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.
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Mitral Stenosis and Aortic Atresia—A Risk Factor for Mortality After the Modified Norwood Operation in Hypoplastic Left Heart Syndrome
December 24, 2015
Estimating Mortality Risk for Adult Congenital Heart Surgery: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database
November 16, 2015
Using the STS Database, a mortality risk score was developed for adult patients undergoing congenital heart surgery. Procedure-specific outcomes differed by age category. The age-specific mortality risk score was more accurate than a score for all age categories (81% vs 78%).
September 4, 2015
Changes in risk profile and outcomes over 40 years were assessed from the Stanford experience with heart transplant in children. Age at transplant decreased in the most recent time period from about 10 to 5.6 years. The use of mechnical support as bridge increased dramatically over the time of the study. Long-term survival increased dramatically,
August 11, 2015
This video demonstrates a laparoscopic repair of symptomatic left-side Bochdalek hernia in a 20-year-old female.
August 3, 2015
In this surgical video, a modified Konno for recurrent discrete subaortic stenosis is shown. The indications for surgery were a gradient of 60 mmHg and onset of mild AR.
July 28, 2015
This video demonstrates the treatment of a 64-year-old male who presented with right-sided heart failure symptoms. The patient had a severely dilated right sub-coronary sinus of Valsalva aneurysm, causing right ventricular outflow tract obstruction.
Simulation-based learning of transesophageal echocardiography in cardiothoracic surgical trainees: A prospective, randomized study
July 9, 2015
Twenty-five cardiac surgery trainees underwent randomization to learn TEE interpretation by either of two approaches: traditional teaching during cardiac surgery vs. simulation-based teaching via the Heartworks simulator.
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
Reduced Hospital Mortality With Surgical Ligation of Patent Ductus Arteriosus in Premature, Extremely Low Birth Weight Infants: A Propensity Score-Matched Outcomes Study
April 15, 2015
Propensity score-matched analysis of surgical ligation versus medical management of clinically significant patent ductus arteriosus in premature (<37 weeks), extremely low birth weight infants (<1000 g). Infants undergoing surgical ligation had lower mortality (15% vs 26%) and a higher rate of routine disposition from the hospital (48% vs 41%)
April 2, 2015
Repair of this congenital defect in 34 pts was associated with no early mortality and substantial improvement in LV function (EF, shortening fraction, LVEDD). No postoperative circulatory support was required.