Joseph W Rossano

Summary

Affiliation: The Children's Hospital of Philadelphia
Country: USA

Publications

  1. doi request reprint Use of sirolimus in pediatric heart transplant patients: A multi-institutional study from the Pediatric Heart Transplant Study Group
    Joseph W Rossano
    Department of Pediatrics, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania Electronic address
    J Heart Lung Transplant . 2016
  2. doi request reprint Outcomes of pediatric patients supported with continuous-flow ventricular assist devices: A report from the Pediatric Interagency Registry for Mechanical Circulatory Support (PediMACS)
    Joseph W Rossano
    The Cardiac Center, Division of Cardiology, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania Electronic address
    J Heart Lung Transplant 35:585-90. 2016
  3. doi request reprint Clinical Issues and Controversies in Heart Failure and Transplantation
    Joseph W Rossano
    The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    World J Pediatr Congenit Heart Surg 7:63-71. 2016
  4. doi request reprint Successful use of the total artificial heart in the failing Fontan circulation
    Joseph W Rossano
    Division of Cardiology, Department of Pediatrics, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    Ann Thorac Surg 97:1438-40. 2014
  5. doi request reprint Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study
    Joseph W Rossano
    Department of Pediatrics, Division of Cardiology, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Card Fail 18:459-70. 2012
  6. doi request reprint Ethical considerations related to the use of mechanical support in congenital heart disease
    Joseph W Rossano
    Division of Cardiology, The Children s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    World J Pediatr Congenit Heart Surg 4:70-4. 2013
  7. doi request reprint Mechanical support as failure intervention in patients with cavopulmonary shunts (MFICS): rationale and aims of a new registry of mechanical circulatory support in single ventricle patients
    Joseph W Rossano
    Department of Pediatrics, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
    Congenit Heart Dis 8:182-6. 2013
  8. doi request reprint Outcomes of heart failure-related hospitalization in adults with congenital heart disease in the United States
    Fred H Rodriguez
    Baylor College of Medicine, Department of Pediatrics, Division of Cardiology and Congenital Heart Surgery, Houston, Tex, USA Sibley Heart Center Cardiology and Emory University School of Medicine, Atlanta, GA, USA
    Congenit Heart Dis 8:513-9. 2013
  9. doi request reprint Assessment of the Cylex ImmuKnow cell function assay in pediatric heart transplant patients
    Joseph W Rossano
    Department of Pediatrics, Baylor College of Medicine, Texas Children s Hospital, Houston, Texas, USA
    J Heart Lung Transplant 28:26-31. 2009
  10. pmc Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009
    Deipanjan Nandi
    Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104, USA
    Pediatr Cardiol 37:512-8. 2016

Detail Information

Publications41

  1. doi request reprint Use of sirolimus in pediatric heart transplant patients: A multi-institutional study from the Pediatric Heart Transplant Study Group
    Joseph W Rossano
    Department of Pediatrics, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania Electronic address
    J Heart Lung Transplant . 2016
    ..However, limited data exist on sirolimus-treated pediatric patients. We aimed to describe sirolimus use in pediatric heart transplant patients and test the hypothesis that sirolimus use is associated with improved outcomes...
  2. doi request reprint Outcomes of pediatric patients supported with continuous-flow ventricular assist devices: A report from the Pediatric Interagency Registry for Mechanical Circulatory Support (PediMACS)
    Joseph W Rossano
    The Cardiac Center, Division of Cardiology, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania Electronic address
    J Heart Lung Transplant 35:585-90. 2016
    ..However, there are few data on CF VADs among pediatric patients. In this study we aimed to describe the overall use, patients' characteristics and outcomes of CF VADs in this population...
  3. doi request reprint Clinical Issues and Controversies in Heart Failure and Transplantation
    Joseph W Rossano
    The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    World J Pediatr Congenit Heart Surg 7:63-71. 2016
    ....
  4. doi request reprint Successful use of the total artificial heart in the failing Fontan circulation
    Joseph W Rossano
    Division of Cardiology, Department of Pediatrics, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    Ann Thorac Surg 97:1438-40. 2014
    ..We report the first successful use of a total artificial heart as a bridge to transplant in a patient who had previously undergone a Fontan operation. ..
  5. doi request reprint Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study
    Joseph W Rossano
    Department of Pediatrics, Division of Cardiology, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Card Fail 18:459-70. 2012
    ..We tested the hypotheses that pediatric heart failure-related hospitalizations increased over time but that mortality decreased. Factors associated with mortality and length of stay were also assessed...
  6. doi request reprint Ethical considerations related to the use of mechanical support in congenital heart disease
    Joseph W Rossano
    Division of Cardiology, The Children s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    World J Pediatr Congenit Heart Surg 4:70-4. 2013
    ....
  7. doi request reprint Mechanical support as failure intervention in patients with cavopulmonary shunts (MFICS): rationale and aims of a new registry of mechanical circulatory support in single ventricle patients
    Joseph W Rossano
    Department of Pediatrics, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
    Congenit Heart Dis 8:182-6. 2013
    ..This document reflects the consensus from the meeting and provides a descriptive overview of the registry referred to as Mechanical Support as Failure Intervention in Patients with Cavopulmonary Shunts...
  8. doi request reprint Outcomes of heart failure-related hospitalization in adults with congenital heart disease in the United States
    Fred H Rodriguez
    Baylor College of Medicine, Department of Pediatrics, Division of Cardiology and Congenital Heart Surgery, Houston, Tex, USA Sibley Heart Center Cardiology and Emory University School of Medicine, Atlanta, GA, USA
    Congenit Heart Dis 8:513-9. 2013
    ..The purpose of this study was to test the hypotheses that HF admissions are common in ACHD and associated with significant morbidity and mortality...
  9. doi request reprint Assessment of the Cylex ImmuKnow cell function assay in pediatric heart transplant patients
    Joseph W Rossano
    Department of Pediatrics, Baylor College of Medicine, Texas Children s Hospital, Houston, Texas, USA
    J Heart Lung Transplant 28:26-31. 2009
    ..Data on the utility of this test in pediatric heart transplant patients are very limited. This study tested the hypothesis that CICFA is a clinically useful test in this transplant population...
  10. pmc Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009
    Deipanjan Nandi
    Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104, USA
    Pediatr Cardiol 37:512-8. 2016
    ..Further study is needed to understand potential factors driving these higher costs over time and to identify more cost-effective therapies in this population...
  11. doi request reprint B-type natriuretic peptide is a sensitive screening test for acute rejection in pediatric heart transplant patients
    Joseph W Rossano
    Department of Pediatrics, Baylor College of Medicine and Texas Children s Hospital, Houston, Texas 77030, USA
    J Heart Lung Transplant 27:649-54. 2008
    ..The utility of B-type natriuretic peptide (BNP) for detecting acute rejection (AR) is unclear. The purpose of our study was to evaluate BNP as a screening test for AR in pediatric heart transplant patients...
  12. doi request reprint Impact of antibodies against human leukocyte antigens on long-term outcome in pediatric heart transplant patients: an analysis of the United Network for Organ Sharing database
    Joseph W Rossano
    Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children s Hospital, Houston, Tex 77030, USA
    J Thorac Cardiovasc Surg 140:694-9, 699.e1-2. 2010
    ..This study sought to determine the association of elevated anti-human leukocyte antibodies with long-term survival in pediatric heart transplant patients...
  13. doi request reprint Outcomes of Single-Ventricle Patients Supported With Extracorporeal Membrane Oxygenation
    Andrew M Misfeldt
    1Department of Pediatrics, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 2Department of Anesthesiology and Critical Care Medicine, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 3Department of Surgery, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
    Pediatr Crit Care Med 17:194-202. 2016
    ....
  14. doi request reprint Characterization of extracorporeal membrane oxygenation for pediatric cardiac arrest in the United States: analysis of the kids' inpatient database
    Adam W Lowry
    Division of Cardiology, Department of Pediatrics, Lucile Packard Children s Hospital, Stanford University, 750 Welch Rd, Suite 325, Palo Alto, CA 94306, USA
    Pediatr Cardiol 34:1422-30. 2013
    ..In this retrospective administrative database analysis, E-CPR did not significantly influence survival. Further study is needed to improve outcomes and to identify patients most likely to benefit from this resource-intensive therapy...
  15. doi request reprint Risk factors and mode of death in isolated hypertrophic cardiomyopathy in children
    Jamie A Decker
    Lillie Frank Abercrombie Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas 77030, USA
    J Am Coll Cardiol 54:250-4. 2009
    ..This study was designed to review outcomes of pediatric isolated hypertrophic cardiomyopathy (HCM) managed uniformly at a single institution and assess whether reported adult risk factors for sudden death are predictive in pediatric HCM...
  16. doi request reprint Outcomes of hospitalization in adults in the United States with atrial septal defect, ventricular septal defect, and atrioventricular septal defect
    Fred H Rodriguez
    Department of Pediatrics, Division of Cardiology and Congenital Heart Surgery and Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USA
    Am J Cardiol 108:290-3. 2011
    ..Cardiac and noncardiac co-morbidities are commonly encountered. Many noncardiac conditions, including trisomy 21 and the youngest and oldest groups, are associated with an increased risk of death...
  17. ncbi request reprint Effect of body mass index on outcome in pediatric heart transplant patients
    Joseph W Rossano
    Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA
    J Heart Lung Transplant 26:718-23. 2007
    ..Obesity and cachexia are risk factors for adverse outcomes in adult transplant patients. However, little is known about the effects of body mass index (BMI) on outcomes in pediatric heart transplant patients...
  18. doi request reprint Cardiopulmonary resuscitation in hospitalized children with cardiovascular disease: estimated prevalence and outcomes from the kids' inpatient database
    Adam W Lowry
    Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine and Texas Children s Hospital, Houston, TX, USA
    Pediatr Crit Care Med 14:248-55. 2013
    ..We sought to characterize national estimates of cardiopulmonary resuscitation and death after cardiopulmonary resuscitation for hospitalized children with cardiovascular disease...
  19. doi request reprint Glycemic profile in infants who have undergone the arterial switch operation: hyperglycemia is not associated with adverse events
    Joseph W Rossano
    Department of Pediatrics, Baylor College of Medicine, Texas Children s Hospital, Houston, Tex 77030, USA
    J Thorac Cardiovasc Surg 135:739-45. 2008
    ..The aim of this study was to evaluate the association of hyperglycemia and hypoglycemia on adverse events in infants undergoing the arterial switch operation...
  20. doi request reprint Effectiveness of mechanical circulatory support in children with acute fulminant and persistent myocarditis
    Ivan Wilmot
    Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine and Texas Children s Hospital, Houston, Texas, USA
    J Card Fail 17:487-94. 2011
    ..We evaluated the effectiveness of MCS in children with myocarditis and identified risk factors associated with adverse outcomes...
  21. doi request reprint Perioperative atrial tachycardia is associated with increased mortality in infants undergoing cardiac surgery
    Pirouz Shamszad
    Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Department of Pharmacy, Texas Children s Hospital, Houston, TX 77030, USA
    J Thorac Cardiovasc Surg 144:396-401. 2012
    ..We hypothesized that atrial tachycardia in infants undergoing cardiac surgery is not rare and is associated with increased morbidity and mortality...
  22. doi request reprint Early surgical therapy of infective endocarditis in children: a 15-year experience
    Pirouz Shamszad
    Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Texas Children s Hospital, Baylor College of Medicine, Houston, Tex 77030, USA
    J Thorac Cardiovasc Surg 146:506-11. 2013
    ..The aim of the present study was to describe the characteristics and outcomes of children undergoing surgery for infective endocarditis...
  23. doi request reprint The Use of Pediatric Ventricular Assist Devices in Children's Hospitals From 2000 to 2010: Morbidity, Mortality, and Hospital Charges
    Robert T Mansfield
    1Cardiac Center, The Children s Hospital of Philadelphia, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 2Division of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children s Hospital, Stanford University, Palo Alto, CA 3Department of Pediatric Cardiac Surgery, The Children s Hospital of Philadelphia, Philadelphia, PA
    Pediatr Crit Care Med 16:522-8. 2015
    ..We sought to demonstrate that the use of ventricular assist devices in pediatric patients has increased over time and that mortality has decreased...
  24. doi request reprint Changes in the methodology of pre-heart transplant human leukocyte antibody assessment: an analysis of the United Network for Organ Sharing database
    Matthew J O'Connor
    Division of Cardiology, Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Clin Transplant 29:842-50. 2015
    ..We sought to investigate temporal trends in the methodology of human leukocyte antibody assessment in heart transplantation...
  25. doi request reprint Pediatric heart transplantation from donors with depressed ventricular function: an analysis of the United Network of Organ Sharing Database
    Joseph W Rossano
    Department of Pediatrics and Department of Surgery, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
    Circ Heart Fail 6:1223-9. 2013
    ..We aimed to test the hypothesis that pediatric heart transplant recipients of grafts with depressed ventricular function would have comparable survival with those with normal function...
  26. doi request reprint Adolescent age and heart transplantation outcomes in myocarditis or congenital heart disease
    Jill Savla
    a Cardiac Center, The Children s Hospital of Philadelphia, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    J Heart Lung Transplant 33:943-9. 2014
    ..We tested the hypothesis that age-related heart transplantation outcomes are different in patients with myocarditis and congenital heart disease (CHD)...
  27. pmc Heart Retransplant Recipients Have Better Survival With Concurrent Kidney Transplant Than With Heart Retransplant Alone
    Jill Savla
    Department of Pediatrics, The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA J S, K Y L, M P, R L R, R S R, S S H, A T O, P A, W G, R E S, J W R
    J Am Heart Assoc 4:. 2015
    ..The impact of concurrent kidney transplants (KTs) in this population has not been well studied. We tested the hypothesis that recipients of HRT with concurrent KT (HRT-KT) would have worse survival than recipients of HRT alone...
  28. doi request reprint Mechanical Circulatory Support as Bridge to Transplantation for the Failing Single Ventricle
    George J Arnaoutakis
    Department of Cardiac Surgery, Children s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania
    Ann Thorac Surg 103:193-197. 2017
    ..Circulatory failure necessitating cardiac transplantation will ultimately develop in many patients with functional single-ventricle physiology. Interest in the use of mechanical circulatory support (MCS) in this population is growing...
  29. doi request reprint Obesity and Diabetes Mellitus Adversely Affect Outcomes after Cardiac Surgery in Children's Hospitals
    Pirouz Shamszad
    Department of Pediatrics, The Cardiac Center, Perelman School of Medicine, The Children s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Penn, USA
    Congenit Heart Dis 11:409-414. 2016
    ..To assess how obesity or diabetes mellitus impacts outcomes in patients undergoing cardiac surgery in pediatric hospitals...
  30. doi request reprint Lung transplant waitlist mortality: height as a predictor of poor outcomes
    Britton C Keeshan
    Division of Cardiology, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Pediatr Transplant 19:294-300. 2015
    ..Height is an independent predictor of waitlist mortality and may be a valuable factor for the development of a comprehensive lung allocation system...
  31. doi request reprint Impact of congenital heart disease on outcomes of pediatric heart-lung transplantation
    Britton C Keeshan
    The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Pediatr Transplant 18:204-10. 2014
    ..94). In children with CHD who require HLT, underlying physiology influences outcomes. Those without ES have a worse prognosis. The diagnosis of CHD without ES and preoperative factors may inform decisions in a complex patient population...
  32. doi request reprint An under-recognized benefit of cardiopulmonary resuscitation: organ transplantation
    Alberto Orioles
    1Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 2Department of Pediatrics, Cardiac Center, The Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 3Department of Pediatrics, Saint Christopher s Hospital for Children, Drexel University College of Medicine, Philadelphia, PA 4Gift of Life Donor Program, Philadelphia, PA
    Crit Care Med 41:2794-9. 2013
    ....
  33. doi request reprint Electrocardiographic abnormalities and arrhythmias are strongly associated with the development of cardiomyopathy in muscular dystrophy
    Anjan M Shah
    Department of Pediatrics, Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children s Hospital, Houston, Texas 77030, USA
    Heart Rhythm 7:1484-8. 2010
    ..Early identification of cardiac involvement with timely therapy can favorably impact outcome. We hypothesize that electrocardiography (ECG) can be a useful adjunct in the identification of DCM in MD...
  34. doi request reprint Heart Transplantation-The Pediatric Cardiac Critical Care Perspective
    Joseph W Rossano
    1Department of Pediatrics, Section of Cardiology, The Perelman School of Medicine at the University of Pennsylvania, The Children s Hospital of Philadelphia, Philadelphia, PA 2Department of Pediatrics, Section of Cardiology, Baylor College of Medicine, Texas Children s Hospital, Houston, TX
    Pediatr Crit Care Med 17:S171-7. 2016
    ..The purpose of this article is to review the causes and management of allograft dysfunction and the medications used in the transplant population...
  35. doi request reprint Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Regis
    Maryam Y Naim
    The Cardiac Center, The Children s Hospital of Philadelphia, Perelman School of Medicine, The University of Pennsylvania, Philadelphia
    JAMA Pediatr . 2016
    ..There are few data on the prevalence or outcome of bystander cardiopulmonary resuscitation (BCPR) in children 18 years and younger...
  36. doi request reprint Pediatric Cardiac Intensive Care Society 2014 Consensus Statement: Pharmacotherapies in Cardiac Critical Care Chronic Heart Failure
    Joseph W Rossano
    1Cardiac Center, Perelman School of Medicine at the University of Pennsylvania, Children s Hospital of Philadelphia, Philadelphia, PA 2Division of Cardiology, Department of Pediatric Medicine, Baylor College of Medicine, Texas Children s Hospital Houston, TX 3Division of Cardiology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH
    Pediatr Crit Care Med 17:S20-34. 2016
    ..The aim of this review is to provide an overview, rationale, indications, and adverse effects of medications used in the treatment of chronic heart failure...
  37. doi request reprint Postoperative management of heart failure in pediatric patients
    Mahsun Yuerek
    a Division of Cardiac Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Children s Hospital of Philadelphia, Philadelphia, PA, USA
    Expert Rev Cardiovasc Ther 14:201-15. 2016
    ..Experience in usage of continuous flow ventricular assist devices in the pediatric population is increasing...
  38. doi request reprint Automated external defibrillators and simulated in-hospital cardiac arrests
    Joseph W Rossano
    Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children s Hospital, Houston, TX 77030, USA
    J Pediatr 154:672-6. 2009
    ..To test the hypothesis that pediatric residents would have shorter time to attempted defibrillation using automated external defibrillators (AEDs) compared with manual defibrillators (MDs)...
  39. doi request reprint Ventricular assist devices in children
    Matthew J O'Connor
    The Cardiac Center, The Children s Hospital of Philadelphia, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Curr Opin Cardiol 29:113-21. 2014
    ..The purpose of this review is to describe the indications for VADs in children, types of devices available, current outcomes, and future directions of VAD therapy...
  40. doi request reprint Heart transplant after the Fontan operation
    Joseph W Rossano
    Department of Pediatrics, Perelman School of Medicine, The Cardiac Center, The Children s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
    Cardiol Young 23:841-6. 2013
    ..This review will cover the indications and evaluation for heart transplantation, management of patients while waiting for heart transplantation and the current outcomes of transplantation in this population...
  41. ncbi request reprint Adults undergoing cardiac surgery at a children's hospital: an analysis of perioperative morbidity
    Joseph W Rossano
    Department of Pediatrics, Baylor College of Medicine, Texas Children s Hospital, Houston, Texas 77030, USA
    Ann Thorac Surg 83:606-12. 2007
    ..Limited data exist regarding the perioperative morbidity profile of adults who have cardiac operations at pediatric facilities...