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.
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VSD
May 27, 2017
March 15, 2017
This video shows the treatment of a 4-month-old male patient, who was diagnosed with a large ventricular septal defect after evaluation for respiratory distress.
January 25, 2017
This video shows a simple operative technique for the management of scimitar syndrome with hypoplasia of the right lung and a ventricular septal defect in a six-month-old infant.
December 22, 2016
Sixteen patients underwent percutaneous placement of a VSD closure device for management of subarterial VSD with puncture through the chest wall and infundibulum of the RV. Fifteen were successful, and 1 patient required conversion to mini-thoracotomy for pericardial effusion and tamponade. Mean LOS was 3.5 days. No deaths, arrhythmias, valve inju
November 23, 2016
In this single institution retrospective study, the relationship of PA pressure to long-term mortality was assessed in patients undergoing unifocalization for pulmonary atresia with VSD. A mean PA intraoperative pressure > 25mm Hg was associated with worse survival, and was the sole predictor of medium-term death.
November 23, 2016
A single institution experience during 22 years for early repair of complete AV canal defects (CAVCD) is reported. Repair was performed in 159 pts between 8 and 12 weeks of age. Operative mortality was 1.9% and later mortality was 7.7%. 13% required reoperation during long-term follow-up, primarily for left AV valve regurgitation. Left AV valve
August 10, 2016
This video illustrates a no-patch closure for complete atrioventricular canal 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
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.