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Congenital - Cyanotic
Late Outcomes of Infants Supported by Extracorporeal Membrane Oxygenation Following the Norwood Operation
January 5, 2015
Twenty-Four Hour In-Hospital Congenital Cardiac Surgical Coverage Improves Perioperative ECMO Support Outcomes
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
The Unnatural History of Tetralogy of Fallot: Prospective Follow-Up of 40 Years After Surgical Correction.
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.
Surgeon and Center Volume Influence on Outcomes After Arterial Switch Operation: Analysis of the STS Congenital Heart Surgery Database
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.
Neurodevelopmental Outcomes After Infant Cardiac Surgery With Circulatory Arrest and Intermittent Perfusion
July 4, 2014
Neuroprotection strategies during deep hypothermic circulatory arrest (DHCA) in infants undergoing cardiac surgery are varied.
Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery
May 29, 2014
The authors studied outcomes after congenital operations in 12 programs in New York state (4,776 operations) to assess whether prolonged length of stay (PLOS) can be used as a quality measure. PLOS incidence ranged from 7.5% to 36.5.5. PLOS was strongly correlated with mortality rates. The authors conclude that PLOS is a reasonable quality metric,
May 6, 2014
This study compared early and intermediate biventricular function after early arterial switch in 26 infants and 20 age-matched controls. At 1 year LV performance was similar in ASO and controls, whereas RV systolic and diastolic function remained impaired. This stresses the need for ongoing monitoring of RV function after ASO.
April 2, 2014
In this observational study, the utility of decellularized allogeneic pulmonary artery patches for pulmonary arterioplasty was evaluated in 108 patients. No device failures or adverse events were detected. An historical comparison cohort in whom conventional materials were used experienced a 14% failure rate.
February 7, 2014
Redmond Burke MD, Chief of Pediatric Cardiovascular Surgery at Miami Children's Hospital demonstrates the operative repair and postoperative recovery for a child with VSD.