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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Prediction of imminent, severe deterioration of children with parallel circulations using real-time processing of physiologic data
June 4, 2016
Ventricular fibrogenesis activity assessed by serum levels of procollagen type III N-terminal amino peptide during the staged Fontan procedure
May 5, 2016
The authors measured serum amino-terminal procollagen III (PIII) as a marker of myocardial fibrogenesis in patients undergoing the Fontan procedure for single ventricle circulation and in controls. Patients with single venticle circulation had elevated PIII levels compared to controls. Staged Fontan elements successively reduced PIII levels. The
May 5, 2016
The author summarizes the challenges but tremendous potential of mechanical circulatory support for infants and children undergoing heart surgery.
April 12, 2016
This video shows the closure of a ventricular septal defect via a right axillary thoracotomy in a 10-month-old baby girl.
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
When the Bidirectional Glenn is an Unfavorable Option: Primary Extracardiac Inferior Cavopulmonary Connection as an Alternative Palliation
February 8, 2016
This video shows a primary inferior cavopulmonary connection with an extracardiac conduit as an alternative treatment for an infant unsuitable for the bidirectional Glenn.
Use of Computational Fluid Dynamics in the Evaluation of Hemodynamic State of Left Ventricular Outflow Tract and Aorta After the Rastelli Procedure
February 4, 2016
This video demonstrates the use of computational fluid dynamics after performing the Rastelli procedure.
February 1, 2016
This video demonstrates a surgical technique for repairing a left pulmonary artery sling.
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
Mitral Stenosis and Aortic Atresia—A Risk Factor for Mortality After the Modified Norwood Operation in Hypoplastic Left Heart Syndrome
December 24, 2015
The impact of combined mitral stenosis and aortic atresia on outcomes of Norwood procedures for hypoplastic left heart syndrome was examined in a single institution. The incidence among 74 operated patients was 19%. Mortality for affected patients was 29% vs 7% for the other patients. The mechanism of mortality appeared to be myocardial ischemia.