A5020630134- Congenital Heart Disease Studies
- Aortic Disease and Treatment Approaches
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Coronary Artery Anomalies
- Tracheal and airway disorders
- Surgical site infection prevention
- Pulmonary Hypertension Research and Treatments
- Cardiovascular Issues in Pregnancy
- Vascular anomalies and interventions
- Healthcare Policy and Management
- Cardiac Imaging and Diagnostics
- Cardiovascular and Diving-Related Complications
- Respiratory Support and Mechanisms
- Congenital Diaphragmatic Hernia Studies
- Cardiac Arrhythmias and Treatments
- Heart Failure Treatment and Management
- Antibiotics Pharmacokinetics and Efficacy
- Herpesvirus Infections and Treatments
- Gallbladder and Bile Duct Disorders
- Ultrasound in Clinical Applications
- Cross-Border Cooperation and Integration
Children's Memorial Health Institute
2015-2025
This study presents the results of 17 years experience with bicuspid aortic valve (BAV) repair and analysis factors associated failure early echocardiographic outcome.Between 2003 2020, a total 206 patients [mean age: 44.5 ± 15.2 years; 152 males (74%)] BAV insufficiency or without dilatation underwent elective performed by single surgeon mean follow-up 5 3.5 years. The transthoracic echocardiography examinations were reported.There no deaths during hospital stay, all but 1 patient survived...
Abstract OBJECTIVES The European Congenital Heart Surgeons Association Cardiac Database (ECHSA CCDB), growing steadily over 25 years is the second largest in world and In this study we summarize overall outcomes of paediatric congenital cardiac procedures, stratified by age groups, benchmark procedure report on observed trends. METHODS All data from 1999 until August 2024 are analyzed outcome parameters hospital mortality (HM), 30-days (30d-M) Length stay (LOS) reported. Outcomes origin...
The multi-national and multi-institutional collection of data on outcomes in Congenital Heart Surgery (CHS) provides the possibility analysis results treatment may result further improvement quality care. verification as far completeness accuracy is necessary to give confidence all sides--the patients, centers regulatory authorities. source (SDV), although difficult, appears possible even such a large-scale database.Out 5.274 patients 5.612 procedures 2003, collected database, 1.703 (32.3%)...
The relation between surgical volumes and outcome in congenital heart surgery (CHS) was investigated with no clear conclusions. We sought to quantify the relationship volume performance defined as Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery Congenital Heart (STAT) Mortality Score Surgeons (STS) Morbidity Score.We have used only verified data European Database. dataset consists 17,861 procedures performed 23 centers 2003 2011. were divided into 4...
The internal geometric ring provides full three-dimensional annular stability while minimizing the dissection of aortic root, pulmonary artery and right ventricle avoids reimplanting coronaries. external annuloplasty a secondary stabilization easily accessed fibrous portion annulus using sutures for device minimizes above leaflets. Together they form complete remodelling ventriculo-aortic junction following its exact course. together with subcommissural triangles defines functional...
Background: A Fontan-type operation, i.e. a connection of the systemic veins and pulmonary arteries without subpulmonaryventricle, with different surgical techniques, is nowadays only treatment option for patients functionally univentricularheart (UVH). Understanding development in who are considered Fontanprocedure important clinically. Aim: To evaluate univentricular circulation. Methods: Between 1995 2007, 111 underwent bidirectional Glenn procedure. In all patients,...
Mechanical circulatory support for pediatric heart failure patients with the Berlin Heart EXCOR ventricular assist system is only approved and established bridging strategy recovery or transplantation. In recent years, burden of thromboembolic events has led to modifications recommended antithrombotic therapy. Therefore, we aimed assess practice among European Pediatric Investigator Group members.We sent a questionnaire assessing seven aspects therapy 18 hospitals using device children....
The incompetent bicuspid aortic valve (BAV) can be replaced or repaired using various surgical techniques. This study sought to assess the efficacy of external annuloplasty and postoperative reverse remodelling cardiac magnetic resonance (CMR) compare results subcommissural annuloplasty. Out a total 200 BAV repair performed between 2004 2018, 21 consecutive patients (median age 54 years) with regurgitation requiring without concomitant root surgery were prospectively referred for CMR...
Abstract Objective Previous analyses have suggested an association between centre volume and in-hospital mortality, post-operative complications, mortality in those patients who suffer from a complication. We sought to determine the nature of this using multicentre cohort. Methods All patients, aged 18 years or younger, undergoing heart surgery at centres participating European Congenital Heart Surgeons Database (2003–2013) were included. Programmes grouped as follows: small <150; medium...
The European Congenital Heart Surgeons Association (ECHSA) Database (CD) is the second largest clinical pediatric and congenital cardiac surgical database in world Europe, where various smaller national or regional databases exist. Despite dramatic increase interventional cardiology procedures over recent years, only scattered of such exist Europe. Most importantly, no exists that seamlessly combines both data on an international level; therefore, outcomes performed same similar patients...
Slide tracheoplasty has become the treatment of choice when dealing with congenital tracheal stenosis (CTS). Versatility and effectiveness are specific advantages this technique compared other surgical procedures for reconstruction. We report a new use slide in patient short CTS pouch after oesophageal atresia tracheoesophageal fistula repair.
The Japan Cardiovascular Surgery Database-Congenital section (JCVSD-Congenital) and the European Congenital Heart Surgeons Association (ECHSA) Database (CHSD) share same nomenclature. We aimed at comparing congenital cardiac surgical patterns of practice outcomes in Europe using JCVSD-Congenital ECHSA-CHSD.We examined Japanese (120 units, 63,365 operations) (96 90,098 data ECHSA-CHSD from 2011 to 2017. Patients' age weight, periprocedural times, mortality hospital discharge, postoperative...
Congenital heart surgery databases are tools for internal programmatic evaluation, benchmarking institutional results to multi-institutional aggregate data, and research. Therefore, it is essential ensure the completeness accuracy of data. This study analyzes ten years on-site source data verification European Heart Surgeons Association Surgery Database (ECHSA CHSD).All forms verified between 2009 2018 were analyzed. The form consists 12 elements: dates birth, admission, surgery, discharge,...
The incompetent bicuspid aortic valve (BAV) can be repaired using various techniques. This study presents a prospective comparison of external and subcommissural annuloplasty.Fifty consecutive patients (38 males, age: 43.9 ± 15.8 years) with BAV insufficiency or without dilatation underwent repair in single institution. They were prospectively allocated to one two groups based on the annulus stabilization technique: 25 operated annuloplasty (SCA) complete (EA). Transthoracic echocardiography...
We describe the case of a newborn with hypoplastic left heart syndrome (HLHS) and aberrant origin circumflex coronary artery from right pulmonary artery. The patient underwent modified Norwood procedure direct reimplantation to neo-aorta, but died on 5(th) postoperative day because myocardial failure. Detailed assessment arteries as part routine echocardiographic evaluation HLHS intraoperative inspection them is crucial. W pracy opisano przypadek kliniczny noworodka z zespołem hipoplazji...
The European Congenital Heart Surgeons Association (ECHSA) Database (CD) is the second largest clinical pediatric and congenital cardiac surgical database in world Europe, where various smaller national or regional databases exist. Despite dramatic increase interventional cardiology procedures over recent years, only scattered of such exist Europe. Most importantly, no exists that seamlessly combines both data on an international level; therefore, outcomes performed same similar patients...
The treatment of advanced heart failure (HF) in children and infants poses a serious management problem. Heart that patient group is usually congenital aetiology. schedules for paediatric patients are most cases adapted from the guidelines adults. Up to 2009, extremely difficult was limited pharmacological therapy occasional transplantations. Constantly increasing problems with recruiting donors, especially group, contribute fact mechanical support use ventricular assist devices many only...
Pediatric cardiac surgery requires perioperative antibiotic prophylaxis (PAP) to reduce the risk of surgical site infections. However, complexity these procedures and metabolic immaturity children impede establishment PAP regimens that are both efficacious in line with antimicrobial stewardship (AMS). In this study, we compared two regimens: cefazolin gentamicin (in a retrospective group) only (prospectively) undergoing elective surgery. prospective group, additional elements AMS were...