Publications by authors named "K Finucane"
Surgical Management of Ebstein Anomaly: The Australia and New Zealand Experience.
World J Pediatr Congenit Heart Surg
March 2024
Article Synopsis
- Ebstein anomaly is a rare heart condition affecting the tricuspid valve, posing challenges for cardiac surgery due to its varying severity and complex repair process, especially in patients of different age groups.* -
- A study reviewing 125 patients over the age of 15 who underwent surgery between 1985 and 2019 found that 60% had valve repair, with a notable percentage using the Cone repair technique, while early mortality was low at 2% and 10-year survival was high at 91.5%.* -
- The findings suggest that older children and adults with Ebstein anomaly can achieve good medium-term survival rates post-surgery, with similar outcomes whether they received valve repair or replacement.*
Background: It is estimated that each year in Ireland, approximately 29 million consultations occur in general practice with a patient satisfaction level of 90%. To date, research has been lacking on how GPs assess the quality of care.
Aim: To examine how GPs assess care quality during routine practice with respect to the following pillars of quality improvement: effectiveness, safety, timeliness, equity, efficiency, sustainability, and person-centredness.
Objectives: To better understand the relative influence of fetal and maternal factors in determining the choice-of-care pathway (CCP) and outcome in the fetus with hypoplastic left heart syndrome (HLHS).
Design: A retrospective, population-based study of fetuses with HLHS from a national dataset with near-complete case ascertainment from 20 weeks' gestation. Fetal cardiac and non-cardiac factors were recorded from the patient record and maternal factors from the national maternity dataset.
Objective: A small percentage of infants with d-loop transposition of the great arteries with intact intraventricular septum have life-threatening refractory hypoxemia often due to coexistent persistent pulmonary hypertension of the newborn. In this case series we describe the outcomes of a "rescue" emergency arterial switch operation (ASO).
Methods: We undertook a retrospective medical record analysis of infants with d-loop transposition of the great arteries with intact intraventricular septum who underwent an ASO in New Zealand from January 1, 1996, to April 30, 2017.