{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:34:23Z","timestamp":1785411263714,"version":"3.56.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"unspecified","delay-in-days":22,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951125110962_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Lung ultrasound findings in cardiac patients correlate with mortality, hospital length of stay, and rehospitalisation after surgery. We report a lung ultrasound protocol integrated with echocardiography and its ability to predict adverse events in children after discharge following congenital heart surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110962_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective, single-blinded observational trial was performed. Subjects were consecutively identified after Fontan or septal defect repairs. Performed by cardiac sonographers at discharge, lung ultrasound scores were based on the number of B-lines. The primary outcome was subsequent development of new pericardial (\u2265small) or pleural (&gt;small) effusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110962_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 86 subjects were identified with adequate imaging for enrolment. Median age was 53 months. Procedures included Fontan (\n                      <jats:italic>n<\/jats:italic>\n                      = 23) and atrial (\n                      <jats:italic>n<\/jats:italic>\n                      = 30), ventricular (\n                      <jats:italic>n<\/jats:italic>\n                      = 28), and atrioventricular (\n                      <jats:italic>n<\/jats:italic>\n                      = 5) septal defect repairs. Lung ultrasound score was correlated with hospital length of stay (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      = 0.29,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.0066), discharge diuretic score (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      = 0.38,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and chest tube duration (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      = 0.25,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.021); score was not correlated with age or weight. Primary outcome occurred in 12 subjects (atrial septal defect = 4, Fontan = 8). A lung ultrasound score \u22653 had a negative predictive value of 93% and an odds ratio of 24.5 (95%CI 5.3\u2013113,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.0001) for the primary outcome. Subjects following Fontan with the lung ultrasound score \u22653 had an odds ratio of 8.3 (95%CI 1.2\u201359.0,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.036).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110962_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our results suggest that lung ultrasound during discharge echocardiography has encouraging prognostic value for post-operative complications in patients deemed suitable for discharge after congenital heart surgery. Further research is needed to discern how lung ultrasound can be used for goal-directed medical therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951125110962","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:41:36Z","timestamp":1769150496000},"page":"126-133","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Practical application of lung ultrasound during discharge echocardiography to predict outpatient effusions after septal defect and Fontan surgery"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0114-6928","authenticated-orcid":false,"given":"Alan","family":"Riley","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05wvpxv85","id-type":"ROR","asserted-by":"publisher"}],"name":"Tufts University School of Medicine"},{"id":[{"id":"https:\/\/ror.org\/02pttbw34","id-type":"ROR","asserted-by":"publisher"}],"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3862-7672","authenticated-orcid":false,"given":"Ricardo","family":"Pignatelli","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02pttbw34","id-type":"ROR","asserted-by":"publisher"}],"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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