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Results of definitive repair of complete atrioventricular septal defect in neonates and infants.
BACKGROUND Early surgical intervention for complete atrioventricular septal defect (AVSD) has contributed to a decline in postoperative mortality. METHODS We retrospectively evaluated outcomes inExpand
Premature failure of small-sized Shelhigh No-React porcine pulmonic valve conduit model NR-4000.
The authors' experience of the SPVC with the diameter of 14mm or less has revealed a high incidence of distal conduit stenosis due to intimal peel formation resulting in early conduit failure, which has led us to abandon its use when other options are available. Expand
Modified versus conventional ultrafiltration in pediatric cardiac surgery: a meta-analysis of randomized controlled trials comparing clinical outcome parameters.
Combined analysis revealed that modified ultrafiltration resulted in significantly higher postbypass hematocrit and higher mean arterial blood pressure and benefits in postoperative blood loss, ventilator time, and intensive care unit stay were not apparent. Expand
Shallow stitching close to the rim of the ventricular septal defect eliminates injury to the right bundle branch.
A novel suturing method to reduce the prevalence of complete right bundle branch block by placing shallow stitches placed close to the rim of the perimembranous ventricular septal defect consistent with the morphologic finding that stitches of group 2 tended to damage the right bundle Branch and those of group 1 did not. Expand
Valve sparing aortic root replacement for dilatation of the pulmonary autograft and aortic regurgitation after the Ross procedure.
Aortic root remodeling with annular reduction is an effective treatment for aorticRoot dilatation and aorti insufficiency after the Ross operation and avoids the need for a prosthetic valve and anticoagulation. Expand
Continuous pulmonary perfusion during cardiopulmonary bypass prevents lung injury in infants.
This study demonstrates that arrested pulmonary circulation during cardiopulmonary bypass is the major risk factor of lung injury and that continuous pulmonary perfusion is effective in preventing lung injury. Expand
Selective management of the left ventricular outflow tract for repair of interrupted aortic arch with ventricular septal defect: management of left ventricular outflow tract obstruction.
Interrupted aortic arch/ventricular septal defect with posterior malalignment of the infundibular septum can be repaired with low mortality in the neonatal period and reoperation for left ventricular outflow tract obstruction, often related to the development of a new and discrete subaortic membrane or valvar stenosis is still required in a subset of patients. Expand
Augmentation of vecuronium-induced neuromuscular block during sevoflurane anaesthesia: comparison with balanced anaesthesia using propofol or midazolam.
The potentiating effects of 1.7% sevoflurane on vecuronium-induced neuromuscular block is quantified and results with those obtained during balanced anaesthesia with propofol or midazolam are compared. Expand
Influence of bidirectional cavopulmonary anastomosis and concomitant valve repair on atrioventricular valve annulus and function.
Unloading the systemic ventricle by BCPA leads to a decrease in the relative size of the atrioventricular valve, but this decrease does not improve the degree of AVVR in the absence of concomitant valve repair. Expand
Mid-term result of atrioventricular valve replacement in patients with a single ventricle.
Valve replacement for uncontrollable atrioventricular valve regurgitation in single ventricular circulation was associated with a moderately high risk of death, redo replacement and pacemaker implantation, whereas valve replacement at a later period and with a larger prosthetic valve size wasassociated with low mortality. Expand