The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · May 2023
Growth of unrepaired hypoplastic proximal aortic arch and reintervention rate after aortic coarctation repair.
Treatment of tubular hypoplasia of the aortic arch (THAA) associated with aortic coarctation (CoA) remains controversial. We aimed to evaluate growth of unrepaired hypoplastic proximal aortic arches (PAAs) after surgical repair for CoA. ⋯ Unrepaired PAA hypoplasia grows after CoA repair. Reintervention rates were comparable between groups but those with THAA had higher surgical reintervention rates.
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J. Thorac. Cardiovasc. Surg. · May 2023
Conduction mapping during complex congenital heart surgery: Creating a predictive model of conduction anatomy.
The study objectives were to report on a growing experience of conduction system mapping during complex congenital heart surgery and create a predictive model of conduction anatomy. ⋯ The precise anatomic location of the conduction system in patients with complex congenital heart defects can be difficult for the surgeon to accurately predict. Intraoperative conduction mapping enables localization of the His bundle and adds to our understanding of the anatomic factors associated with conduction location. Predictive modeling of conduction anatomy may build on what is already known about the conduction system and help surgeons to better anticipate conduction location preoperatively and intraoperatively.
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J. Thorac. Cardiovasc. Surg. · May 2023
Editorial CommentCommentary: Keeping Ross on its original trajectory.
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J. Thorac. Cardiovasc. Surg. · May 2023
Editorial CommentCommentary: Time to take a stroll around the block?