimise transitional care, including the need for prostaglandin or urgent atrial septal intervention in fetuses with hypoplastic left heart syndrome. In selected patients, there may be a role for fetal cardiac intervention to improve mortality or achieve a biventricular circulation after birth. Together, these strategies enhance the preoperative status of the neonate. Recent advances in fetal cardiovascular magnetic resonance imaging have focused on studying the relationships between cardiovascular physiology and fetal growth and development. These novel techniques allow for the exploration of the physiologic effects of SVHD on the brain and open avenues for the investigation of neuroprotective therapies.
    MeSH term(s) Child ; Echocardiography ; Female ; Fetal Heart ; Fetus ; Fontan Procedure ; Humans ; Hypoplastic Left Heart Syndrome/diagnostic imaging ; Hypoplastic Left Heart Syndrome/surgery ; Infant, Newborn ; Pregnancy ; Prenatal Diagnosis/methods ; Retrospective Studies ; Ultrasonography, Prenatal
    Language English
    Publishing date 2022-04-13
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 632813-1
    ISSN 1916-7075 ; 0828-282X
    ISSN (online) 1916-7075
    ISSN 0828-282X
    DOI 10.1016/j.cjca.2022.04.003
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  3. Article ; Online: In Utero Brain Growth Matters for Fetuses With Congenital Heart Disease.

    Seed, Mike / Limperopoulos, Catherine

    Circulation

    2022  Volume 145, Issue 15, Page(s) 1120–1122

    MeSH term(s) Brain/diagnostic imaging ; Female ; Fetus ; Heart Defects, Congenital/diagnostic imaging ; Heart Defects, Congenital/therapy ; Humans ; Pregnancy ; Ultrasonography, Prenatal
    Language English
    Publishing date 2022-04-11
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.122.058683
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  4. Article ; Online: In Utero Brain Development in Fetuses With Congenital Heart Disease: Another Piece of the Jigsaw Provided by Blood Oxygen Level-Dependent Magnetic Resonance Imaging.

    Seed, Mike

    Circulation. Cardiovascular imaging

    2017  Volume 10, Issue 11, Page(s) e007181

    MeSH term(s) Brain ; Fetus ; Heart Defects, Congenital ; Humans ; Magnetic Resonance Imaging ; Magnetic Resonance Spectroscopy ; Oxygen
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2017-11-14
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2435045-X
    ISSN 1942-0080 ; 1941-9651
    ISSN (online) 1942-0080
    ISSN 1941-9651
    DOI 10.1161/CIRCIMAGING.117.007181
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  5. Article ; Online: A Life-Course Approach to the Neurodevelopmental Trajectory of Congenital Heart Disease.

    Seed, Mike / Miller, Steven P

    Circulation

    2021  Volume 143, Issue 9, Page(s) 892–894

    MeSH term(s) Heart Defects, Congenital/diagnosis ; Humans ; Magnetic Resonance Imaging
    Language English
    Publishing date 2021-03-01
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.120.052436
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  6. Article ; Online: Antenatal diagnosis, neonatal brain volumes, and neurodevelopment in transposition of the great arteries.

    Selvanathan, Thiviya / Mabbott, Connor / Au-Young, Stephanie H / Seed, Mike / Miller, Steven P / Chau, Vann

    Developmental medicine and child neurology

    2024  

    Abstract: Aim: To examine whether antenatal diagnosis modifies relationships between neonatal brain volumes and 18-month neurodevelopmental outcomes in children with transposition of the great arteries (TGA).: Method: In a retrospective cohort of 139 children ... ...

    Abstract Aim: To examine whether antenatal diagnosis modifies relationships between neonatal brain volumes and 18-month neurodevelopmental outcomes in children with transposition of the great arteries (TGA).
    Method: In a retrospective cohort of 139 children with TGA (77 antenatally diagnosed), we obtained total brain volumes (TBVs) on pre- (n = 102) and postoperative (n = 112) magnetic resonance imaging. Eighteen-month neurodevelopmental outcomes were assessed using the Bayley Scales of Infant and Toddler Development, Third Edition. Generalized estimating equations with interaction terms were used to determine whether antenatal diagnosis modified associations between TBVs and neurodevelopmental outcomes accounting for postmenstrual age at scan, brain injury, and ventricular septal defect.
    Results: Infants with postnatal diagnosis had more preoperative hypotension (35% vs 14%, p = 0.004). The interactions between antenatal diagnosis and TBVs were significantly related to cognitive (p = 0.003) outcomes. Specifically, smaller TBVs were associated with lower cognitive scores in infants diagnosed postnatally; this association was attenuated in those diagnosed antenatally.
    Interpretation: Antenatal diagnosis modifies associations between neonatal brain volume and 18-month cognitive outcome in infants with TGA. These findings suggest that antenatal diagnosis may be neuroprotective, possibly through improved preoperative clinical status. These data highlight the need to improve antenatal diagnosis rates.
    Language English
    Publishing date 2024-01-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 80369-8
    ISSN 1469-8749 ; 0012-1622
    ISSN (online) 1469-8749
    ISSN 0012-1622
    DOI 10.1111/dmcn.15840
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  7. Article ; Online: Recent advances in multimodal imaging in tetralogy of fallot and double outlet right ventricle.

    Singh, Aakansha Ajay Vir / Yoo, Shi-Joon / Seed, Mike / Lam, Christopher Z / Valverde, Israel

    Current opinion in cardiology

    2024  

    Abstract: Purpose of review: In the ever-evolving field of medical imaging, this review highlights significant advancements in preoperative and postoperative imaging for Tetralogy of Fallot (TOF) and double outlet right ventricle (DORV) over the past 18 months.!## ...

    Abstract Purpose of review: In the ever-evolving field of medical imaging, this review highlights significant advancements in preoperative and postoperative imaging for Tetralogy of Fallot (TOF) and double outlet right ventricle (DORV) over the past 18 months.
    Recent findings: This review showcases innovations in echocardiography such as 3D speckle tracking echocardiography (3DSTE) for assessing right ventricle-pulmonary artery coupling (RVPAC) and Doppler velocity reconstruction (DoVeR) for intracardiac flow fields evaluation. Furthermore, advances in assessment of cardiovascular anatomy using computed tomography (CT) improve the integration of imaging in ablation procedures. Additionally, the inclusion of cardiac magnetic resonance (CMR) parameters as risk score predictors for morbidity, and mortality and for timing of pulmonary valve replacement (PVR) indicates its significance in clinical management. The utilization of 4D flow techniques for postoperative hemodynamic assessment promises new insights into pressure mapping. Lastly, emerging technologies such as 3D printing and 3D virtual reality are expected to improve image quality and surgical confidence in preoperative planning.
    Summary: Developments in multimodality imaging in TOF and DORV are poised to shape the future of clinical practice in this field.
    Language English
    Publishing date 2024-04-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645186-x
    ISSN 1531-7080 ; 0268-4705
    ISSN (online) 1531-7080
    ISSN 0268-4705
    DOI 10.1097/HCO.0000000000001154
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  8. Article ; Online: Neurodevelopment in Children With Congenital Heart Disease: An Opportunity for the Cardiovascular Trainee.

    Chetan, Devin / Selvanathan, Thiviya / Alzamil, Jawad / Chau, Vann / Seed, Mike

    The Canadian journal of cardiology

    2023  Volume 39, Issue 7, Page(s) 880–882

    MeSH term(s) Humans ; Child ; Heart Defects, Congenital/complications ; Heart ; Cardiovascular System
    Language English
    Publishing date 2023-03-13
    Publishing country England
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 632813-1
    ISSN 1916-7075 ; 0828-282X
    ISSN (online) 1916-7075
    ISSN 0828-282X
    DOI 10.1016/j.cjca.2023.03.009
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  9. Article ; Online: A guide to prenatal counseling regarding neurodevelopment in congenital heart disease.

    Lee, Fu-Tsuen / Sun, Liqun / Freud, Lindsay / Seed, Mike

    Prenatal diagnosis

    2023  Volume 43, Issue 5, Page(s) 661–673

    Abstract: Advances in cardiac surgical techniques taking place over the past 50 years have resulted in the vast majority of children born with congenital cardiac malformations now surviving into adulthood. As the focus shifts from survival to the functional ... ...

    Abstract Advances in cardiac surgical techniques taking place over the past 50 years have resulted in the vast majority of children born with congenital cardiac malformations now surviving into adulthood. As the focus shifts from survival to the functional outcomes of our patients, it is increasingly being recognized that a significant proportion of patients undergoing infant cardiac repair experience adverse neurodevelopmental (ND) outcomes. The etiology of abnormal brain development in the setting of congenital heart disease is poorly understood, complex, and likely multifactorial. Furthermore, the efficacy of therapies available for the learning disabilities, attention deficit, and hyperactivity disorders and other ND deficits complicating congenital heart disease is currently uncertain. This situation presents a challenge for prenatal counseling as current antenatal testing does not usually provide prognostic information regarding the likely ND trajectories of individual patients. However, we believe it is important for parents to be informed about potential issues with child development when a new diagnosis of congenital heart disease is disclosed. Parents deserve a comprehensive and thoughtful approach to this subject, which conveys the uncertainties involved in predicting the severity of any developmental disorders encountered, while emphasizing the improvements in outcomes that have already been achieved in infants with congenital heart disease. A balanced approach to counseling should also discuss what local arrangements are in place for ND follow-up. This review presents an up-to-date overview of ND outcomes in patients with congenital heart disease, providing possible approaches to communicating this information to parents during prenatal counseling in a sensitive and accurate manner.
    MeSH term(s) Infant ; Child ; Humans ; Female ; Pregnancy ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/surgery ; Cardiac Surgical Procedures ; Child Development ; Prognosis ; Counseling
    Language English
    Publishing date 2023-01-19
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 82031-3
    ISSN 1097-0223 ; 0197-3851
    ISSN (online) 1097-0223
    ISSN 0197-3851
    DOI 10.1002/pd.6292
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  10. Article ; Online: Fetal cardiovascular magnetic resonance imaging.

    Aguet, Julien / Seed, Mike / Marini, Davide

    Pediatric radiology

    2020  Volume 50, Issue 13, Page(s) 1881–1894

    Abstract: Fetal cardiovascular MRI is showing promise as a clinical diagnostic tool in the setting of congenital heart disease when the cardiac anatomy is unresolved by US or when complementary quantitative data on blood flow, oxygen saturation and hematocrit are ... ...

    Abstract Fetal cardiovascular MRI is showing promise as a clinical diagnostic tool in the setting of congenital heart disease when the cardiac anatomy is unresolved by US or when complementary quantitative data on blood flow, oxygen saturation and hematocrit are required to aid in management. Compared with postnatal cardiovascular MRI, prenatal cardiovascular MRI still has some technical limitations. However, ongoing technical advances continue to improve the robustness and usability of fetal cardiovascular MRI. In this review, we provide an overview of the state of the art of fetal cardiovascular MRI and summarize the current focus of clinical application for this versatile technique.
    MeSH term(s) Female ; Fetal Heart/diagnostic imaging ; Fetus/diagnostic imaging ; Heart Defects, Congenital/diagnostic imaging ; Hemodynamics ; Humans ; Magnetic Resonance Imaging ; Pregnancy ; Prenatal Diagnosis ; Ultrasonography, Prenatal
    Language English
    Publishing date 2020-11-30
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-020-04902-y
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