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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Congenital
October 31, 2016
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.
May 5, 2016
The author summarizes the challenges but tremendous potential of mechanical circulatory support for infants and children undergoing heart surgery.
April 12, 2016
Results of an audit of the National Congenital Heart Disease database were evaluted to determine characteristics of patients undergoing reoperation within 30 days of their primary procedure. Among over 18,000 patients, 3.5% had early reoperations. The reoperations were most commonly arterial shunt, PA band, and VSD procedures. 60 day mortality was
April 12, 2016
This video shows the closure of a ventricular septal defect via a right axillary thoracotomy in a 10-month-old baby girl.
December 8, 2015
This is an edition of the annals of Cardiothoracic Surgery dedicated to minimally invasive cardiothoracic surgery. It contains many approaches for thymectomy and mediastinal masses including VATS, uniportal VATS, subxiphoid approaches and robotic approaches.
August 11, 2015
This video demonstrates a laparoscopic repair of symptomatic left-side Bochdalek hernia in a 20-year-old female.
July 9, 2015
Twenty-five cardiac surgery trainees underwent randomization to learn TEE interpretation by either of two approaches: traditional teaching during cardiac surgery vs. simulation-based teaching via the Heartworks simulator.
April 15, 2015
Propensity score-matched analysis of surgical ligation versus medical management of clinically significant patent ductus arteriosus in premature (<37 weeks), extremely low birth weight infants (<1000 g). Infants undergoing surgical ligation had lower mortality (15% vs 26%) and a higher rate of routine disposition from the hospital (48% vs 41%)
March 2, 2015
This study examined the utility/accuracy of an administrative database compared to the STS Congenital Database for the outcome of mortality, which is used to rank quality. The administrative database had substantially lower volume and mortality numbers than the STS Database, resulting in ranking differences of 5 or more places for 24% of hospitals.<