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Ann Thorac Surg 2009;87:587-588. doi:10.1016/j.athoracsur.2008.12.001
© 2009 The Society of Thoracic Surgeons
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Jeffrey Phillip Jacobs
David M. Shahian
Marshall L. Jacobs
Constantine Mavroudis
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Original Articles: Pediatric Cardiac

Invited Commentary

Jeffrey Phillip Jacobs, MDa, David M. Shahian, MDb, Marshall L. Jacobs, MDc, Constantine Mavroudis, MDd

a Cardiac Surgery, The Congenital Heart Institute of Florida (CHIF), Cardiac Surgical Associates of Florida (CSAOF), All Children's Hospital and Children's Hospital of Tampa, 603 7th St S, Ste 450, St. Petersburg, FL 33701
b Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts
c Cardiothoracic Surgery, Drexel University College of Medicine, Newtown Square, Pennsylvania
d Pediatric and Congenital Heart Surgery, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio

(Email: jeffjacobs@msn.com).

The report by Tsang and associates in this issue of The Annals of Thoracic Surgery is another important contribution to surgical performance monitoring by a group whose senior member introduced the concept of cumulative sum (CUSUM) charts into cardiothoracic surgery in 1994 [1]. This resulted in the early identification of a suboptimal trend of performance in arterial switch surgery, and appropriate modifications in technique and management were successfully instituted [2].

Monitoring of performance in pediatric cardiac surgery has historically been challenged by two issues: the large number of unique operative procedures mandated by the diverse spectrum of congenital cardiac malformations, and the relatively small numbers of any particular operation at any given . . . [Full Text of this Article]


Related Article

Monitoring Risk-Adjusted Outcomes in Congenital Heart Surgery: Does the Appropriateness of a Risk Model Change With Time?
Victor T. Tsang, Katherine L. Brown, Mats Johanssen Synnergren, Nicholas Kang, Marc R. de Leval, Steve Gallivan, and Martin Utley
Ann. Thorac. Surg. 2009 87: 584-587. [Abstract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 World Journal for Pediatric and Congenital Heart SurgeryHome page
J. M. Giroud, J. P. Jacobs, D. Spicer, C. Backer, G. R. Martin, R. C. G. Franklin, M. J. Beland, O. N. Krogmann, V. D. Aiello, S. D. Colan, et al.
Report From The International Society for Nomenclature of Paediatric and Congenital Heart Disease: Creation of a Visual Encyclopedia Illustrating the Terms and Definitions of the International Pediatric and Congenital Cardiac Code
World Journal for Pediatric and Congenital Heart Surgery, October 1, 2010; 1(3): 300 - 313.
[Abstract] [Full Text] [PDF]


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