The following is a collection of
featured congenital articles from the Journal of Thoracic and Cardiovascular
Surgery (JTCVS). To read the latest issue, or
browse the feature video library and other journal
highlights, please visit www.jtcvs.org.
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of coronary artery anatomy on mortality after the
arterial switch operation
Tyson A. Fricke, MBBS, BMedSci,
Douglas Bell, MBBS, Michael Daley, MBBS, Yves d'Udekem,
MD, PhD, FRACS, Christian P. Brizard, MD, Nelson
Alphonso, MBBS, FRACS, Igor E. Konstantinov, MD, PhD,
with anomalous coronary anatomy had higher rates of
early mortality after the ASO but this was not
statistically significant and coronary reoperation was
The (un)usual suspects
M. Chen, MD
Embracing the concept that all
coronary arteries in transposition—usual or
unusual—are themselves not “normal” may help to
reframe our future focus on potentially important
long-term coronary risk.
The arterial switch operation: Is it still all about
Sinha, MD, Carlos M. Mery, MD, MPH
Despite improvements in outcomes
with the arterial switch operation, patients with
coronary abnormalities continue to be a challenge.
The long-term effects of coronary translocation are
Role of surgeon
intuition and computer-aided design in Fontan
optimization: A computational fluid dynamics simulation
Yue-Hin Loke, MD, Byeol Kim, BSc,
Paige Mass, BSc, Justin D. Opfermann, MS, Narutoshi
Hibino, MD, PhD, Axel Krieger, PhD, Laura Olivieri, MD
manufacturing methods for Fontan grafts necessitate new
design tools and collaborative approaches. In addition
to computer-aided design, surgeons can also directly
craft patient-specific Fontan designs with low power
Yet another Fontan computational study—but this one has
K. Woods, MD, PhD, Salil Ginde, MD, MPH
Surgeon-fashioned clay models may
improve the efficiency of computational flow
dynamics and optimization of the personalized
Fontan. Optimal models require verification in
A 3-minute foray into the future
M. DeCampli, MD, PhD
Another advance in Fontan surgical
planning may be just another step toward a future
with fully automated planning and autonomous
robotic surgery, as depicted in this
Man versus machine: Whose side are you on?
In the quest for the optimal and
personalized Fontan procedure, the gap between
surgeon intuition and computer-aided design is
FONTAN FEATURED VIDEO
Surgeon unconstrained modeling in
collaboration with computer aided design to produce a
patient specific Fontan design with low power loss.
CONGENITAL HEART SURGERY
Heart Network Residual Lesion Score Study: Design and
Meena Nathan, MD, MPH, Felicia L.
Trachtenberg, PhD, Maria I. Van Rompay, PhD, William
Gaynor, MD, Kirk Kanter, MD, Richard Ohye, MD, Emile A.
Bacha, MD, James Tweddell, MD, Steven M. Schwartz, MD,
L. LuAnn Minich, MD, Carlos M. Mery, MD, MPH, Steven D.
Colan, MD, Jami Levine, MD, Linda M. Lambert, MSN, FNP,
Jane W. Newburger, MD, MPH for the Pediatric Heart
Network Residual Lesion Score Writing Committee
Residual Lesion Score can serve as a tool to guide
perioperative strategies to improve outcomes of
congenital heart surgery.
No blame! Let us look at our work without pointing
d’Udekem, MD, PhD, Federica Caldaroni, MD
Improvement of care in pediatric
cardiac surgery goes through a careful and honest
analysis of outcomes and performances, with no
space for blame.
Technical excellence is necessary but not sufficient
P. Bichell, MD
A Residual Lesion Score that uses a
discharge echocardiogram of the repaired heart to
predict ultimate outcome may be strengthened by the
addition of measures beyond just heart
Relational coordination… a mechanism to improve data
J. Weiss, MD, Tara Karamlou, MD, MSc
The field of health care suffers
from a lack of data interoperability, resulting in
untold amounts of lost information, EMR fatigue,
financial waste, and caregiver burnout.
validation of a procedure-specific assessment tool for
hands-on surgical training in congenital heart surgery
Nabil Hussein, MBChB (Hons),
Andrew Lim, BASc, MHSc, Osami Honjo, MD, Christoph
Haller, MD, John G. Coles, MD, Glen Van Arsdell, MD,
Shi-Joon Yoo, MD
assessments within hands-on surgical simulation in
congenital heart surgery is possible. As patient
outcomes are scrutinized, such tools will be vital for
The time has come to measure and examine technical
S. Tweddell, MD
Technical performance is essential
for successful congenital heart surgery, and it is
time to start measuring and examining surgical
Surgical skill assessment: Time to examine?
H. Stephens, MD, PhD, Joseph A. Dearani, MD
Evaluation of technical performance
should be included in the certifying process for
congenital cardiothoracic surgery.
EDUCATION FEATURED VIDEO
Clip from the gold standard video
of the arterial switch procedure (medial trap door,
closed technique) performed by an experienced staff
surgeon. This video was used for training evaluators.