Altered resting state functional connectivity in youth with congenital heart disease operated during infancy

PLoS One. 2022 Apr 15;17(4):e0264781. doi: 10.1371/journal.pone.0264781. eCollection 2022.

Abstract

Congenital heart disease (CHD) has been associated with structural brain growth and long-term developmental impairments, including deficits in learning, memory, and executive functions. Altered functional connectivity has been shown to be altered in neonates born with CHD; however, it is unclear if these early life alterations are also present during adulthood. Therefore, this study aimed to compare resting state functional connectivity networks associated with executive function deficits between youth (16 to 24 years old) with complex CHD (mean age = 20.13; SD = 2.35) who underwent open-heart surgery during infancy and age- and sex-matched controls (mean age = 20.41; SD = 2.05). Using the Behavior Rating Inventory of Executive Function-Adult Version questionnaire, we found that participants with CHD presented with poorer performance on the inhibit, initiate, emotional control, working memory, self-monitor, and organization of materials clinical scales than healthy controls. We then compared the resting state networks theoretically corresponding to these impaired functions, namely the default mode, dorsal attention, fronto-parietal, fronto-orbital, and amygdalar networks, between the two groups. Participants with CHD presented with decreased functional connectivity between the fronto-orbital cortex and the hippocampal regions and between the amygdala and the frontal pole. Increased functional connectivity was observed within the default mode network, the dorsal attention network, and the fronto-parietal network. Overall, our results suggest that youth with CHD present with disrupted resting state functional connectivity in widespread networks and regions associated with altered executive functioning.

MeSH terms

  • Adolescent
  • Adult
  • Brain / diagnostic imaging
  • Brain Mapping / methods
  • Executive Function
  • Heart Defects, Congenital* / diagnostic imaging
  • Heart Defects, Congenital* / surgery
  • Humans
  • Infant, Newborn
  • Magnetic Resonance Imaging* / methods
  • Nerve Net / diagnostic imaging
  • Neural Pathways
  • Young Adult

Grants and funding

Guillaume Gilbert is an employee of Philips Healthcare who per our institutional agreement provided support during the implementation of the MRI acquisition protocol. Philips Healthcare provided support in the form of salaries for one author [G.G] but did not fund or sponsor the study and did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.