Scholars@Duke
Tracy R Geoffrion

Tracy R Geoffrion

Associate Professor of Surgery
Surgery, Cardiovascular and Thoracic Surgery

Scholarly Works

2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.

Journal article Circulation · February 24, 2026 AIM: The "2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease" provides recommendations to guide clinicians on the evaluation and treatment of adult patients with congenital heart disease. It incorporates new e ... Full text Link to item Cite

Primary Salmonella Osteomyelitis of the Sternum.

Journal article Pediatrics · February 1, 2026 Osteomyelitis is a rarely encountered diagnosis in children. It typically occurs due to hematogenous inoculation following transient bacteremia, with bacterial infection ultimately establishing in areas of microtrauma. Prevalence is highest in long bones d ... Full text Link to item Cite

A case-control study of bleeding risk in children with 22q11.2 deletion syndrome undergoing cardiac surgery.

Journal article Platelets · December 2024 Previous research suggests that individuals with 22q11.2 deletion syndrome (DS) have an increased risk of bleeding following cardiac surgery. However, current guidelines for management of patients with 22q11.2DS do not provide specific recommendations for ... Full text Link to item Cite

Early Impairment of Cerebral Bioenergetics After Cardiopulmonary Bypass in Neonatal Swine.

Journal article World J Pediatr Congenit Heart Surg · July 2024 Objectives: We previously demonstrated cerebral mitochondrial dysfunction in neonatal swine immediately following a period of full-flow cardiopulmonary bypass (CPB). The extent to which this dysfunction persists in the postoperative period and its correlat ... Full text Link to item Cite

Contemporary outcomes for functional single ventricle with total anomalous pulmonary venous connection.

Conference J Thorac Cardiovasc Surg · June 2024 OBJECTIVE: In 2004, we reported improved early survival for patients with functional single ventricle anatomy and total anomalous pulmonary venous connection. This study sought to discover if outcomes have been ameliorated in the contemporary era. METHODS: ... Full text Link to item Cite

Normoxic Management during Cardiopulmonary Bypass Does Not Reduce Cerebral Mitochondrial Dysfunction in Neonatal Swine.

Journal article Int J Mol Sci · May 17, 2024 Optimal oxygen management during pediatric cardiopulmonary bypass (CPB) is unknown. We previously demonstrated an increase in cortical mitochondrial reactive oxygen species and decreased mitochondrial function after CPB using hyperoxic oxygen management. T ... Full text Link to item Cite

Commentary: The Expanding Norwood Tool Kit—You Decide

Journal article Operative Techniques in Thoracic and Cardiovascular Surgery · March 1, 2024 Full text Cite

Commentary: Aortic uncrossing: First time's a charm?

Journal article J Thorac Cardiovasc Surg · February 2024 Full text Link to item Cite

Bracing for the Future.

Journal article Ann Thorac Surg · January 2024 Full text Link to item Cite

Late Pulmonary Autograft Dilation: Can We Make a Good Operation Great? The Supported Ross.

Journal article Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · 2024 The Ross procedure is an excellent option for aortic valve replacement resulting in outstanding hemodynamic performance and the ability to avoid systemic anticoagulation. The long-term durability of the autograft is generally good but concerns for later ao ... Full text Link to item Cite

Reintervention for Superior Vena Cava Obstruction After Heart Transplant.

Conference Ann Thorac Surg · January 2024 BACKGROUND: Children undergoing orthotopic heart transplant (OHT) may require complex reconstruction of superior vena cava (SVC) anomalies. SVC anatomy and mode of reconstruction are potential risk factors for SVC obstruction. METHODS: A retrospective sing ... Full text Link to item Cite

Commentary: Impella support in kids: "Are we there yet?".

Journal article J Thorac Cardiovasc Surg · December 2023 Full text Link to item Cite

Commentary: Double Inlet Ventricle – Septate, Fenestrate, and Be Prepared to Reoperate

Journal article Operative Techniques in Thoracic and Cardiovascular Surgery · September 1, 2023 Full text Cite

Chromosome 22q11 copy number variants and single ventricle CHD.

Journal article Cardiol Young · January 2023 OBJECTIVES: CHD is an important phenotypic feature of chromosome 22q11.2 copy number variants. Biventricular repair is usually possible, however there are rare reports of patients with chromosome 22q copy number variants and functional single ventricle car ... Full text Link to item Cite

Obstruction on the Left Can Be Hard to Make Right.

Journal article Ann Thorac Surg · January 2023 Full text Link to item Cite

Novel Plug Device for HeartMate 3 Explantation: First Multicenter Experience.

Journal article ASAIO J · December 1, 2022 Patients undergoing explantation of left ventricular assist devices (LVADs) after improvement of myocardial function remain a minority. Nevertheless, considering the growing population of LVAD patients, increasing demand for new explantation strategies is ... Full text Link to item Cite

High-Risk Anatomic Subsets in Hypoplastic Left Heart Syndrome.

Journal article World J Pediatr Congenit Heart Surg · September 2022 Despite overall improvements in outcomes for patients with hypoplastic left heart syndrome, there remain anatomic features that can place these patients at higher risk throughout their treatment course. These include severe preoperative obstruction to pulm ... Full text Link to item Cite

ECMO for postcardiotomy syndrome in pediatric patients

Book section · January 1, 2022 Venoarterial extracorporeal membrane oxygenation (ECMO) has been used to provide effective pulmonary and circulatory support in children with cardiopulmonary failure after cardiac surgery since the 1970s. This includes patients who are unable to wean from ... Full text Cite

Commentary: More is not always better.

Journal article J Thorac Cardiovasc Surg · July 2021 Full text Link to item Cite

Commentary: Exiting the highway to the danger zone.

Journal article J Thorac Cardiovasc Surg · May 2021 Full text Link to item Cite

Risk Factors for Nonhome Discharge After Esophagectomy for Neoplastic Disease.

Journal article Ann Thorac Surg · April 2021 BACKGROUND: Esophagectomies are known to be technically challenging operations that create significant physiologic changes. These patients often require assisted care postoperatively that necessitates a nonhome discharge. The purpose of this study was to a ... Full text Link to item Cite

Off-Pump Explant of a Left Ventricular Assist Device Using a Recovery Plug in a Pediatric Patient.

Journal article Ann Thorac Surg · April 2021 Though the numbers remain small, the use of continuous-flow left ventricular assist devices as a bridge to recovery in pediatric patients has been increasing. Select patients may have sufficient myocardial recovery to allow for device removal. Here, we des ... Full text Link to item Cite

Extracorporeal membrane oxygenation in neonatal and pediatric patients

Book section · December 21, 2020 Extracorporeal membrane oxygenation (ECMO) serves as a critical life-saving modality in neonatal and pediatric patients. The primary indications are cardiogenic shock and respiratory failure that are refractory to medical management. Veno-arterial ECMO has ... Cite

Surgery for Adult Congenital Heart Disease.

Journal article Cardiol Clin · August 2020 Technical and medical improvements for congenital cardiac disease in children have contributed to an increasing population of patients who survive into adulthood. These patients may be prone to progression of their native palliated disease or suffer from s ... Full text Link to item Cite

An Implementation Science Approach to Handoff Redesign in a Cardiac Surgery Intensive Care Unit.

Journal article Ann Thorac Surg · June 2020 BACKGROUND: The ability of handoff redesign to improve short-term outcomes is well established, yet an effective approach for achieving widespread adoption is unknown. An implementation science-based approach capable of influencing the leading indicators o ... Full text Link to item Cite

Mitral Valve Surgery in the First Year of Life.

Journal article Pediatr Cardiol · February 2020 Data are limited on outcomes associated with mitral valve surgery in infants. Prior studies report high mortality and increased risk for late cardiac failure particularly for those with mitral stenosis. We sought to evaluate outcomes in patients with mitra ... Full text Link to item Cite

Right ventricular outflow tract obstruction: a quest for ideal management.

Journal article Asian Cardiovasc Thorac Ann · July 2018 Management of right ventricular outflow tract obstruction has undergone much change over the last century. Techniques described in the literature include anatomical repairs and the use of various patches, conduits, and innovative grafts. However, many of t ... Full text Link to item Cite

A review of the Nunn modified single patch technique for atrioventricular septal defect repair.

Journal article Transl Pediatr · April 2018 Atrioventricular septal defect (AVSD) is a common congenital cardiac surgical problem. Over the years, younger and smaller infants are having operations for this condition before irreversible cardio pulmonary changes occur. Traditionally a single or two pa ... Full text Link to item Cite

Pulmonary paraganglioma in a 10-year-old: a case report and review of the literature.

Journal article J Surg Case Rep · April 2018 Paraganglioma is a rare extra-adrenal tumor of the paraganglia often found in association with sympathetic and parasympathetic nerves. The case presented is of a 10-year-old boy with hemoptysis who was found to have an obstructive bronchial mass. He underw ... Full text Link to item Cite

Prediction Is Very Difficult, Especially About the Future.

Journal article Semin Thorac Cardiovasc Surg · 2018 Full text Link to item Cite

Benign intraductal fibroepithelial and papillomatous proliferation in a 13 year-old girl

Journal article Journal of Pediatric Surgery Case Reports · October 1, 2017 Breast disease is a rare occurrence in childhood and adolescence with most lesions being fibroadenomas. We report a case of a 13 year old girl with 2 tender breast masses found to be intraductal fibroepithelial and papillomatous proliferation on pathology ... Full text Cite