The impact of center and surgeon volume on outcomes after arterial switch for TGV was investigated using data from the STS database. Median center and surgeon annual volumes were 4 and 2. Both center and surgeon volume were important determinants of the composite outcome (death or major complication), with surgeon volume having the most important e
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Congenital
September 4, 2014
August 5, 2014
The formation of endotracheal casts comprised of inflammatory debris (plastic bronchitis) is a rare but life-threatening complication of the Fontan procedure. This summary of 14 pts so affected demonstrated a mean interval to development of plastic bronchitis of 1.5 years. Casts were treated with outpt t-PA (13 pts) and pulmonary vasodilators. Les
July 23, 2014
This video shows the repair of an infracardiac Total Anomalous Pulmonary Venous Drainage (TAPVD) with the surgeon standing to the left of the patient.
July 17, 2014
Filmed at the 2014 STS Annual Meeting in Orlando, Florida, this roundtable discussion focuses on the management of adults with congenital heart disease. Joseph Dearani moderates this discussion with Stephanie Fuller, Ralph Mosca, and Thomas MacGillivray.
July 4, 2014
Neuroprotection strategies during deep hypothermic circulatory arrest (DHCA) in infants undergoing cardiac surgery are varied.
May 29, 2014
The authors studied outcomes after congenital operations in 12 programs in New York state (4,776 operations) to assess whether prolonged length of stay (PLOS) can be used as a quality measure. PLOS incidence ranged from 7.5% to 36.5.5. PLOS was strongly correlated with mortality rates. The authors conclude that PLOS is a reasonable quality metric,
May 6, 2014
This study compared early and intermediate biventricular function after early arterial switch in 26 infants and 20 age-matched controls. At 1 year LV performance was similar in ASO and controls, whereas RV systolic and diastolic function remained impaired. This stresses the need for ongoing monitoring of RV function after ASO.
April 7, 2014
This video demonstrates the conduct of a novel beating-heart Norwood operation. The procedure is universally-applicable to even the smallest aortas.
March 10, 2014
This video shows a female toddler with diagnosed idiopathic dilated cardiomyopathy. The patient presented with worsening symptoms of congestive heart failure and was treated with the help of a left ventricular assist device.
March 2, 2014
Fontan connections made using a lateral tunnel (LT) or extracardiac (EC) pathway were evaluated over time using MR. LT pathways generally increased in diameter while EC pathways did not. Normalized LT and EC diameters decreased relative to somatic growth, while descending aortic diameter increased in parallel with somatic growth.