Open-heart surgery in pediatric patients with end-stage liver disease

Emile A. Bacha, Joel Hardin, David C. Cronin, Lynda Brady, Michael J. Millis, Joanne P. Starr, Peter Koenig, Suanne Daves, Madelyn Kahana

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Little is known about the safety of pediatric cardiac surgery in children with end-stage liver disease. We reviewed our experience with 4 patients with biliary atresia or Alagille's syndrome who underwent repair of ventricular septal defect and tricuspid regurgitation, atrioventricular canal, subaortic stenosis, or supravalvular aortic stenosis. One patient died on postoperative day 2. All other patients survived to discharge. At follow-up, 1 patient died at home awaiting liver transplantation and the remaining patients are doing well. One patient received a successful liver transplant. Pediatric cardiac surgery in children with end-stage liver disease can be done safely, albeit with a higher mortality.

Original languageEnglish (US)
JournalAnnals of Thoracic Surgery
Volume78
Issue number2
DOIs
StatePublished - Aug 2004
Externally publishedYes

Fingerprint

End Stage Liver Disease
Thoracic Surgery
Pediatrics
Alagille Syndrome
Supravalvular Aortic Stenosis
Biliary Atresia
Tricuspid Valve Insufficiency
Ventricular Heart Septal Defects
Liver Transplantation
Pathologic Constriction
Transplants
Safety
Mortality
Liver

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Bacha, E. A., Hardin, J., Cronin, D. C., Brady, L., Millis, M. J., Starr, J. P., ... Kahana, M. (2004). Open-heart surgery in pediatric patients with end-stage liver disease. Annals of Thoracic Surgery, 78(2). https://doi.org/10.1016/j.athoracsur.2003.11.043

Open-heart surgery in pediatric patients with end-stage liver disease. / Bacha, Emile A.; Hardin, Joel; Cronin, David C.; Brady, Lynda; Millis, Michael J.; Starr, Joanne P.; Koenig, Peter; Daves, Suanne; Kahana, Madelyn.

In: Annals of Thoracic Surgery, Vol. 78, No. 2, 08.2004.

Research output: Contribution to journalArticle

Bacha, EA, Hardin, J, Cronin, DC, Brady, L, Millis, MJ, Starr, JP, Koenig, P, Daves, S & Kahana, M 2004, 'Open-heart surgery in pediatric patients with end-stage liver disease', Annals of Thoracic Surgery, vol. 78, no. 2. https://doi.org/10.1016/j.athoracsur.2003.11.043
Bacha, Emile A. ; Hardin, Joel ; Cronin, David C. ; Brady, Lynda ; Millis, Michael J. ; Starr, Joanne P. ; Koenig, Peter ; Daves, Suanne ; Kahana, Madelyn. / Open-heart surgery in pediatric patients with end-stage liver disease. In: Annals of Thoracic Surgery. 2004 ; Vol. 78, No. 2.
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