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Congenital

December 23, 2014
CTSNet published over 100 pieces of innovative and educational clinical content in 2014. As the year comes to a close, the CTSNet editorial team presents the five most popular pieces of clinical content published in 2014.
December 3, 2014
This single institution study evaluated the effects of 24-hr in hospital congenital cardiac surgery coverage on outcomes for perioperative congenital heart surgery ECMO.  Institution of 24-hr coverage reduced hospital mortality from 68% to 43% as well as rates of cardiac arrhythmias and pneumonia.  24-hr coverage was independently associated with a r
December 3, 2014
Program directors from 6 distinctly different training centers assessed educational costs for CT resident training.  Before formal accounting information was explored, the PDs estimated the annual cost per resident to be $250,000.  The actual costs per year per resident ranged from $330,000 to $667,000, with a mean of $483,000.  Faculty teaching cost
November 26, 2014
Marshall Jacobs reviews the second edition of Richard Jonas' Comprehensive Surgical Management of Congenital Heart Disease.
November 17, 2014
The authors aimed to study whether systemic lupus erythematosus (SLE) resulted in an increased risk of congenital heart defects (CHD). Mothers with SLE were selected from a large Quebec healthcare database and matched to mothers without SLE. Children born to mothers with SLE were more likely to experience CHD (5.2% versus 1.9%).
November 13, 2014
The authors of this article aimed to describe survival and clinical outcomes beyond 30 years of follow-up after surgical repair of Tetralogy of Fallot. They found a survival of 72% after 40 years. Health status was comparable to the Dutch population.
November 9, 2014
The correlation between "field independence"--i.e., the ability to ignore distracting visual stimuli--and surgical skills was examined in this simulator model.  Resident participants, after undergoing field dependence testing, were asked to place curved needles in a mitral valve model at 10 premarked sites.
October 27, 2014
Aortic valve repair has encouraging mid- and long-term results in selected patients. This video describes the tailored cusp extension valvuloplasty surgical technique.
October 25, 2014
The authors of this piece summarize how surgery has changed over the past decades. They do this using the mnemonic: TWO POEMS:
October 20, 2014
This video demonstrates a hybrid procedure for the closure of a large muscular ventricular septal defect in a 4-month-old boy. This direct approach is very useful in small patients with apical defects and difficult vascular access.

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