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Congenital

March 5, 2017
31 pts who underwent arterial switch at a weight of 2.5 kg or less were evaluated for outcomes.  Surgery was performed at an average of 16 days of life.  Mortality was 2.8% for those weighing 2.0-2.5 kg, and was 50% for those under 2 kg.  At a mean follow-up of 13 years, 8% had required late reoperation.
January 28, 2017
The authors assessed the influence of patch material type on the incidence of recoarctation in infants undergoing Norwood I repair for hypoplastic left heart syndrome.  Among 145 patients, recoarctation developed in 18% at a median of 4.3 months.  At 2 years, freedom from recoarctation was about 85% for homograft and autologous pericardium, whereas i
January 25, 2017
This video shows a simple operative technique for the management of scimitar syndrome with hypoplasia of the right lung and a ventricular septal defect in a six-month-old infant.
December 22, 2016
Sixteen patients underwent percutaneous placement of a VSD closure device for management of subarterial VSD with puncture through the chest wall and infundibulum of the RV.  Fifteen were successful, and 1 patient required conversion to mini-thoracotomy for pericardial effusion and tamponade.  Mean LOS was 3.5 days.  No deaths, arrhythmias, valve inju
December 19, 2016
This video demonstrates the repair of partial anomalous pulmonary venous drainage of the left side in an 8-year-old boy.
November 23, 2016
A single institution experience during 22 years for early repair of complete AV canal defects (CAVCD) is reported.  Repair was performed in 159 pts between 8 and 12 weeks of age.   Operative mortality was 1.9% and later mortality was 7.7%.  13% required reoperation during long-term follow-up, primarily for left AV valve regurgitation.  Left AV valve
October 31, 2016
This database study evaluated outcomes of delayed sternal closure for infants undergoing surgery on cardiopulmonary bypass.  Delayed closure was associated with a 3-fold increase in infectious complications.  Time to closure was associated with an increasing rate of infectious complications.  Location of closure (OR, ICU) was not associated with adve
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.

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