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Double-Outlet Right Ventricle Fallot Type versus Tetralogy of Fallot: Comparison of Native Anatomy, Surgical Patterns, and Outcomes. Thorac Cardiovasc Surg 2023. [DOI: 10.1055/s-0043-1761745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023]
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Becoming a congenital heart surgeon: the long and challenging road. Interact Cardiovasc Thorac Surg 2022; 35:6763496. [PMID: 36260088 PMCID: PMC9580514 DOI: 10.1093/icvts/ivac250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 08/28/2022] [Accepted: 10/11/2022] [Indexed: 11/24/2022] Open
Abstract
Training in congenital cardiac surgery is potentially lengthier and more demanding than training in any other surgical field. The duration of training is proportional to the complexity of the specialization. The expertise of a wide range of procedures is required. There is no doubt that some individuals may acquire the requisite abilities with greater ease than others, but fundamentally, these are capabilities that can be taught and learnt. Moreover, congenital cardiac surgeons are required to have a detailed understanding of pathophysiology and morphology, in addition to the stamina and empathy required to manage these complex patients. A fellowship is just the start of such training and is followed by a long road eventually leading to a lifelong journey to become a qualified congenital cardiac surgeon. Effective mentorship is a prerequisite throughout training to guide surgeons on this journey.
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First in Man: Successful Implantation of a Custom-Made Fontan Cannula in a Patient with Failing Fontan Circulation as a Bridge to Transplant. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Risk Factors for Development of Aortopulmonary Collaterals during Staged Single-Ventricle Reconstruction. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Incidence and Risk Factors for the Development of Aortopulmonary Collaterals in Patient with Hypoplastic Left Heart Syndrome. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Long-Term Outcome following Pediatric Heart Transplantation with and without Mechanical Circulatory Support as Bridge to Transplantation: Eight Patient-Years on Assist and 1,480 Patient-Years following Transplantation. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Lifetime Endocarditis Risk with Congenital Heart Disease and Pulmonary Valve Prosthesis (PVP): Results from the German Registry for Congenital Heart Defects (CHD). Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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8
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Impact of Patch Materials on Reintervention and Reoperation Rates following Pulmonary Artery Reconstruction. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Risk evaluation in adult congenital heart surgery: analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database risk models on data from the European Congenital Heart Surgeons Association Congenital Database. Eur J Cardiothorac Surg 2021; 60:1397-1404. [PMID: 34058002 DOI: 10.1093/ejcts/ezab229] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 03/05/2021] [Accepted: 03/09/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES We sought to evaluate the predictive power of the Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STAT) mortality score and the adult congenital heart surgery (ACHS) mortality score for the adults undergoing congenital heart operations entered into the European Congenital Heart Surgeons Association (ECHSA) database. METHODS The data set comprised 17 662 major operations performed between 1997 and 2019, on patients 18 years of age or older, in European centres participating in the ECHSA database. Each operation was assigned a STAT mortality score and category and an ACHS mortality score. Operative mortality was based on the 30-day status and on the status at hospital discharge. The discriminatory power of the STAT and ACHS scores was assessed using the area under the receiver operating characteristic curve (c-index). RESULTS A total of 17 214 (97.46%) operations were assigned ACHS scores. The 3 most frequent primary procedures were closure of the atrial septal defect (19.0%), aortic valve replacement (8.8%) and non-valve-sparing aortic root replacement (6.1%). Operative mortality for ACHS-coded operations was 2.07%. The procedures with the highest mortality were atrial septal defect creation/enlargement (19.0%), lung transplantation (18.8%) and heart transplantation (18.2%). A total of 17 638 (99.86%) operations were assigned a STAT score and category. The operative mortality for STAT-coded operations was 2.27%. The c-index for mortality was 0.720 for the STAT mortality score and 0.701 for the ACHS score. CONCLUSIONS The ACHS mortality score and the STAT mortality score reached similar, moderate predictive power in adult patients undergoing congenital heart surgery in ECHSA database.
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A Novel Method to Bridge Failing Fontan Patients to Heart Transplantation: The Re-Give Study. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Covered Stent Implantation into the Right Ventricular Outflow Tract in Infants with TOF/PA + VSD and Diminutive Pulmonary Arteries. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Congenital Heart Surgery in Adults: Improvement of Surgical Performance Despite Increasing Mortality Risk Over 45 Years in German Heart Centre Munich. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Bridging Patients in Cardiogenic Shock with the Berlin Heart Excor Biventricular Assist Device to Heart Transplantation: A Single-Center Experience. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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10 Years’ Experience after ABO-Incompatible Heart Transplantation in Infants: “single center experience”. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Congenital Heart Surgery in Adults: Improvement of Surgical Performance despite Increasing Complexity. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1556037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Bessere Hämodynamik und Leistungsfähigkeit im Langzeitverlauf bei Patienten mit pulsatilem pulmonalen Fluss nach atrioventrikulären Fontanmodifikation. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1555989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Clinical and Hemodynamic Effects of the Cone Operation in Patients with Ebstein’s Anomaly. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1555960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Häufigkeit von Begleitherzfehlern bei 92 Patienten mit Fehlabgängen der Koronararterien aus der Pulmonalarterie. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1556026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Thromben am Ansatz von RV-PA-Conduit-Taschenklappen. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1555962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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An Update on the Adult Patients of the German Ross Registry. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Differential Expression of Candidate Genes with de novo Mutations in Patients with Hypoplastic Left Heart Syndrome in Murine Cardiac Progenitor Cells. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Estimation of the Lifetime Risk for Reoperation after the Ross Procedure According to the Patient's Age at the Initial Procedure: A Simulation Study Based on Data from the German Ross Registry. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Neutrophil gelatinase-associated lipocalin: renaler Biomarker oder Inflammationsmarker nach Operationen mit Herz-Lungen-Maschine im Säuglingsalter? Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Verkalkungen kardiovaskulärer Implantate: PTFE vs. Polyester im zeitlichen Verlauf. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Arteria subclavia Plastik zur Korrektur eines unterbrochenen Aortenbogens. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1393986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Primärkorrektur des Truncus arteriosus communis ohne klappentragendes Conduit vermeidet frühe Reoperationen. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Sind Säuglinge mit komplexen Herzvitien nach Shuntoperation mit ASS ausreichend antikoaguliert? Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1393995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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MZF1 is differentially expressed in human cardiac tissue of different age and c-KIT+ progenitor cells in the human adult heart. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Is there still a role for staged surgery in correction of complete atrioventricular septal defect? Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Postoperative ECMO-Unterstützung: Notwendigkeit erneuter operativer und interventioneller Behandlung als negativer Prädiktor für ein erfolgreiches Weaning. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Durability of Porcine and Jugular Vein Small Sized Conduits for the Reconstruction of the Right Ventricular Outflow Tract - Is There a Difference? Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0033-1354523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Replacement of aprotinin by ɛ-aminocaproic acid in infants undergoing cardiac surgery: consequences for blood loss and outcome. Br J Anaesth 2013; 110:615-21. [DOI: 10.1093/bja/aes430] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
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Technical considerations to optimize long term outcome of patients with isolated total anomalous pulmonary venous return. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Histology of Melody heart valves and surgically implanted RVOT-conduits. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Aortic arch reconstruction with reversed subclavian flap technique and patch augmentation for IAA: Use of pericardium patch increases rate of aortic arch stenosis. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Feasability of a valveless RV-PA connection in primary repair of common arterial trunk. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Patient age at the Ross operation in children influences neoaortic root dimensions and aortic regurgitation. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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38
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Is aortic valve-sparing root replacement effective in pediatric patients with aortic root aneurysm? Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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39
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Recoarctation after the Norwood procedure – incidence, management and implications. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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40
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Unloading of the right ventricle by PCPC does not improve tricuspid insufficiency in HLHS patients. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Abstract
A previously non-operated 37-year-old patient presented with esophageal dysphagia for solid food and stridorous breathing. Computed tomography and magnetic resonance showed a 33-mm wide Kommerell's diverticulum. The diverticulum and the obliterated ductus arteriosus arising from it towards the pulmonary artery were resected. The left subclavian artery, which originated from the diverticulum, was reimplanted into the descending aorta. In addition to dissecting any tissue which is making vascular ring-like structures around the trachea and the esophagus, it is important to resect the diverticulum itself and reimplant the left subclavian artery arising from it, in this way leaving the aortic arch free from any additional dislocating forces.
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Comparison of Blood-Sparing Efficacy of ε-Aminocaproic Acid and Tranexamic Acid in Newborns Undergoing Cardiac Surgery. Thorac Cardiovasc Surg 2011; 59:276-80. [DOI: 10.1055/s-0030-1250645] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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43
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Current Aristotle complexity score models do not adequately predict hospital mortality of GUCH patients. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Device failure after transcatheter closure of atrial septal defects. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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45
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Congenital heart surgery and Aristotle complexity score. Thorac Cardiovasc Surg 2010; 58:333. [PMID: 20824584 DOI: 10.1055/s-0030-1250056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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46
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Predictors for Biventricular Repair in Pulmonary Atresia with Intact Ventricular Septum. Thorac Cardiovasc Surg 2010; 58:339-44. [DOI: 10.1055/s-0030-1250101] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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47
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48
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[Grown-ups with congenital heart disease: interventional versus surgical treatment - The surgeon's point of view]. Dtsch Med Wochenschr 2010; 135:619-20. [PMID: 20333595 DOI: 10.1055/s-0030-1251904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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49
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Right ventricular outflow tract obstruction after the arterial switch operation. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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50
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Major adverse cardiac events after the Ross operation in 1620 patients – current status of the German-Dutch Ross Registry with up to 20 years follow-up. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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