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Health supervision for children with Down syndrome.
TLDR
These guidelines are designed to assist the pediatrician in caring for the child in whom the diagnosis of Down syndrome has been confirmed by karyotype, and occasionally the pregnant woman who has been given the prenatal diagnosis of down syndrome will be referred for counseling.
Prevalence and predictors of neoaortic regurgitation after arterial switch operation for transposition of the great arteries.
TLDR
After arterial switch operation, there is an increasing frequency of neoaortic regurgitation, which may lead to significant valvular dysfunction later in life, and the trap-door type of coronary reimplantation is associated with an increased risk for valVular dysfunction, possibly because of a distortion of the sinotubular junction geometry.
Risk of surgery for congenital heart disease in the adult: a multicentered European study.
TLDR
Surgical treatment of CHD in adult patients, in specialized cardiac units, proved quite safe, beneficial, and low-risk.
Congenital supravalvar mitral ring: an underestimated anomaly.
TLDR
The anatomic findings and surgical results of this lesion were reviewed and two types of congenital mitral ring, with diverse valve pathology and outcome, were identified.
Determinants of outcome after surgical treatment of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries.
TLDR
The results of surgery were satisfactory and durable, despite the need for repeated percutaneous or surgical reinterventions, and chromosome 22q11 deletion remained an independent variable affecting survival.
Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome.
TLDR
The complex cardiovascular anatomy in association with depressed immunological status, pulmonary vascular reactivity, neonatal hypocalcemia, bronchomalacia and broncospasm, laryngeal web, and tendency to airway bleeding must be considered at the time of diagnosis and surgical procedure.
Clinical outcome of 193 extracardiac Fontan patients: the first 15 years.
TLDR
After 15 years of follow-up, the overall survival, the functional status, and the cardiopulmonary performance of survivors of the extracardiac Fontan procedure compare favorably with other series of patients who underwent the lateral tunnel approach.
Accuracy of VirtualTouch Acoustic Radiation Force Impulse (ARFI) imaging for the diagnosis of cirrhosis during liver ultrasonography.
TLDR
VirtualTouch is able to identify the presence of cirrhosis with good accuracy, shows good interobserver reproducibility and the correlation of its values with those obtained by transient elastography with Fibroscan is good.
Genetic syndromes and congenital heart defects: how is surgical management affected?
TLDR
The medical and surgical issues correlated to the genetic asset in patients with congenital heart defects and genetic syndromes are reviewed, including trisomy 21, deletion 22q11, Noonan/LEOPARD, Turner, Marfan and Williams syndrome.
Better surgical prognosis for patients with complete atrioventricular septal defect and Down's syndrome.
TLDR
Down patients showed a decreased risk for biventricular repair and lower mortality and morbidity in cases of complex cardiac malformations requiring complex palliative operations.
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