World journal for pediatric & congenital heart surgery最新文献_第2页

Systemic Thrombolysis and Anticoagulation for Early Post-Fontan Thrombosis: A Five-Patient Case Series. 早期fontan后血栓形成的全身溶栓和抗凝：五例病例系列。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-04-08 DOI: 10.1177/21501351261428080

Sanketh Edem, Lasya Reddy, Anand Kumar Mishra, Parag Barwad, Naveen Deep Kaur, Raghuveer Choudhury

{"title":"Systemic Thrombolysis and Anticoagulation for Early Post-Fontan Thrombosis: A Five-Patient Case Series.","authors":"Sanketh Edem, Lasya Reddy, Anand Kumar Mishra, Parag Barwad, Naveen Deep Kaur, Raghuveer Choudhury","doi":"10.1177/21501351261428080","DOIUrl":"10.1177/21501351261428080","url":null,"abstract":"BackgroundThrombosis of the Fontan circuit or inferior vena cava (IVC) is an uncommon but serious early postoperative complication that can result in conduit obstruction and hemodynamic compromise. Early detection and timely intervention are critical to prevent Fontan pathway failure.MethodsWe retrospectively reviewed 5 consecutive patients who developed imaging-confirmed venous thrombosis within the first postoperative week following Fontan completion surgery. The cohort included 1 detailed index case and 4 additional cases managed at the same institution. All patients presented with persistent, culture-negative fever between postoperative days 3 and 5. Thrombus location, treatment strategy, and outcomes were analyzed. Systemic thrombolysis was performed using recombinant tissue plasminogen activator (tPA; alteplase; 0.1 mg kg-1 bolus followed by 0.5 mg kg-1 h-1 for 6 h, maximum 50 mg) under continuous unfractionated heparin infusion.ResultsThrombus sites included the IVC (n = 3), iliac veins (n = 1), and extracardiac conduit (n = 1). Three patients-including the index case-received systemic tPA with complete radiological resolution and no bleeding or neurological complications. Two patients were successfully managed with 48 h of heparin infusion alone. Fever subsided within 48 h of therapy, and all patients achieved complete venous recanalization within 2 to 3 days. No patient experienced rethrombosis or major bleeding during 3 to 6 months of follow-up.ConclusionPersistent postoperative fever in a Fontan patient should prompt evaluation for thrombus formation, particularly when infection is excluded. Both short-course systemic thrombolysis and therapeutic heparinization are safe and effective first-line strategies for early post-Fontan thrombosis when applied under strict multimodal monitoring.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"785-790"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Approaches to Coronary Arteries Crossing the Subpulmonary Infundibulum in the Setting of Tetralogy of Fallot. 法洛四联症中冠状动脉穿过肺下漏斗的手术入路。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-05-30 DOI: 10.1177/21501351261436728

Ujjwal Kumar Chowdhury, Robert H Anderson, Niraj N Pandey, Niwin George, Saurabh Kumar Gupta, Maroof A Khan, Chaitanya Chittimuri, Priya Dubey

{"title":"Surgical Approaches to Coronary Arteries Crossing the Subpulmonary Infundibulum in the Setting of Tetralogy of Fallot.","authors":"Ujjwal Kumar Chowdhury, Robert H Anderson, Niraj N Pandey, Niwin George, Saurabh Kumar Gupta, Maroof A Khan, Chaitanya Chittimuri, Priya Dubey","doi":"10.1177/21501351261436728","DOIUrl":"10.1177/21501351261436728","url":null,"abstract":"BackgroundMultiple techniques have been described to surgically address the presence of an anomalous coronary artery crossing the subpulmonary infundibulum in patients with tetralogy of Fallot, with perioperative mortality and ventricular dysfunction both being higher than for those patients without this complication.AimsBased on our analysis of previous publications, we used our own experience to illustrate the diagnostic accuracy of computed-tomographic angiography in demonstrating the pertinent anatomical features of the complication. Based on our own surgical experience, we then assessed the efficiency and outcomes of the different surgical strategies designed to mitigate the threat posed by the anomalous coronary arteries.ResultsReported perioperative mortality for these patients continues to remain between 3% and 15%, being 3% at our center. Deaths, when occurring, have been the result of inadvertent injury to the coronary arteries, residual right ventricular outflow tract obstruction, and conduit-related problems. There are varying reports of reoperation following corrective surgery for these patients.ConclusionsComputed-tomographic interrogation is now fully capable of delineating all the pertinent anatomic details of anomalous coronary arteries crossing the subpulmonary infundibulum. With regard to treatment, we suggest that staged palliation will remain a requirement in select instances. Our experience confirms that the trans-tricuspid and trans-pulmonary surgical approach displays the best long-term outcomes by reducing the risks for infundibular obstruction. If feasible, it should be preferred to implantation of a conduit. Translocation of the pulmonary trunk is useful in patients with severely hypoplastic pulmonary ventriculoarterial junctions. In cases where this approach cannot be used, turn back of the pulmonary trunk, or Bonchek's procedure, are additional surgical options.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"704-714"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Balanced Hepatic Venous Flow with Hepatic to Azygos Vein Shunt Following the Kawashima Procedure. 川岛手术后肝至奇静脉分流的平衡肝静脉流量。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-04-15 DOI: 10.1177/21501351261432634

Yuchen Cao, Toshihide Asou, Tsuyoshi Tachibana, Norihiko Shiiya, Kazuma Okamoto

{"title":"Balanced Hepatic Venous Flow with Hepatic to Azygos Vein Shunt Following the Kawashima Procedure.","authors":"Yuchen Cao, Toshihide Asou, Tsuyoshi Tachibana, Norihiko Shiiya, Kazuma Okamoto","doi":"10.1177/21501351261432634","DOIUrl":"10.1177/21501351261432634","url":null,"abstract":"Objectives: Ensuring balanced hepatic venous (HV) flow to both lungs is vital for preventing pulmonary arteriovenous malformations (PAVMs) after the Kawashima procedure in patients with polysplenia and interrupted inferior vena cava. This study investigated the long-term distribution of HV flow following two Fontan completion methods: HV-to-azygos vein shunt (HVAZ) and HV-to-pulmonary artery shunt (HVPA). Methods: We retrospectively reviewed 20 patients who underwent Fontan completion after the Kawashima procedure between 2004 and 2021 (HVAZ, n = 10; HVPA, n = 10). HV flow distribution was assessed by angiography (balanced/partly unbalanced/completely unilateral). For long-term analysis, patients were grouped according to final HV configuration, including those who required shunt conversion after initial Fontan completion. Group comparisons used Fisher's exact and Mann-Whitney tests. Results: Balanced HV flow was observed in 7/9 patients with HVAZ morphology compared with 1/10 with HVPA (P = .006). In the bilateral superior vena cava (SVC) subset, 6/7 with HVAZ had balanced flow versus none with HVPA (P = .005). Median follow-up was 9.2 years, during which final oxygen saturation (91% vs. 95%, P = .39) and reintervention rates were comparable between groups, although the timing and underlying causes of reinterventions differed. Conclusions: HVAZ was associated with more balanced HV flow than HVPA, including patients with bilateral SVCs. Long-term outcomes such as oxygen saturation were comparable, suggesting that HVAZ may represent a physiologically advantageous option for Fontan completion in patients with complex venous anatomy.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"766-775"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supracardiac Total Anomalous Pulmonary Venous Connection with Left Main Bronchial Compression in an Infant. 婴儿左主支气管压迫的心上全异常肺静脉连接。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-04-28 DOI: 10.1177/21501351261432643

Yinchang Zhang, Yongnan Li, Yong Mao, Xuchao Hu, Maomao Zhao, Xiangyang Wu, Weixun Duan

{"title":"Supracardiac Total Anomalous Pulmonary Venous Connection with Left Main Bronchial Compression in an Infant.","authors":"Yinchang Zhang, Yongnan Li, Yong Mao, Xuchao Hu, Maomao Zhao, Xiangyang Wu, Weixun Duan","doi":"10.1177/21501351261432643","DOIUrl":"10.1177/21501351261432643","url":null,"abstract":"Total anomalous pulmonary venous connection (TAPVC) is a rare congenital cardiac malformation, and cases complicated with airway stenosis are even less common, posing substantial diagnostic and therapeutic challenges. We report a 4-month-old male infant with supracardiac TAPVC, accompanied by left main bronchial stenosis, a central atrial septal defect (ASD), and severe pulmonary hypertension. Following supportive management, the patient underwent TAPVC repair and atrial septal defect patch repair. Intraoperatively, weaning from cardiopulmonary bypass initially failed due to severe pulmonary hypertension, but was successfully achieved after fenestration of the atrial septal patch for decompression. Postoperative imaging confirmed unobstructed pulmonary venous return, resolution of pulmonary hypertension, and relief of airway compression. At 6-month follow-up, the infant demonstrated normal growth and development. TAPVC with airway stenosis markedly increases perioperative risk, and thorough preoperative assessment with timely surgical intervention is essential for favorable outcomes.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"863-866"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Palliative Balloon Pulmonary Valvotomy Enhances Immediate Postoperative Outcomes in Severely Cyanotic Patients With Tetralogy of Fallot. 姑息性球囊肺瓣切开术提高法洛四联症严重紫绀患者的术后即时疗效。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-03-13 DOI: 10.1177/21501351251403503

Sowmya Kasturi, Srinath Reddy Narahari, Dipesh Trivedi, Anand Kumar Gowdhaman

{"title":"Palliative Balloon Pulmonary Valvotomy Enhances Immediate Postoperative Outcomes in Severely Cyanotic Patients With Tetralogy of Fallot.","authors":"Sowmya Kasturi, Srinath Reddy Narahari, Dipesh Trivedi, Anand Kumar Gowdhaman","doi":"10.1177/21501351251403503","DOIUrl":"10.1177/21501351251403503","url":null,"abstract":"BackgroundOlder patients with severe cyanosis from unrepaired tetralogy of Fallot (TOF) face high perioperative morbidity despite technically straightforward surgical repair. Chronic hypoxemia leads to myocardial metabolic adaptation, polycythemia, and increased susceptibility to reperfusion injury. Preoperative optimization may improve outcomes in this high-risk group.ObjectiveTo evaluate whether palliative balloon pulmonary valvotomy (BPV) before intracardiac repair (ICR) improves immediate postoperative outcomes in severely cyanotic patients with uncomplicated TOF.MethodsA prospective observational study was conducted on 42 patients (age: 5 months-40 years) with severe cyanosis (oxygen saturation <70%) undergoing BPV followed by elective ICR. Pre and postoperative parameters including oxygen saturation, hemoglobin, hematocrit, ventilation duration, vasoactive inotrope score, intensive care unit (ICU) stay, and hospital stay were recorded. Outcomes were compared with 49 matched controls undergoing direct ICR without BPV.ResultsBalloon pulmonary valvotomy led to a mean saturation increase of 15 ± 3% in 90% of patients, with reported improvement in functional capacity and cessation of cyanotic spells. Compared with the direct ICR group, BPV-ICR patients had significantly shorter ventilation time (13.3 ± 13.8 vs 29.1 ± 37.4 h, P = .011), inotrope duration (46.9 ± 15.5 vs 64.3 ± 30.8 h, P = .001), ICU stay (62.9 ± 36.8 vs 94.9 ± 43.1 h, P < .001), and hospital stay (6.6 ± 3.6 vs 10.6 ± 2.8 days, P = .001). No mortality occurred in the BPV-ICR group versus two deaths in the control group.ConclusionsPalliative BPV significantly improves preoperative condition and reduces immediate postoperative morbidity in severely cyanotic, anatomically suitable TOF patients. A staged BPV-ICR approach may be a safe, effective strategy in resource-limited settings.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"813-820"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-Term Outcomes of Balloon Versus Surgical Aortic Valvuloplasty in Pediatric Patients with Congenital Aortic Valve Stenosis: A Meta-Analysis. 先天性主动脉瓣狭窄患儿球囊与手术主动脉瓣成形术的长期疗效：一项荟萃分析。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-05-11 DOI: 10.1177/21501351261434184

Karim Atta, Ahmed Abdelaziz, Shrouk Ramadan, Ahmed Farid Gadelmawla, Mohamed R Murad, Ahmed Sobhy, Mohamed Abdelaziz, Hamed Elbassiouni, Ahmed Esawy, Anastasia Alexandrovna Shirokova, Elena Semenovna Samoshkina

{"title":"Long-Term Outcomes of Balloon Versus Surgical Aortic Valvuloplasty in Pediatric Patients with Congenital Aortic Valve Stenosis: A Meta-Analysis.","authors":"Karim Atta, Ahmed Abdelaziz, Shrouk Ramadan, Ahmed Farid Gadelmawla, Mohamed R Murad, Ahmed Sobhy, Mohamed Abdelaziz, Hamed Elbassiouni, Ahmed Esawy, Anastasia Alexandrovna Shirokova, Elena Semenovna Samoshkina","doi":"10.1177/21501351261434184","DOIUrl":"10.1177/21501351261434184","url":null,"abstract":"BackgroundCongenital aortic valve stenosis (AVS) is the most common cause of ventricular outflow tract obstruction. Surgical aortic valvuloplasty (SAV) and balloon aortic valvuloplasty (BAV) are the most common primary interventions, with conflicting data regarding their long-term outcomes. We aimed to study the long-term clinical outcomes of patients allocated to BAV or SAV.MethodsWe searched PubMed, Scopus, Web of Science, and Cochrane CENTRAL through August 2025 for relevant studies reporting long-term outcomes of SAV versus BAV in patients with congenital AVS. The primary outcome was the 10-year rate of aortic valve replacement (AVR). Subgroup analysis was performed for all clinical outcomes according to the age of the included children.ResultsA total of nine trials including 1704 patients (67%, [1136/1704]) males; median follow-up of 10 years) were included. The pooled estimate showed that SAV was associated with lower long-term reintervention rates (risk ratio 0.76, 95% confidence interval (CI): 0.6 to 0.96, P = .02), and a significant reduction in peak aortic gradient pressure (PAGP) (mean difference (MD) -11.53 mm Hg, 95% CI: -18.66 to -4.41, P < .001) in patients more than 1 year of age. In addition, SAV was associated with a longer time to first reintervention in patients younger than 1 year of age (MD 2.43 years, 95% CI: 0.68 to 4.19, P = .01). There was no significant difference regarding the primary outcome or other studied outcomes.ConclusionIn patients with congenital aortic valve stenosis, SAV showed the greatest benefit in children older than 1 year of age with similar AVR and mortality rates; but superior durability, lower reintervention rates, and greater reductions in peak aortic pressure gradient when compared with BAV.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"843-854"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147871143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Valve-Sparing Root Replacement Following Congenital Heart Disease Repair: Lesion-Specific Technical Considerations. 先天性心脏病修复后保留瓣膜的牙根置换术：病变特异性技术考虑。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-05-19 DOI: 10.1177/21501351261443303

Yuchen Cao, Masaaki Koide, Yoshifumi Kunii, Masafumi Yashima, Daisuke Takahashi, Takuya Maeda, Kumiko Sone, Satoru Nishiyama

引用次数: 0

William G. ("Bill") Williams: Tribute to Outstanding and Lasting Contributions to the Congenital Heart Surgeons' Society Research and Teaching. 威廉·g·（“比尔”）·威廉姆斯：对先天性心脏外科学会研究和教学做出杰出和持久贡献的致敬。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-09-02 DOI: 10.1177/21501351261479721

William M DeCampli

引用次数: 0

Risk Factors of Prolonged Mechanical Ventilation Following Pulmonary Artery Banding in Children With Single Ventricle Physiology. 单心室生理障碍患儿肺动脉束带后延长机械通气的危险因素。

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-03-13 DOI: 10.1177/21501351261418273

Dian Kesumarini, Ratna Farida Soenarto

{"title":"Risk Factors of Prolonged Mechanical Ventilation Following Pulmonary Artery Banding in Children With Single Ventricle Physiology.","authors":"Dian Kesumarini, Ratna Farida Soenarto","doi":"10.1177/21501351261418273","DOIUrl":"10.1177/21501351261418273","url":null,"abstract":"Introduction: Prolonged mechanical ventilation (PMV) is a postoperative burden in single ventricle physiology (SVP) pediatric patients undergoing pulmonary artery (PA) banding. Predicting the optimal band tightness and its postoperative impact remains challenging, particularly in low- and middle-income countries, as evidence linking risk factors to PMV following PA banding is still limited. This study aimed to identify perioperative risk factors associated with PMV following PA banding in pediatric patients with SVP. Methods: This retrospective, single-center cohort study included 101 children with SVP who underwent PA banding between 2017 and 2023. Binomial logistic regression models were used to examine the association of perioperative risk factors and PMV (>126 h). Secondary outcomes included in-hospital mortality, postoperative complications, and PA rebanding. A P-value of < .05 was considered statistically significant. Results: Prolonged MV occurred in 31.7% (32/101) of patients. A higher peak right ventricle-pulmonary artery (RV-PA) pressure gradient was associated with lower odds of postoperative prolonged MV (OR = 0.894, P = .018). Significantly lower PMV risk was associated with RV-PA gradient values above the cut-off value of 39.5 mm Hg (AUC 0.665, 95% CI 0.538-0.792, P = .012, Youden index 0.387). Nevertheless, abnormally low postoperative mean arterial pressure (MAP) was independently associated with PMV (P = .038). Conclusions: Peak RV-PA gradient > 39.5 mm Hg and stable postbanding MAP help reduce PMV risk in children with SVP undergoing PA banding. Incorporating bodyweight and oxygenation status in prebanding assessment may reduce risk of postoperative mortality. These findings offer guidance for integrated perioperative assessment, particularly in resources-limited centers.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"803-812"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality Improvement in Congenital Heart Surgery Requires Data: Is This Asking too Much in Low- and Middle-Income Countries? 提高先天性心脏手术质量需要数据：这在中低收入国家是否要求过高？

World journal for pediatric & congenital heart surgery Pub Date : 2026-11-01 Epub Date: 2026-05-20 DOI: 10.1177/21501351261444019

Debasis Das, Shubhadeep Das, Bistra Zheleva, Sivakumar Sivalingam, Ulisses Alexandre Croti, Bruna Cury, Krishna Subramony Iyer

{"title":"Quality Improvement in Congenital Heart Surgery Requires Data: Is This Asking too Much in Low- and Middle-Income Countries?","authors":"Debasis Das, Shubhadeep Das, Bistra Zheleva, Sivakumar Sivalingam, Ulisses Alexandre Croti, Bruna Cury, Krishna Subramony Iyer","doi":"10.1177/21501351261444019","DOIUrl":"10.1177/21501351261444019","url":null,"abstract":"Quality improvement (QI) in congenital heart surgery depends mainly on the availability of reliable, organized, and usable data. While high-income countries benefit from mature national registries and well-established benchmarking systems, low- and middle-income countries (LMICs), which carry the largest global burden of congenital heart disease, continue to face significant challenges in data collection. This narrative review examines the current evolving data landscape for congenital heart surgery in LMICs, explores the relationship between existence of data systems and QI, identifies persistent barriers to data collection, and proposes context-appropriate strategies for sustainable progress. Evidence from published outcome studies, national and regional registry reports, and some major international databases demonstrates encouraging growth in progressive maturation of data systems across LMICs. Importantly, successful models illustrate that even incremental data collection, when focused on high-impact indicators such as mortality, major morbidity, and hospital length of stay, can generate meaningful improvements when linked with local clinical leadership, simple audit mechanisms, and collaborative learning networks. Although comprehensive, high-fidelity data collection may be unrealistic in many resource-constrained environments, the pursuit of perfection should not impede progress. Stepwise, local data strategies, supported by international collaboration, capacity building, and context-sensitive implementation, offer a realistic and transformative pathway toward safer, more equitable congenital cardiac care in LMICs.","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"834-842"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147978212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0