total anomalous pulmonary venous connection (tapvc) is an anomaly in which the pulmonary veins are directly connected to one of the systemic veins or drain into the right atrium. management of pulmonary hypertension after the total correction of this congenital cardiac anomaly is very important. unligation of the vertical vein in the supracardiac type of this anomaly can be a draining pathway f...

The recognition that practice variation can lead to higher resource utilization and negatively affect the delivery of care [1–3] has led to concerted efforts to standardize care across all subspecialties in medicine. The ultimate goal of this effort is to improve patient safety and clinical outcomes. Examples of standardization tools include clinical practice guidelines, algorithms of care, tem...

To determine the current risk of pediatric cardiac catheterization, the complications and incidents of all catheterizations performed in a pediatric laboratory between January 1986 and October 1988 were prospectively recorded and compared with results from a 1974 study from the same institution. In the current study 1,037 catheterizations, 885 diagnostic and 152 diagnostic/interventional proced...

The percutaneous femoral vein approach is used routinely for cardiac catheterization in the pediatric age but in some children, it may be impossible as in the case of iliac vein or inferior vena cava thrombosis due to previous cardiac catheterization, or inconvenient as for right ventricular endomyocardial biopsies. In the period between 1982 and 1990, 160 cardiac catheterizations or right vent...