In adults with congenital heart disease coronary arterial anatomy, normal as well as anomalous, may have implications in surgical reconstruction of an underlying cardiac structure. In addition to the diagnostic imaging, necessary in surgery for adult congenital heart disease, additional information with regard to the spatial relation between the relevant cardiac structure and the coronary arter...

INTRODUCTION The microeconomic impact of surgery for congenital heart disease is unexplored, particularly in resource limited environments. We sought to understand the direct and indirect costs related to congenital heart surgery and its impact on Indian households from a family perspective. METHODS Baseline and first follow-up data of 644 consecutive children admitted for surgery for congeni...

BACKGROUND The National Quality Forum previously approved a quality indicator for mortality after congenital heart surgery developed by the Agency for Healthcare Research and Quality (AHRQ). Several parameters of the validated Risk Adjustment for Congenital Heart Surgery (RACHS-1) method were included, but others differed. As part of the National Quality Forum endorsement maintenance process, d...

Congenital heart disease (CHD) represents a major challenge for anaesthetists. This is due to the complexities in pathophysiology and impact of surgery anaesthesia, which predisposes significant perioperative morbidity mortality.1 Univentricular (UH) consists large variety rare complex congenital cardiac malformations. There are cases children having only single functional ventricle from birth....

The caregivers of children with congenital heart disease undergoing cardiac surgery are under stress due to the uncertainty of the surgical outcome and the stressful experience of being admitted in an intensive care unit. The current review describes the factors associated with parental stress in patients with congenital heart disease undergoing cardiac surgery. These factors can be grouped int...

This study was conducted to assess the incidence of abnormalities of ventricular depolarization (late potentials) in children with sinus rhythm after open heart surgery and their relation to spontaneous ventricular tachycardia. Open heart surgery, particularly operations involving ventriculotomy, may predispose patients to the development of ventricular tachycardia (VT) or ventricular fibri...

background: hypoalbuminemia may be caused by liver disease, nephrotic syndrome, burns, protein-losing entropathy, malnutrition, and metabolic stress. alterations in albumin in metabolic stress such as cardiac surgery have been previously investigated. we studied serum albumin concentration in children with congenital heart disease and also the association of hypoalbuminemia with mortality and m...

Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease. Patients who have undergone surgical repair ToF constitute one largest groups disease patients surviving into adulthood. The history techniques has evolved through years, starting from early 1930s. In this context, many leading figures are acknowledged as pioneers in cardiothoracic surgery. There struggled to obtain...