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Miscellaneous congenital procedures

November 30, 2015
This video shows a rare variety of ALCAPA, where the left coronary artery originated from the non-facing sinus of the pulmonary artery.
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%)
April 2, 2015
Repair of this congenital defect in 34 pts was associated with no early mortality and substantial improvement in LV function (EF, shortening fraction, LVEDD).  No postoperative circulatory support was required. 
March 31, 2015
This video shows an extended septal myectomy on an eight-year-old boy with hypertrophic cardiomyopathy.
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
March 17, 2014
In this video, the authors demonstrate a safe, effective, and previously unreported minimally invasive approach to repair anomalous aortic origin of a coronary artery (AAOCA), using an upper hemi-sternotomy.
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.
February 4, 2014
Coronary arterial anomalies are the second most common cause of sudden cardiac death in competitive athletes. In this video, the authors demonstrate two surgical strategies for management of anomalous origin of the right coronary artery with a “malignant” intramural or interarterial course.
September 6, 2013
The cause of pectus deformities is thought to be abnormal elongation and/or distorsion of the rib cartilages. A simplified open repair is described based on the subperichondrial resection of the abnormal cartilages, and in the case of pectus excavatum, the use of an easily removable metallic strut.
November 8, 2011
Anomalous right coronary artery arising from  the left aortic sinus is a rare malformation, which is known to be associated with an increased risk of sudden death. This video shows the currently favored approach for anatomical repair by an unroofing procedure that results in relocation of the coronary artery into the appropriate aortic sinus.

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