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J Thorac Cardiovasc Surg 2007;134:113
© 2007 The American Association for Thoracic Surgery

Surgery for Congenital Heart Disease

Discussion

Dr Hillel Laks (Los Angeles, Calif). Thank you, Dr Jonas, Dr Kron. I would like to thank the association for the invitation to discuss this article and Dr Padalino for sharing his manuscript and information with us.

I think this is an important article because it allows us to focus a little bit on the issue of the place of adult CHD in the training of surgeons, the qualification of centers and surgeons who do this kind of operation, and the importance of analyzing outcomes in multicenter studies, because for most centers, the available numbers are not enough to really analyze them. Dr Padalino and his group from Italy have shown that in 7 centers approximately 34 cases were done per year per center, but there are obviously some who had much larger volumes than others. I wanted to ask: what were the types of centers, how many were children’s hospitals, how many were general hospitals operating on children and adults, and how many were pure adult hospitals? In the Euro Cardio Survey, they found that of 71 centers that participated, 48 were considered referral centers, and of those 48, according to the Euro Survey Committee, only one fifth were considered as qualified to do adult congenital heart surgery. I think that associations and the population of . . . [Full Text of this Article]

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J. Thorac. Cardiovasc. Surg. 2007 134: 106-113. [Abstract] [Full Text] [PDF]