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Congenital

October 11, 2016
This video demonstrates a “split-graft technique” for heart transplant following a hybrid bridge to transplantation approach in a neonate with an underlying diagnosis of aortic atresia and hypoplastic arch.
September 27, 2016
This retrospective study evaluated whether a systemic-PA shunt in infants with TOF facilitated enlargement of the pulmonary valve annulus (PVA).  Placement of a shunt was the only factor associated with PVA growth.  This knowledge may affect how repair is staged with an eye towards avoiding a transannular patch.
September 27, 2016
MRI assessment of cerebral blood flow and calculated cerebral oxygen delivery were compared between neonates with congenital heart disease and normal controls.   Although cerebral blood flow was similar between the groups, oxygen delivery was over 30% lower in neonates with congenital heart disease, primarily because of arterial desaturation.
August 16, 2016
This video shows the rerouting of the inferior vena cava into the right atrium and the closure of the residual atrial septal defect in a four-year-old child.
August 2, 2016
This single institution study evaluated the accuracy of intraoperative TEE to identify residual intramural ventricular septal defects after repair of conotruncal defects.  Intramural VSDs occurred in 10% of 337 pts; postoperative TTE identified all, intraoperative TEE identified 19.  Of abnormalities requiring catheterization or reoperation, 6 of 7 w
July 4, 2016
This video demonstrates the use of a ring-reinforced ePTFE graft placed in the right ventricle through a limited ventriculotomy for the treatment of hypoplastic left heart syndrome.
June 4, 2016
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
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.

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