Unexpected cardiac interventions including takedown after Glenn surgery: analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database.

Background: Glenn procedure carries low morbidity and mortality within stages of single-ventricle palliation. However, some patients with Glenn failure need a stage reversal, while others require unanticipated surgical interventions. Our understanding of perioperative factors and outcomes associated with such unexpected interventions is extremely limited.

Navigating the future of pediatric cardiovascular surgery: Insights and innovation powered by Chat Generative Pre-Trained Transformer (ChatGPT).

Introduction: Interdisciplinary consultations are essential to decision-making for patients with congenital heart disease. The integration of artificial intelligence (AI) and natural language processing into medical practice is rapidly accelerating, opening new avenues to diagnosis and treatment. The main objective of this study was to consult the AI-trained model Chat Generative Pre-Trained Transformer (ChatGPT) regarding cases discussed during a cardiovascular surgery conference (CSC) at a single tertiary center and compare the ChatGPT suggestions with CSC expert consensus results.

Outcomes After Tracheostomy in Patients Undergoing Congenital Heart Surgery.

Background: Early tracheostomy improves outcomes in the adult population, but there is little evidence of benefit in the pediatric population. We investigated hospital and late survival of tracheostomy placement in patients who also underwent congenital cardiac surgery.

Methods: A single-center review of 65 consecutive patients who underwent tracheostomy placement and cardiac surgery in a pediatric hospital between 2011 and 2022 was performed.

Connecting transcriptomics with computational modeling to reveal developmental adaptations in pediatric human atrial tissue.

Nearly 1% of babies are born with congenital heart disease-many of whom will require heart surgery within the first few years of life. A detailed understanding of cardiac maturation can help to expand our knowledge on cardiac diseases that develop during gestation, identify age-appropriate drug therapies, and inform clinical care decisions related to surgical repair and postoperative management. Yet, to date, our knowledge of the temporal changes that cardiomyocytes undergo during postnatal development is limited.

The Children's National Hospital Outcomes Registry: a plea for a benchmarking tool that provides longitudinal outcomes for patients and families.

Surgical advancements in paediatric cardiovascular surgery have led to improved survival rates for those patients with the most complex CHDs leading to greater numbers of patients who are living well into adulthood. Despite this new era of long-term survival, our current reporting systems continue to focus largely on using short-term postoperative outcomes as the criteria to both rate and rank hospitals. Using such limited criteria to rate and rank hospitals may mislead the intended audiences: patients and families.