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August 27, 2026Current Treatment Options in PediatricsOpen Access

Strategies to Improve Neurologic Outcomes in Neonatal Cardiac Surgery

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Authors

JHJill HsiaEHElizabeth HerrupABAlisa A. Burnham

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Overview

Review highlights the lack of single-target interventions for neurodevelopmental injury in congenital heart disease neonates, indicating that multifaceted multidisciplinary care is essential.

Key Points

  • Summarize modifiable risk factors and evidence-based clinical interventions aimed at improving short- and long-term neurodevelopmental outcomes in neonates undergoing cardiac surgery.
  • Narrative review synthesizing current literature on the multifactorial etiology of brain injury, clinical risk factors, and perioperative management strategies in neonatal congenital heart disease.
  • Evidence for single, isolated interventions that definitively improve neurodevelopmental outcomes remains scarce due to the heterogeneity of cardiac lesions and complex, interacting risk factors.
  • Effective risk mitigation requires collaborative multidisciplinary care spanning prenatal planning, operative management (cardiac surgery, anesthesia, perfusion), neonatal cardiac intensive care, and longitudinal developmental follow-up.

Cite This Study

Hsia et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea0d10c91c1e92622109https://doi.org/10.1007/s40746-026-00381-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of congenital heart disease on fetal brain development and injury2011 · 109 citations
  2. 2Recent advances in our understanding of neurodevelopmental outcomes in congenital heart disease2019 · 46 citations
  3. 3An introduction to and review of cardiac neurodevelopment: the risks and recommended approaches2021 · 2 citations
  4. 4Novel Insights in Perioperative Neuroprotection in Neonatal Congenital Heart Disease2025 · 1 citations
  5. 5Diagnosis and Intervention Strategies to Address Neurodevelopmental and Psychosocial Challenges in School‐Aged Children With Congenital Heart Disease2024 · 5 citations