The author summarizes the challenges but tremendous potential of mechanical circulatory support for infants and children undergoing heart surgery.
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Congenital
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.
December 3, 2014
This single institution study evaluated the effects of 24-hr in hospital congenital cardiac surgery coverage on outcomes for perioperative congenital heart surgery ECMO. Institution of 24-hr coverage reduced hospital mortality from 68% to 43% as well as rates of cardiac arrhythmias and pneumonia. 24-hr coverage was independently associated with a r
November 17, 2014
The authors aimed to study whether systemic lupus erythematosus (SLE) resulted in an increased risk of congenital heart defects (CHD). Mothers with SLE were selected from a large Quebec healthcare database and matched to mothers without SLE. Children born to mothers with SLE were more likely to experience CHD (5.2% versus 1.9%).