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Related Experiment Video

Updated: Jun 27, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Outcome analysis for a small, start-up congenital heart surgery program.

Richard D Mainwaring1, V Mohan Reddy, Olaf Reinhartz

  • 1Sutter Medical Center, Sacramento, California, USA. Mainwar@sutterhealth.org

Journal of Cardiac Surgery
|November 20, 2008
PubMed
Summary

Starting a new congenital heart surgery program can succeed even with modest surgical volume. Careful case selection and senior surgeon involvement are key to achieving satisfactory clinical outcomes.

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Health Services Research

Background:

  • New congenital heart surgery programs are needed to serve growing populations.
  • Smaller programs often have poorer outcomes compared to larger ones.

Purpose of the Study:

  • To evaluate the clinical outcomes of a newly established, small congenital heart surgery program.
  • To assess the feasibility of achieving satisfactory results in a start-up program.

Main Methods:

  • Analysis of clinical outcome data from September 2003 to March 2007 (42 months).
  • Inclusion of 386 operations across various age groups (newborns, infants, children, adults).
  • Risk adjustment using the Risk Adjustment in Congenital Heart Surgery (RACHS-1) model and the Society of Thoracic Surgeons (STS) congenital database.

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Last Updated: Jun 27, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Main Results:

  • Two operative mortalities (0.5%) were recorded.
  • Predicted mortality rates were 17.4 (RACHS-1) and 10.2 (STS) for categorized cases.
  • Demonstrated satisfactory clinical results despite modest surgical volume.

Conclusions:

  • A start-up congenital heart surgery program can achieve satisfactory clinical results.
  • Success factors include careful case selection and senior-level surgeon involvement.
  • Controlled circumstances are crucial for the successful establishment of small congenital heart surgery programs.