Congenital heart disease
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Congenital heart disease · Nov 2011
Provider attitudes toward Standardized Clinical Assessment and Management Plans (SCAMPs).
Despite the growing importance of clinical guidelines, their adoption has encountered significant resistance among clinicians. We developed Standardized Clinical Assessment and Management Plans (SCAMPs) as an innovative, clinician-led approach to building, implementing, and constantly improving flexible guidelines. We hypothesized that SCAMPs would fit well within the culture of medicine and that clinicians would therefore prefer SCAMPs over other guidelines. ⋯ Providers look upon SCAMPs favorably and believe that SCAMPs successfully address numerous barriers to guideline adoption. Furthermore, SCAMPs are the preferred means to incorporate evidence-based medicine into practice among providers surveyed. SCAMPs may represent an important step in building guidelines that fit into the culture of medicine, obtain clinician "buy-in," and better influence clinical decision making.
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Congenital heart disease · Nov 2011
Functional health status late after surgical correction of aortic coarctation.
To investigate functional health status among adults previously operated for aortic coarctation (CoA) compared with healthy subjects; to assess the influence of medication and exercise capacity on patients' functional health. ⋯ Functional health status in patients late after CoA repair is only slightly impaired when compared with controls. However, the subgroup with reduced exercise capacity and need for cardiovascular medications have significant impairment on both physical and mental aspects of functional health.
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Congenital heart disease · Nov 2011
Case ReportsRelief of right ventricle to pulmonary artery conduit compression by chest wall resection.
Many congenital heart defects require reconstruction of the right ventricular outflow tract utilizing a right ventricle to pulmonary artery conduit. One of the challenges with these conduits is the development of conduit stenosis. ⋯ However, extrinsic compression is much less common and a much more difficult problem to address. Chest wall resection and reconstruction is an option for alleviating external conduit compression that provides good results.
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Congenital heart disease · Nov 2011
High long-term morbidity in repaired aortic coarctation: weak association with residual arch obstruction.
The objective of this study was to assess late morbidity after repair of aortic coarctation and its association with residual aortic arch obstruction. ⋯ Cure by repair of aortic coarctation is rare; heart diseases, aortopathy, and hypertension are common. Morbidity is only weakly associated with mild/moderate recoarctation.
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Congenital heart disease · Nov 2011
Case ReportsObstructive right ventricular outflow tract hemangioma in an adolescent.
Cardiac tumors are rare in children, but they are being diagnosed with increasing frequency and great accuracy with wide array of imaging modalities. Cardiac rhabdomyoma and myxoma are the most common tumors in children and adults, respectively. Cardiac hemangiomas comprise about 2.8% of all primary cardiac tumors and fewer than 100 cases have been reported in the literature. We report a successful resection of cardiac hemangioma in the right ventricular outflow tract in an adolescent, presented with moderate to severe obstruction.