In order to develop an algorithm for identifying acute deterioration (urgent intubation or cardiopulmonary resuscitation) in infants with parallel systemic and pulmonary circulation, continuous physiologic monitoring data of 25 patients were retrospecitively reviewed and analyzed. 20 events were identified in 13 infants. The algorithm was effective
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Congenital - Cyanotic
Prediction of imminent, severe deterioration of children with parallel circulations using real-time processing of physiologic data
June 4, 2016
April 12, 2016
Results of an audit of the National Congenital Heart Disease database were evaluted to determine characteristics of patients undergoing reoperation within 30 days of their primary procedure. Among over 18,000 patients, 3.5% had early reoperations. The reoperations were most commonly arterial shunt, PA band, and VSD procedures. 60 day mortality was
Aggressive Patch Augmentation May Reduce Growth Potential of Hypoplastic Branch Pulmonary Arteries After Tetralogy of Fallot Repair
March 7, 2016
This retrospective study of 434 infants and children undergoing TOF repair focused on how methods of handling hypoplastic pulmonary arteries affects long-term outcomes. The most agressive patching technique resulted in the highest incidence of reintervention, whereas patients who had no intervention for hypoplastic pulmonary arterties had the lowest
January 30, 2016
The authors determined the need for transannular patch enlargement (TAPE) in management of ToF by measuring the ratio between pulmonary annulus size to aortic valve annulus size (GA ratio). A retrospective analysis of 122 pts who had undergone ToF repair with or without TAPE was performed. GA ratios were smaller in patients undergoing TAPE. The GA
September 7, 2015
This video presents the case of a 37-year-old man diagnosed with tetralogy of Fallot (TOF) with absent pulmonary valve syndrome.
Long-Term Outcome of Mustard/Senning Correction for Transposition of the Great Arteries (TGA) in Sweden and Denmark.
August 3, 2015
The authors evaluated long-term outcomes of 468 patients who have undergone a Mustard- or Senning operation for transposition of the great arteries (TGA). They found that perioperative mortality was 30%, but 60% were still alive after 30 years of follow-up.
July 15, 2015
This video shows the replacement of an infected homograft in a six-year-old boy.
April 30, 2015
Results of AV valve surgery in patients with Fontan circulation were evaluated over a 23 year period. 54 (9.3%) of patients requird AV valve surgery, mostly prior to the Fontan operation. 90% of patients were free from death or transplantation at 5 years; this fell to 81% at 10 years. Nearly 45% required AV valve reoperation. The rate of persis
January 12, 2015
The single-centre study analyses 257 Norwood procedures. Patients older than 20 days were at higher risk for early postoperative mortality, postoperative pulmonary hypertensive and impaired cardiac function.
January 10, 2015
Patients who underwent a Fontan procedure for single ventricle physiology were evaluated with serial cardiac MR over time to identify changes in vessel characteristics and their relationship to flow. Although vessel diameter increased over time, normalized diameters decreased. This was not associated with changes in flow, but hemodynamic efficiency