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Congenital

Accuracy of transesophageal echocardiography in the identification of postoperative intramural ventricular septal defects
August 2, 2016
This single institution study evaluated the accuracy of intraoperative TEE to identify residual intramural ventricular septal defects after repair of conotruncal defects.  Intramural VSDs occurred in 10% of 337 pts; postoperative TTE identified all, intraoperative TEE identified 19.  Of abnormalities requiring catheterization or reoperation, 6 of 7 w
Ring-Reinforced Sano Right Ventricular to Pulmonary Artery Conduit at Norwood Stage I
July 4, 2016
This video demonstrates the use of a ring-reinforced ePTFE graft placed in the right ventricle through a limited ventriculotomy for the treatment of hypoplastic left heart syndrome.
Prediction of imminent, severe deterioration of children with parallel circulations using real-time processing of physiologic data
June 4, 2016
In order to develop an algorithm for identifying acute deterioration (urgent intubation or cardiopulmonary resuscitation) in infants with parallel systemic and pulmonary circulation, continuous physiologic monitoring data of 25 patients were retrospecitively reviewed and analyzed.  20 events were identified in 13 infants.  The algorithm was effective
Ventricular fibrogenesis activity assessed by serum levels of procollagen type III N-terminal amino peptide during the staged Fontan procedure
May 5, 2016
The authors measured serum amino-terminal procollagen III (PIII) as a marker of myocardial fibrogenesis in patients undergoing the Fontan procedure for single ventricle circulation and in controls.  Patients with single venticle circulation had elevated PIII levels compared to controls.  Staged Fontan elements successively reduced PIII levels.   The
Mechanical circulatory support in congenital heart surgery: Are we there yet?
May 5, 2016
The author summarizes the challenges but tremendous potential of mechanical circulatory support for infants and children undergoing heart surgery.
Right Axillary Thoracotomy for Transatrial Repair of a Wide Range of Congenital Heart Defects
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.
Aggressive Patch Augmentation May Reduce Growth Potential of Hypoplastic Branch Pulmonary Arteries After Tetralogy of Fallot Repair
March 7, 2016
This retrospective study of 434 infants and children undergoing TOF repair focused on how methods of handling hypoplastic pulmonary arteries affects long-term outcomes.  The most agressive patching technique resulted in the highest incidence of reintervention, whereas patients who had no intervention for hypoplastic pulmonary arterties had the lowest
When the Bidirectional Glenn is an Unfavorable Option: Primary Extracardiac Inferior Cavopulmonary Connection as an Alternative Palliation
February 8, 2016
This video shows a primary inferior cavopulmonary connection with an extracardiac conduit as an alternative treatment for an infant unsuitable for the bidirectional Glenn.
Use of Computational Fluid Dynamics in the Evaluation of Hemodynamic State of Left Ventricular Outflow Tract and Aorta After the Rastelli Procedure
February 4, 2016
This video demonstrates the use of computational fluid dynamics after performing the Rastelli procedure.
Isolated Left Pulmonary Artery Sling Reimplantation
February 1, 2016
This video demonstrates a surgical technique for repairing a left pulmonary artery sling.

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