Publications by authors named "M Kostelka"

Objective: Myocardial protection is important for a successful procedure cardiac surgery, and the key element of myocardial protection is cardioplegia. We compared Del Nido cardioplegia (DN) and Bretschneider histidine-tryptophan-ketoglutarate cardioplegia (HTK) regarding cardioprotective effects in a porcine model of prolonged ischaemia.

Methods: Landrace pigs weighing 50-60 kg were randomized to receive either DN ( = 9) or HTK ( = 9).

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Background: Although mitral valve repair is the preferred surgical strategy in children with mitral valve disease, there are cases of irreparable severe dysplastic valves that require mitral valve replacement. The aim of this study is to analyze long-term outcomes following mitral valve replacement in children in a tertiary referral center.

Methods: A total of 41 consecutive patients underwent mitral valve replacement between February 2001 and February 2021.

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Background: Complex CHDs are life threatening, and surgical treatment is needed for survival. Fontan palliation led to a significant increase in survival rates during the last decades. Consequently, quality of life became more essential.

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Article Synopsis
  • Atrioventricular septal defect (AVSD) combined with tetralogy of Fallot (TOF) is a rare heart defect, and this study analyzed surgical outcomes over 20 years for patients who underwent correction.
  • The analysis included 10 patients, with a median age of 307 days and most having Down Syndrome; there was no in-hospital mortality reported.
  • After an average follow-up of 11 years, results showed low reoperation rates and no deaths, indicating that this combined surgical repair is safe and effective in the long term.
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Background: Atrioventricular septal defects (AVSD) represent 4-7% of congenital cardiac malformations. Definitive early repair is favored over prior pulmonary artery banding and delayed definitive repair in many centers. The aim of this study was to analyze long-term outcomes following AVSD repair over a 21-year period.

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