Paul M Kirshbom

..We compare the short-term outcomes of vascular ring division by VATS as opposed to open thoracotomy and discuss new issues raised by VATS division of vascular rings...

..The goal of this study was to determine whether this single nucleotide polymorphism alters transplant-free survival for children with single-ventricle congenital heart disease...

..We performed a prospective, randomized trial comparing surface-modified cardiopulmonary bypass circuits to a standard unmodified circuit in pediatric cardiac surgery...

..009). These results support the conclusion that NIRS can be a useful tool to evaluate awake single ventricle patients in the outpatient setting...

..The goal of this review was to identify the incidence, risk factors, and outcomes for reentry injury in patients with congenital heart disease...

..For this operation, we analyzed potential risk factors for morbidity and mortality. We also evaluated the effects of a persistent left superior vena cava by comparing the outcomes of unilateral and bilateral operations...

..Black recipient race has been shown to predict poorer graft survival after pediatric heart transplantation. We analyzed our single-center experience comparing graft survival by race and the impact of donor-recipient race mismatch...

..This study aimed to evaluate the additional perioperative risks associated with single-ventricle AVV surgery...

..Single ventricle patients experiencing cardiopulmonary collapse and CMM patients have favorable outcomes. Failure to wean from CPB and postoperative ventricular failure are higher risk indications...

..Previous studies have reported that children with a prior Fontan procedure have decreased survival after heart transplantation. We examined 190 primary pediatric heart transplants...

..Report on the use of near infrared spectroscopy (NIRS) for the recognition of pericardial tamponade after neonatal congenital heart surgery...

..Evaluate effects and safety of nesiritide (Natrecor, Scios Inc.) human B-type natriuretic peptide, in neonates with heart failure...

..When present, moderate/severe neoaortic insufficiency appeared late after initial palliation and was associated with recurrent ascending aortic or aortic arch pathology in every case...

..The purpose of this retrospective review was to evaluate the use of RACHS in a single-center series as a predictor of outcome in a high-risk newborn population...

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..We reviewed our experience with salvage cardiac extracorporeal membrane oxygenation to determine the cost-utility, which accounts for both costs and quality of life...

..Genetic abnormalities occur in approximately 20% of children with congenital heart disease. The purpose of this study was to evaluate the effect of genetic abnormalities on short-term outcomes following neonatal cardiac surgery...

..With this in mind, we sought to determine whether regional cSaO(2) by NIRS technology could predict risk of adverse outcome after the Norwood procedure...

..Following neonatal congenital heart surgery, one of the factors impacting patient recovery is feeding difficulty. The aim of this study is to identify the risk factors...

..We reviewed our experience with neonates 30 days or greater with TOF from 2002 to 2008 requiring surgical intervention...

..It has been utilized in over 50 consecutive patients. This technique is simple, effective, and easily reproducible. The postoperative hemodynamics, echocardiographic data, and outcomes have been excellent...

..In an effort to decrease the risk of sudden death, some centers have advocated that routine immunizations be deferred in this population. However, it is not known if an association exists between immunizations and adverse events...

..The management of patients with aortic coarctation and ventricular septal defect (VSD) remains controversial. We reviewed our experience with coarctation and VSD from 2002 to 2006...

..Experience with pediatric cardiac retransplantation is limited. Outcomes should be inspected to insure proper use of donor hearts...

..After transitioning our program from the children's hospital to the adult hospital, we analyzed our experience with each system...

..SERCA staining was regular and striated in both groups. This study shows for the first time that the newborn human ventricle has a flat FFR, which increases with age and may be caused by developmental changes in calcium handling...

..Evaluation of these children is indicated to identify those who are at risk for learning disabilities and who could benefit from early intervention...

..Early repair minimizes aggressive medical therapy to prevent heart failure, maintains growth, and limits exposure to elevated pulmonary pressures. We compare the outcomes of repair among different-sized children...

..To review, in retrospective fashion, the effect of preoperative mechanical ventilation on neonatal outcomes after cardiac surgery...

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..Some children who have had an aortic valve replacement (AVR) will need valve re-replacement (redo-AVR). We analyzed our results with 38 redo-AVRs in 30 children...

..We sought to report the outcomes for cardiac surgery performed in adults (>or=21 years of age) at children's hospitals and determine how these practices varied among institutions...

..Despite improved mitral repair techniques, some children need mitral valve replacement (MVR). Due to small annulus size, supra-annular MVR is useful...

..We sought to evaluate the practice of delayed sternal closure after neonatal cardiac surgery to determine its role as a risk factor for postoperative bloodstream infection...

..Since 1998, the De Vega tricuspid annuloplasty technique has been applied for TR in these children...

..To report the use of negative pressure ventilation as a therapeutic rescue in a patient with post-operative complications of Kawashima procedure...

..The long-term outcome of patients with single-ventricle disease who require a gastric fundoplication early in life has not been assessed...

..The purpose of this study was to examine short-term outcomes following cardiac surgery in premature neonates adhering to our institutional philosophy of supportive care allowing for weight gain and organ maturation...

..Interventions to increase Hgb above this level may be of limited benefit...

..Further prospective studies will be needed to compare nesiritide with other vasoactive agents and examine the cost-efficacy of this therapy...

..Despite excellent results with current techniques of mitral valve repair, some children still require mitral valve replacement (MVR). Of necessity, a certain percentage of these children need valve rereplacement (redo MVR)...

..The ideal choice for valved reconstruction of the right ventricular outflow tract (RVOT) in children is undetermined. This study explores the Freestyle porcine aortic root for these patients...

..Since this is the first study to examine the early developmental outcomes of children with DS +?AVSD, the findings may be useful for clinicians in providing anticipatory guidance...

..CONCLUSIONS: Use of MUF after DHCA does not prevent neuronal injury or improve neurologic outcome in this neonatal swine model...

..A variety of surgical techniques have been developed to address absent pulmonary valve syndrome that may improve long-term outcomes...

..We evaluated cardiopulmonary function at rest and during exercise in children after surgical repair for total anomalous pulmonary venous connection...

..Factors present before operation, such as pulmonary venous obstruction and associated anomalies, can influence overall health and school performance in the long term...

..However, there has been no comprehensive, long-term, electrophysiologic study of patients who have undergone repair of total anomalous pulmonary venous connection...