The Journal of pediatrics
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The Journal of pediatrics · Jan 2004
Outcomes from an interprovincial program of newborn open heart surgery.
To determine 18-month neurodevelopmental outcome of survivors of complex open heart surgery at =6 weeks of age through an interprovincial program and to explore preoperative, operative, and postoperative outcome predictors. Study design Of 85 children from this inception cohort (21% mortality), 67 18-month-old survivors received multidisciplinary assessment including the Bayley Scales of Infant Development-II. Cumulative risk for adverse outcome was determined through univariate and multivariate analyses. ⋯ Risk for adverse outcome is cumulative, with preoperative determinants contributing significantly to total variance. Potentially modifiable variables should be sought in an attempt to improve outcome.
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The Journal of pediatrics · Jan 2004
Case ReportsPosthemorrhagic unilateral hydrocephalus: fenestration of septum pellucidum as an alternative to shunt implantation.
Unilateral hydrocephalus caused by occlusion of the foramen of Monro is rare. We report two cases in neonates caused by prenatal hemorrhage, their radiographic findings, and surgical treatment. With posthemorrhagic progressive unilateral hydrocephalus, early intervention with fenestration of septum pellucidum should be considered.