In recent years, several publications from German institutions have highlighted the need for quality assessment, complexity and risk interpretation, and assurance of sustainable structures in congenital heart surgery. In addition, there is a severe shortage of congenital cardiac surgeons in Germany. To provide quality assurance, the German Society for Thoracic and Cardiovascular Surgery (DGTHG,...

OBJECTIVE At this moment, no risk stratification models are available for adult congenital cardiac surgery. This study aims to identify a suitable stratification tool for the adult congenital heart surgery population. Pediatric congenital cardiac surgery score models were therefore tested in an adult congenital population. In addition, an age component was added to these models and performance ...

conclusions the right ventricular outflow tract palliation in children with cyanotic chd leads to long-term favorable outcome regarding improvement in oxygen saturation, increase in z score of both left and right pulmonary arteries and also considerable decrease in spell. also, death and complications are rare following rvot palliation. background the right ventricular outflow tract (rvot) pall...

Regular consumption of vitamin D doses can improve heart function in patients with heart failure. The present study aimed to investigate the effect of vitamin D on the recovery process of neonates, infants, and children with Congenital Heart Disease (CHD) following reconstructive cardiac surgery. Materials and Methods: In this sing...

OBJECTIVE To assess mortality and the psychological repercussions of the prolonged waiting time for candidates for heart surgery. METHODS From July 1999 to May 2000, using a standardized questionnaire, we carried out standardized interviews and semi-structured psychological interviews with 484 patients with coronary heart disease, 121 patients with valvular heart diseases, and 100 patients wi...

“Perfusion”: French verb ‘perfuse’ meaning to ‘pour over’. Heart disease is a major health problem in the World, and heart surgery is now common for revascularisation in coronary artery disease, heart valve repair and replacements, and heart and heartlung transplantation. This includes surgery for adults with acquired heart disease and corrective and palliative surgery for both children (includ...

OBJECTIVES Whereas surgical outcomes of congenital heart surgery have improved during the past two decades, there are still measurable postoperative mortalities in this field. This study is aimed at evaluating the current situation of mortality following congenital heart surgery. METHODS Data on all registered 28 810 patients in The Japan Congenital Cardiovascular Surgery Database (JCCVSD) be...

Congenital Heart Defect (CHD) is a multifactorial disorder based on both genetic and environmental factors involved in development. The basic problem lies the structure of heart leading to CHD that occurs walls, valves, arteries veins heart. During cell cycle, gene controls this process may mutate, causing disturbance any portion disturbed blood flow, flow wrong direction or complete blockage. ...

In adults with congenital heart disease who are confronted with noncardiac surgery, perioperative risks can be reduced, often appreciably, when problems inherent to this patient population are anticipated. The first necessity is to clarify the diagnosis and to be certain that appropriate information is obtained from a cardiologist with adequate knowledge of congenital heart disease in adults. P...