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Congenital - Cyanotic

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
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
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.
September 4, 2014
The impact of center and surgeon volume on outcomes after arterial switch for TGV was investigated using data from the STS database. Median center and surgeon annual volumes were 4 and 2.   Both center and surgeon volume were important determinants of the composite outcome (death or major complication), with surgeon volume having the most important e
August 18, 2014
This video demonstrates two different hybrid pulmonary valve replacement (PVR) strategies in the increasingly growing young adult population of patients with tetralogy of Fallot and pulmonary valve dysfunction.

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