Patient Care
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Congenital
July 10, 2017
A mother has published the hospital bill for her child's heart operation on Twitter to make a highly personal plea to the US Senate not to scrap one of the key provisions of Obamacare.
July 10, 2017
Kalfa and colleagues retrospectively evaluated restenosis, pulmonary vein (PV) reoperation, and mortality in patients undergoing operations for primary pulmonary vein stenosis (PPVS). Pulmonary hypertension one month after surgery and the severity of PV stenosis were risk factors for negative outcomes.
July 7, 2017
Patient Care
A boy’s growth had fallen well behind that of his twin brother, leading doctors in Abu Dhabi, UAE, to discover and surgically treat a congenital heart condition.
July 5, 2017
Talwar and colleagues randomized 100 pediatric patients receiving bidirectional superior cavopulmonary anastomosis to on-cardiopulmonary bypass (CPB) and off-CPB groups. Significantly lower anastomosis time, postoperative inotropic support, and ICU and hospital stay duration were observed in the off-CPB group.
May 27, 2017
Outcomes of surgery for congenital heart defects in children with trisomy 13 or 18 were evaluated in 98 pts the Pediatric Cardiac Care Consortium 1982-2008. Hospital mortality was 28% and 13%, respectively. Median survival was 15 years and 16 years, primarily related to cardiac and respiratory causes.
May 18, 2017
He weighed merely 470 grams at birth and was just the size of a palm. He was born prematurely after 28 weeks (5.5 months). His eyes hadn't opened, lungs weren't developed, skin resembled parchment paper, too fragile and delicate to touch, and he had heart complications.
May 17, 2017
Surgery for treatment of this aortopathy entailing aortic root replacement was assessed in this single institution retrospective study of 34 children. 90% had valve sparing surgery; there was no operative mortality. Reintervention is commonly needed, and frequent surveillance imaging is recommended.
May 11, 2017
I was moved by this editorial on global health matters in a daily British newspaper by an academic medical colleague, written in response to anticipated changes in the leadership of the World Health Organisation. It is perhaps time for us surgeons to augment our administrative participation in global healthcare.
April 18, 2017
The authors examined characteristics of patients undergoing initial palliation for hypoplastic left heart syndrome (HLHS) who remained hospitalized and who required superior cavopulmonary anastomosis (SCPA) during the same hospitalization. 6% of nearly 5400 infants required SCPA during the same admission. A number of conditions/complications were i