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  • Open Access

    ARTICLE

    Coronary Artery Complications after Right Ventricular Outflow Tract Reconstruction Surgery

    Hye Won Kwon1,2, Mi Kyoung Song1, Sang Yun Lee1, Gi Beom Kim1, Sungkyu Cho2, Jae Gun Kwak2, Woong-Han Kim2, Whal Lee3, Eun Jung Bae1,*

    Congenital Heart Disease, Vol.17, No.3, pp. 281-295, 2022, DOI:10.32604/chd.2022.019065

    Abstract Background: Mechanisms and clinical manifestations of coronary artery complications after right ventricular outflow tract reconstruction surgery are not well known. Methods: Patients who had coronary artery complications after pulmonary valve replacement or the Rastelli procedure at a single tertiary centre were retrospectively analysed. Results: Coronary artery complications were identified in 20 patients who underwent right ventricular outflow tract reconstruction surgery. The median age at diagnosis of coronary artery complication was 21 years (interquartile range: 13–25 years). Mechanisms of coronary artery complications were compression by adjacent materials in 12 patients, dynamic compression of intramural course of coronary artery in two patients,… More >

  • Open Access

    ARTICLE

    Effectiveness of Bilateral Pulmonary Artery Banding in Patients with Hypoplastic Left Heart Syndrome and Congenital Heart Defects with A Functional Single Ventricle: A Single-Center Retrospective Study

    Vitaliy Suvorov1,*, Vladimir Zaitcev1, Karolina Andrzejczyk2

    Congenital Heart Disease, Vol.17, No.3, pp. 365-374, 2022, DOI:10.32604/chd.2022.019126

    Abstract Background: Bilateral banding of the branches of the pulmonary artery in patients with hypoplastic left heart syndrome (HLHS) and other duct dependent critical neonatal heart malformations can significantly reduce the incidence of severe complications in the postoperative period, especially in severely unstable patients. In our study we compared different surgical techniques of bilateral pulmonary artery banding (PAB) in respect to their success in balancing systemic and pulmonary blood flow. Methods: We included 44 neonates with a HLHS and congenital heart diseases (CHD) with a functional single ventricle underwent a hybrid operation: bilateral PAB and patent ductus arteriosus stenting. The hybrid… More >

  • Open Access

    ARTICLE

    Carotid Artery Cut-Down in Pediatric Cardiac Catheterization: When and How?

    Onur Doyurgan1,*, Osman Akdeniz2, Fatih Özdemir1, Yiğit Kılıç1, Bedri Aldudak3

    Congenital Heart Disease, Vol.17, No.3, pp. 313-323, 2022, DOI:10.32604/chd.2022.018479

    Abstract Background: Vascular access used for pediatric cardiac catheterization is one of the most important factors that affects the success of the procedure. We aimed to compare the effect, success, and complications of cardiac catheterizations performed by carotid cut-down or femoral puncture in newborns or young infants. Methods: We included who underwent catheterization in our department between 28 January 2017 and 15 April 2021. These patients underwent balloon aortic valvuloplasty, balloon coarctation angioplasty, ductal stenting, diagnostic procedures for aortic arch pathologies, and modified Blalock-Taussig in-shunt intervention. Patients were divided into two groups: femoral puncture (group = 1) and carotid cut-down (CC,… More >

  • Open Access

    REVIEW

    Technological Innovations in Thyroid Cancer Surgery

    Federico Cappellacci*, Gian Luigi Canu, Stefano Piras, Giacomo Anedda, Pietro Giorgio Calò, Fabio Medas

    Oncologie, Vol.24, No.1, pp. 35-50, 2022, DOI:10.32604/oncologie.2022.020864

    Abstract Thyroid cancer is the fifth most common cancer in the USA, with differentiated subtype accounting for more than 95% of neoplasm. Surgery remains the mainstay of treatment, either with lobectomy or total thyroidectomy. In the last decades, many technological innovations have been introduced in this field. The aim of this review is to illustrate the most recent advances regarding the classical surgical approach, particularly regarding hemostatic devices, parathyroid identification with fluorescence systems, intraoperative identification of lymph node metastases, and intraoperative neuromonitoring. More >

  • Open Access

    ARTICLE

    Early Rehabilitation After Craniosynostosis Surgery

    Dan Wang1, Lanzheng Bian2, Xiaoyan Hao3, Yiming Liu1,*, Jinyue Xia4, Jing Hu5

    CMC-Computers, Materials & Continua, Vol.72, No.2, pp. 3899-3912, 2022, DOI:10.32604/cmc.2022.026660

    Abstract Craniosynostosis is a common congenital craniofacial deformity caused by premature ossification and closure of one or more cranial sutures. Craniosynostosis will not only affect the normal development of the skull, but also may cause a variety of complications, damage the nervous system, and cause long-term effects on the development of physical and mental health. Therefore, it is particularly important to provide new ideas for clinical treatment by studying the rehabilitation methods of craniosynostosis, and to improve the cure rate. To this end, this paper studies the early rehabilitation methods after craniosynostosis surgery and designs a comprehensive early rehabilitation process and… More >

  • Open Access

    ARTICLE

    Early Rehabilitation of Orthopedic Internal Fixation Removal in Daytime Ward

    Lanlan Ni1, Lanzheng Bian2, Rugang Lu1, Ting Chen1,*, Jinyue Xia3

    Computer Systems Science and Engineering, Vol.43, No.1, pp. 219-231, 2022, DOI:10.32604/csse.2022.026594

    Abstract Children's fractures are very common, and many children's fractures need internal fixation. When the children are treated and recovered, it needs to be internally fixed and then taken out. With the development of internal fixation materials, the research of surgical methods and the improvement of surgical skills, postoperative removal of orthopedic surgery patients has gradually been included in daytime surgery. While ensuring the safety of children's surgery, it is necessary to shorten the postoperative limb and joint function recovery time, promote the recovery of limb and joint function, the healing of wounds and bones, and reduce the occurrence of these… More >

  • Open Access

    ARTICLE

    A Real-time Cutting Model Based on Finite Element and Order Reduction

    Xiaorui Zhang1,2,*, Wenzheng Zhang2, Wei Sun3, Hailun Wu2, Aiguo Song4, Sunil Kumar Jha5

    Computer Systems Science and Engineering, Vol.43, No.1, pp. 1-15, 2022, DOI:10.32604/csse.2022.024950

    Abstract Telemedicine plays an important role in Corona Virus Disease 2019 (COVID-19). The virtual surgery simulation system, as a key component in telemedicine, requires to compute in real-time. Therefore, this paper proposes a real-time cutting model based on finite element and order reduction method, which improves the computational speed and ensure the real-time performance. The proposed model uses the finite element model to construct a deformation model of the virtual lung. Meanwhile, a model order reduction method combining proper orthogonal decomposition and Galerkin projection is employed to reduce the amount of deformation computation. In addition, the cutting path is formed according… More >

  • Open Access

    CASE REPORT

    A Rare Case of Infective Mediastinitis after Melody Valve Implantation

    Veronica Lorenz1, Karlien Carbonez2, Geoffroy de Beco1, Alain Poncelet1,*

    Congenital Heart Disease, Vol.17, No.2, pp. 187-192, 2022, DOI:10.32604/chd.2022.018350

    Abstract Pulmonary valve implant is frequently necessary in children and adults with congenital heart disease. Infective endocarditis represents a rare but life-threatening complication after transcatheter pulmonary valve implantation. There are various treatments for native or prosthetic valve endocarditis. Surgical intervention, combined with intravenous antibiotic treatment, is of paramount importance, in case of concomitant mediastinal infection, in order to ensure the radical debridement of all infected tissue, avoiding any recurrent endocarditis. In this report, we describe a rare case of mediastinitis, associated with an infected endocarditis, occurring 8 months after Melody (Medtronic®, Minneapolis, USA) valve implant, successfully treated with the implantation of… More >

  • Open Access

    ARTICLE

    Group Decision-Making Model of Renal Cancer Surgery Options Using Entropy Fuzzy Element Aczel-Alsina Weighted Aggregation Operators under the Environment of Fuzzy Multi-Sets

    Jing Fu1,2, Jun Ye3, Liping Xie1,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.130, No.3, pp. 1751-1769, 2022, DOI:10.32604/cmes.2022.018739

    Abstract Since existing selection methods of surgical treatment schemes of renal cancer patients mainly depend on physicians’ clinical experience and judgments, the surgical treatment options of renal cancer patients lack their scientifical and reasonable information expression and group decision-making model for renal cancer patients. Fuzzy multi-sets (FMSs) have a number of properties, which make them suitable for expressing the uncertain information of medical diagnoses and treatments in group decision-making (GDM) problems. To choose the most appropriate surgical treatment scheme for a patient with localized renal cell carcinoma (RCC) (T1 stage kidney tumor), this article needs to develop an effective GDM model… More >

  • Open Access

    EDITORIAL

    Innovations in Pediatric and Congenital Cardiac Surgery

    Vladimiro Vida*

    Congenital Heart Disease, Vol.17, No.1, pp. 1-3, 2022, DOI:10.32604/CHD.2022.019093

    Abstract This article has no abstract. More >

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