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Femoral artery homograft for coronary artery plasty following arterial switch operation [Case Report]
Mosca, Ralph; Chen, David; Halpern, Dan; Ma, Charles; Feinberg, Jodi; Bhatla, Puneet; Kumar, T K Susheel
PMCID:8303055
PMID: 34318024
ISSN: 2666-2507
CID: 4965442
Modified Warden operation using aortic homograft [Case Report]
Kumar, T K Susheel; Chen, David; Halpern, Dan; Bhatla, Puneet; Saharan, Sunil; Argilla, Michael; Mosca, Ralph
PMCID:8305712
PMID: 34318041
ISSN: 2666-2507
CID: 4949602
Commentary: An antibiotic in time…saves life! [Editorial]
Kumar, T K Susheel
PMID: 34318048
ISSN: 2666-2507
CID: 5689362
Single Institution Experience With International Referrals for Pediatric Cardiac Surgery
Rebolledo, Michael A; Kumar, T K Susheel; Tansey, James B; Pickens, Bill; Allen, Jerry; Hanafin, H Jane; Boston, Umar S; Knott-Craig, Christopher J
BACKGROUND/UNASSIGNED:Pediatric cardiac surgery in developing countries poses many challenges. The practice of referring patients from abroad via nongovernmental organizations has occurred for many years. We describe our experience with international referrals for pediatric cardiac surgery via Gift of Life Mid-South to the Heart Institute, Le Bonheur Children's Hospital in Memphis, Tennessee. METHODS/UNASSIGNED:We performed a retrospective descriptive review of data collected in our Society of Thoracic Surgeons Congenital Heart Surgery Database (STS CHSD) along with data from our electronic medical record from January 1, 2007, to December 31, 2017. Available data included patient demographics, diagnoses, surgical procedure, entire inpatient length of stay (LOS), complications, and operative mortality. Cardiac surgeries were grouped according to the Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery Congenital Heart Surgery Mortality Categories (STAT Mortality Categories). Complications were defined according to the STS CHSD. RESULTS/UNASSIGNED:In this retrospective descriptive study, case complexity level varied; however, 38% cardiac surgeries were in STAT Mortality Category 3 or 4. Honduras was the most common referral source with a total of 18 countries represented. Operative mortality remained very low (1 [1.4%] of 71 cardiac surgeries) despite patients being referred beyond infancy. There were an increasing number of complications and longer inpatient LOS (with greater variance) in STAT Mortality Category 4. CONCLUSIONS/UNASSIGNED:International patients referred for congenital heart surgery can be successfully treated with an acceptable mortality rate despite late referrals. Inpatient LOS is related to surgical complexity. Follow-up studies are needed to determine the long-term outcomes of these patients.
PMID: 33164680
ISSN: 2150-136x
CID: 4668772
An unusual case of a solitary cardiac myofibroma causing severe right ventricular outflow tract obstruction in an infant
Minocha, Prashant K; Chen, Fei; Maleszewski, Joseph J; Ludomirsky, Achiau; Mosca, Ralph; Kumar, T K Susheel
Cardiac tumours are relatively uncommon, particularly in children. Myofibroma is an extremely rare variety of cardiac tumour, which nearly always arises in the context of infantile myofibromatosis. Herein, we present a case of a solitary cardiac myofibroma causing right ventricular outflow tract obstruction in a 2-month-old male infant.
PMID: 33103641
ISSN: 1467-1107
CID: 4655742
Commentary: Devil is in the details…and good judgment! [Editorial]
Kumar, T K Susheel; Knott-Craig, Christopher J
PMCID:8302924
PMID: 34317898
ISSN: 2666-2507
CID: 5066382
Right ventricle-to-pulmonary artery conduit in Norwood operation: a work in progress
Briceno-Medina, Mario; Kumar, Tk Susheel
PMID: 32864687
ISSN: 1873-734x
CID: 5075112
"Commentary: Aorto-Ventricular Tunnel: More than a mere tunnel!" [Editorial]
Kumar, T K Susheel; Knott-Craig, Christopher J
PMID: 32112971
ISSN: 1532-9488
CID: 4324562
Practical conduct of open heart procedures for congenital heart lesions
Kumar, T K Susheel
Open heart surgery on infants with congenital heart lesions can be challenging not only in terms of the surgical procedure itself but also for setting up ideal conditions for safe and smooth conduct of cardiopulmonary bypass (CPB). The surgeon has to deal with a variety of lesions in a subgroup of patients who offer little room for any error. Familiarity with the principles of CPB, check lists and protocols go a long way in improving outcome in this critical group of patients.
PMCID:7139054
PMID: 32274205
ISSN: 2072-1439
CID: 4379072
Congenitally corrected transposition of the great arteries
Kumar, T K Susheel
Congenitally corrected transposition of the great arteries (CCTGA) is a rare congenital heart lesion with varied morphological presentation and can often by asymptomatic. A failing systemic right ventricle (RV) or increasing tricuspid regurgitation are generally indications for surgical intervention. The surgical approach depends upon the age of the patient and morphology of the lesion. Anatomical correction is associated with satisfactory long-term results.
PMCID:7139005
PMID: 32274202
ISSN: 2072-1439
CID: 4379062