Variation in techniques of selective antegrade cerebral perfusion in neonates undergoing aortic arch reconstruction - a comprehensive review.

Background: Despite the widespread adoption of selective antegrade cerebral perfusion (SACP) for neonatal aortic arch reconstruction, significant variability in techniques persists across institutions, reflecting limited supporting data and lack of consensus on best practices. This review aims to comprehensively characterize the utilization of SACP in the extant literature and highlight variation in practice to guide future research and standardization of care.

Methods: A comprehensive search was conducted using Embase, Medline/OVID, and NCBI/PubMed databases to identify studies published from 1999-2024 that contained the following terms: ('neonatal' OR 'neonate' OR 'newborn') AND ('aortic arch' OR 'Norwood' OR 'stage one') AND ('circulatory arrest' OR 'cerebral perfusion').

The Emerging Influence of Artificial Intelligence on Traditional Medical Textbooks.

This review provides a comprehensive exploration of how artificial intelligence (AI) is reshaping medical education and the role of traditional textbooks. The historical context underscores the evolution of medical knowledge bridging past advances with current AI-driven innovations, highlighting the indispensable role of both printed and electronic medical textbooks. The strengths and limitations of traditional and digital textbooks are considered.

Orthotopic heart transplantation in patient with Williams syndrome: case report and considerations in perioperative and long-term management.

This report describes the first long-term survival following a heart transplant for Williams syndrome-associated cardiac pathologies. An 11-year-old patient with severe global left ventricular dysfunction presented with heart failure and underwent heart transplantation. Her peri- and post-operative courses were complicated by hypertension related to underlying vascular pathology.

Impact of Heart Transplant Allocation Changes on Waitlist Mortality and Clinical Practice in Pediatric and Adult Patients With Congenital Heart Disease and Cardiomyopathy.

Background: The United Network of Organ Sharing made changes to the priority for allocation of hearts for transplantation (HT) in 2016 for pediatric patients and 2018 for adult patients. Although recent work has evaluated the impact of the revised allocation systems on mechanical circulatory support practices and waitlist outcomes, there are limited data that focus more specifically on the impact of the allocation changes on patients with congenital heart disease (CHD) or cardiomyopathy and how these relationships might differ in pediatric and adult patients.

Methods: The United Network of Organ Sharing database was queried for pediatric (<18 years of age) and adult (18-50 years of age) patients with a CHD or cardiomyopathy diagnosis listed for HT.

Goodnight Moon: The (not so) mystical effect of folklore and superstitions on cardiac transplantation.

Background: The effect of Friday the 13th and Full Moons on cardiac transplantation is unknown. We investigated the impact of these superstitious events on recipient and donor qualities, complications, survival, and volume.

Methods: All adult transplants from 2013-2023 in the United Network for Organ Sharing database were retrospectively reviewed.