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
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Aggressive Patch Augmentation May Reduce Growth Potential of Hypoplastic Branch Pulmonary Arteries After Tetralogy of Fallot Repair
March 7, 2016
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.
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.