Evidence map›Paper›PMID 42014552›Full record

ArticlePediatric research2026

Cerebral hemodynamics in early adolescents with congenital heart disease after infant open-heart surgery.

François Mojon, Beatrice Latal, Raimund Kottke, Oliver Kretschmar, Ruth Tuura O'Gorman, Melanie Ehrler

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

François MojonChild Development Center, University Children's Hospital Zurich, Zurich, Switzerland.
Beatrice LatalChild Development Center, University Children's Hospital Zurich, Zurich, Switzerland.
Raimund KottkeChildren's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.
Oliver KretschmarChildren's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.
Ruth Tuura O'Gorman *Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.
Melanie Ehrler *Child Development Center, University Children's Hospital Zurich, Zurich, Switzerland. melanie.ehrler@kispi.uzh.ch.ORCID http://orcid.org/0000-0003-4253-2016

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFetuses and infants with congenital heart disease (CHD) show altered cerebral hemodynamics. However, little is known about whether those alterations persist throughout childhood.

methodsWe assessed cerebral hemodynamics in 83 adolescents 10-15 years (34 with CHD who underwent infant open-heart surgery, 49 healthy controls) using phase-contrast magnetic resonance imaging. Anterior hemodynamics were assessed in the internal carotid arteries (ICA) and internal jugular veins (IJV), and posterior hemodynamics in the vertebral arteries (VA), corrected for vessel angle (post-hoc). Average and peak blood velocity and average blood flow were quantified. Indexed cerebral blood flow (iCBF) was calculated as ICA blood flow adjusted for total brain volume. Cerebral hemodynamics were compared between patients and healthy controls and correlated with executive functions adjusted for age and sex.

resultsAnterior hemodynamics did not significantly differ between patients with CHD and controls (all FDR-corrected p > 0.1, β:0.00-0.30), but blood flow in the left VA was significantly lower in patients than controls (FDR-corrected p = 0.033, β = 0.31). Hemodynamic parameters were not significantly associated with executive functions (all FDR-corrected p > 0.8, β:0.02-0.12). DISCUSSION: Adolescents with CHD have widely preserved anterior cerebral hemodynamics but may show alterations to their posterior circulation. Furthermore, current cerebral hemodynamics may not impact cognition in adolescents with CHD.  IMPACT: Adolescents with congenital heart disease (CHD) who underwent infant open-heart surgery show largely preserved anterior cerebral hemodynamics but possibly exhibit mild to moderate alterations in the posterior circulation. Preserved anterior hemodynamics may be related to the stable cardiac status in most adolescents with CHD. The current cerebral hemodynamics in adolescents with CHD may not explain cognitive impairments in these patients.

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.