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  1. Article: Novel use of the double kissing crush technique to stent complex pulmonary artery stenosis in a child with Alagille syndrome.

    Strah, Danielle D / Hellinger, Riley D / Lee, Kwan S / Seckeler, Michael D

    Annals of pediatric cardiology

    2024  Volume 16, Issue 4, Page(s) 290–292

    Abstract: Coronary bifurcation lesions and treatment with two-stent techniques have been developed, including the double kissing (DK) crush technique. The use of this technique in children or noncoronary vessels, including pulmonary arteries, has not been ... ...

    Abstract Coronary bifurcation lesions and treatment with two-stent techniques have been developed, including the double kissing (DK) crush technique. The use of this technique in children or noncoronary vessels, including pulmonary arteries, has not been described. We present a 12-year-old girl with Alagille syndrome, a ventricular septal defect (VSD), and complex bilateral pulmonary artery (PA) stenoses who is status post six catheterizations for PA angioplasty and stenting to improve her marked right ventricular hypertension. With collaboration between the congenital and structural teams, she successfully underwent the DK crush technique for a complex lesion in her PA. This improved pulmonary flow and allowed for successful surgical VSD closure.
    Language English
    Publishing date 2024-01-05
    Publishing country India
    Document type Case Reports
    ZDB-ID 2430956-4
    ISSN 0974-5149 ; 0974-2069
    ISSN (online) 0974-5149
    ISSN 0974-2069
    DOI 10.4103/apc.apc_60_23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: An Unusual Congenital Aorto-pulmonary Shunt in Tetralogy of Fallot: Anomalous Left Innominate Artery off the Pulmonary Artery.

    Yrun-Duffy, Macken / Strah, Danielle D / Fox, Kenneth / Klewer, Scott E / Seckeler, Michael D

    The Journal of invasive cardiology

    2023  Volume 35, Issue 6, Page(s) E325–E326

    MeSH term(s) Humans ; Pulmonary Artery/diagnostic imaging ; Pulmonary Artery/surgery ; Pulmonary Artery/abnormalities ; Tetralogy of Fallot/complications ; Tetralogy of Fallot/diagnosis ; Tetralogy of Fallot/surgery ; Brachiocephalic Trunk/diagnostic imaging ; Brachiocephalic Trunk/surgery ; Prostheses and Implants
    Language English
    Publishing date 2023-07-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1154372-3
    ISSN 1557-2501 ; 1042-3931
    ISSN (online) 1557-2501
    ISSN 1042-3931
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Contemporary pregnancy outcomes for women with moderate and severe congenital heart disease.

    Kops, Samantha A / Strah, Danielle D / Andrews, Jennifer / Klewer, Scott E / Seckeler, Michael D

    Obstetric medicine

    2021  Volume 16, Issue 1, Page(s) 17–22

    Abstract: Background: Women with congenital heart disease (CHD) are surviving into adulthood, with more undergoing pregnancy.: Methods: Retrospective review of the Vizient database from 2017-2019 for women 15-44 years old with moderate, severe or no CHD and ... ...

    Abstract Background: Women with congenital heart disease (CHD) are surviving into adulthood, with more undergoing pregnancy.
    Methods: Retrospective review of the Vizient database from 2017-2019 for women 15-44 years old with moderate, severe or no CHD and vaginal delivery or caesarean section. Demographics, hospital outcomes and costs were compared.
    Results: There were 2,469,117 admissions: 2,467,589 with no CHD, 1277 with moderate and 251 with severe CHD. Both CHD groups were younger than no CHD, there were fewer white race/ethnicity in the no CHD group and more women with Medicare in both CHD groups compared to no CHD. With increasing CHD severity there was an increase in length of stay, ICU admission rates and costs. There were also higher rates of complications, mortality and caesarean section in the CHD groups.
    Conclusion: Pregnant women with CHD have more problematic pregnancies and understanding this impact is important to improve management and decrease healthcare utilization.
    Language English
    Publishing date 2021-12-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X211064458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Acute Hospital Outcomes for Renal Transplantation in Patients With Moderate or Severe Congenital Heart Disease.

    Patel, Surbhi B / Webber, Zak / Strah, Danielle D / Hellinger, Riley D / Yrun-Duffy, Macken / Kowalek, Katie A / Seckeler, Michael D

    The American journal of cardiology

    2022  Volume 186, Page(s) 87–90

    Abstract: Children and adults with congenital heart disease (CHD) are increasingly recognized to be at risk for acute and chronic renal injury. Some of these may progress to the need for renal transplantation. We hypothesized that patients with underlying moderate ...

    Abstract Children and adults with congenital heart disease (CHD) are increasingly recognized to be at risk for acute and chronic renal injury. Some of these may progress to the need for renal transplantation. We hypothesized that patients with underlying moderate or severe CHD who undergo renal transplantation will have worse acute hospital outcomes. Using a national administrative database, we queried for admissions aged 0 to 50 years with moderate or severe CHD and renal transplantation and compared these to admissions without CHD. There were 56 admissions for renal transplantation in the CHD group (0.04%) and 26,285 admissions in the group without CHD (0.21%, p<0.001). The CHD group were younger, had a higher proportion of Whites, longer length of stay, higher complication rates, higher in-hospital mortality, and higher costs. In conclusion, although renal transplantation is still relatively uncommon in the CHD population, there is an increasing recognition of severe chronic renal disease in the setting of CHD, making it important to understand the potential implications of these findings.
    MeSH term(s) Adult ; Child ; Humans ; Kidney Transplantation ; Retrospective Studies ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/surgery ; Heart Defects, Congenital/complications ; Hospital Mortality ; Hospitals ; Heart Transplantation/adverse effects
    Language English
    Publishing date 2022-11-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2022.10.034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Worse Hospital Outcomes for Children and Adults with COVID-19 and Congenital Heart Disease.

    Strah, Danielle D / Kowalek, Katie A / Weinberger, Kevin / Mendelson, Jenny / Hoyer, Andrew W / Klewer, Scott E / Seckeler, Michael D

    Pediatric cardiology

    2021  Volume 43, Issue 3, Page(s) 541–546

    Abstract: The aim of the current study is to investigate hospitalization outcomes of COVID-19 positive children and adults with moderate or severe congenital heart disease to children and adults without congenital heart disease. Retrospective review using the ... ...

    Abstract The aim of the current study is to investigate hospitalization outcomes of COVID-19 positive children and adults with moderate or severe congenital heart disease to children and adults without congenital heart disease. Retrospective review using the Vizient Clinical Data Base for admissions of patients with an ICD-10 code for COVID-19 from April 2020 to March 2021. Admissions with COVID-19 and with and without moderate or severe congenital heart disease (CHD) were stratified into pediatric (< 18 years) and adult (≥ 18 years) and hospital outcomes were compared. There were 9478 pediatric COVID-19 admissions, 160 (1.7%) with CHD, and 658,230 adult COVID-19 admissions, 389 (0.06%) with CHD. Pediatric admissions with COVID-19 and CHD were younger (1 vs 11 years), had longer length of stay (22 vs 6 days), higher complication rates (6.9 vs 1.1%), higher mortality rates (3.8, 0.8%), and higher costs ($54,619 vs 10,731; p < 0.001 for all). Adult admissions with COVID-19 and CHD were younger (53 vs 64 years, p < 0.001), had longer length of stay (12 vs 9 days, p < 0.001), higher complication rates (8 vs 4.8%, p = 0.003), and higher costs ($23,551 vs 13,311, p < 0.001). This appears to be the first study to report the increased hospital morbidities and costs for patients with CHD affected by COVID-19. Our hope is that these findings will help counsel patients moving forward during the pandemic.
    MeSH term(s) Adult ; COVID-19 ; Child ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/epidemiology ; Hospitalization ; Hospitals ; Humans ; Length of Stay
    Language English
    Publishing date 2021-10-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 800857-7
    ISSN 1432-1971 ; 0172-0643
    ISSN (online) 1432-1971
    ISSN 0172-0643
    DOI 10.1007/s00246-021-02751-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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