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Congenital

July 28, 2017
Patient Care The first total aortic replacement in Malaysia was performed for a patient with a thoracoabdominal aneurysm at the National Heart Institute (IJN) in Kuala Lumpur.
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 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.
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 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. 
March 17, 2017
Three quarters of a century in caring for patients with congenital heart disease are summarized well in this brief viewpoint article, with the big data issue discussed.
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

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