Neuroprotection strategies during deep hypothermic circulatory arrest (DHCA) in infants undergoing cardiac surgery are varied.
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Congenital - Cyanotic
July 4, 2014
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.
February 5, 2014
In this article, the authors investigated the impact of the timing neonatal arterial switch operation on morbidity, mortality and costs. They included 140 patients with transposition of the great arteries and found a mortality and morbidity rate of 2% and 20%, as well as median hospital costs of $60,000.
March 21, 2013
The completion Fontan operation is, as the name implies, the final stage of palliation for patients who have had previous surgery to address various types of single ventricle congenital heart disease.
March 21, 2013
The superior cavopulmonary anastomosis is the first of two operations used in a staged Fontan approach for definitive palliation of functionally single ventricle hearts.
March 15, 2012
The aortic translocation operation for d-TGV, VSD, and PS was first performed in June, 1983. Since then, the senior author has been directly involved in 24 such operations with one early death.
February 19, 2012
In this video the authors demonstrate the surgical strategy for repair of interrupted aortic arch using a reverse subclavian flap and common arterial trunk using an "aortopulmonary window" type of repair in a 3.7 kg baby.