In a prospective cross-sectional analysis of 37 adult patients palliated with a Fontan procedure, Buendía-Fuentes and colleagues assessed liver disease by three techniques: hepatic magnetic resonance imaging (MRI), acoustic radiation force impulse (ARFI) imaging, and hepatic ultrasound.
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Congenital
January 18, 2018
The authors describe a clinical unit developed at their institution designed to implement "nudges" to help improve health care delivery, primarily through the EMR. "Nudges" have been used to shape other behaviors, such as offering opt-out (rather than opt-in) for organ donor status to encourage increased organ donation. The concept was described
January 15, 2018
Holst and colleagues present their experience with cone repair of the tricuspid valve for Ebstein’s anomaly in 235 patients over eight years. They conclude that cone repair is safe and effectively reduces tricuspid regurgitation, which might allow for right ventricular remodeling.
January 8, 2018
Interrupted aortic arch occurring with an aortopulmonary window is an extremely rare anomaly. This video demonstrates a single stage repair in a preterm very-low birth weight neonate, using autologous pericardium to reconstruct the aorta.
January 8, 2018
A refreshing brief editorial comment on hydrohemodynamics on the occasion of critiquing a manuscript on related echocardiographic computations in neonates. The focus is on the Laplacean principles of compliance/elastance applied to the left ventricle.
January 5, 2018
A large cadaveric study of the scalloping of normal mitral valve leaflets. As the accompanying editorial points out, it would be useful to correlate the cadaveric observations to imaging and surgical anatomy.
January 3, 2018
Video and a readable digest of a talk in a Harvard meeting, especially interesting in its scepticism on prevention.
January 1, 2018
Incredible story about how American Heart Association President Dr John Warner suffered a cardiac arrest after his presidential address and was subsequently saved by two bystanders. This story emphasizes the fortune of being in the right place at the right time, but more importantly, the public value of knowing CPR.
December 27, 2017
Sure, we all receive emergency calls that potentially could interrupt an operation. This surgeon, however, was taking a Spanish language proficiency test on his cell phone while performing varicose vein surgery on an awake patient. Common sense appears to have failed in this case.
December 19, 2017
Moorjani and colleagues describe the implementation of a simulation-based training program for cardiothoracic surgical trainees in the UK and Ireland, which included 10 courses during the six-year training program.