Marshall L. Jacobs, MD, Jeffrey P. Jacobs, MD, Sara K

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The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2016 Update on Research Marshall L. Jacobs, MD, Jeffrey P. Jacobs, MD, Sara K. Pasquali, MD, MS, Kevin D. Hill, MD, Christoph Hornik, MD, MPH, Sean M. O’Brien, PhD, David M. Shahian, MD, Robert H. Habib, PhD, Fred H. Edwards, MD The Annals of Thoracic Surgery Volume 102, Issue 3, Pages 688-695 (September 2016) DOI: 10.1016/j.athoracsur.2016.07.015 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Distribution and hybrid utilization rates among 100 centers [3]. (Reproduced with permission of Mosby, Inc.) The Annals of Thoracic Surgery 2016 102, 688-695DOI: (10.1016/j.athoracsur.2016.07.015) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Major adverse cardiac events by cardiac surgical procedure among patients with Williams syndrome [4]. (LVOT = left ventricular outflow tract; RVOT = right ventricular outflow tract; SVAS = supravalvular aortic stenosis.) (Reproduced with permission of Mosby, Inc.) The Annals of Thoracic Surgery 2016 102, 688-695DOI: (10.1016/j.athoracsur.2016.07.015) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Prenatal diagnosis rates in the 10 United States Department of Health and Human Services regions. Oregon, Nevada, and Utah did not have sufficient prenatal diagnosis data during study period to be included in the analysis [6]. (Reproduced with permission of American Academy Of Pediatrics.) The Annals of Thoracic Surgery 2016 102, 688-695DOI: (10.1016/j.athoracsur.2016.07.015) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Unadjusted mortality of all ages combined (blue circles) compared with adults (orange circles) demonstrating disparate mortality for adults across procedural groups [10]. (AICD = automatic implantable cardioverter defibrillator; ASD = atrial septal defect; AV = atrioventricular; PA = pulmonary artery; PAPVC = partial anomalous pulmonary venous connection; RV = right ventricle; RVOT = right ventricular outflow tract; TOF = tetralogy of Fallot.) (Reproduced with permission of Elsevier Inc.) The Annals of Thoracic Surgery 2016 102, 688-695DOI: (10.1016/j.athoracsur.2016.07.015) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 (A) Mortality across hospital cost tertiles: p < 0.001 for low vs middle and low vs high cost tertiles; p = 0.46 for middle vs high cost tertile. (B) Stratified by The Society of Thoracic Surgeons–European Association for Cardio-Thoracic Surgery (STAT) category: p < 0.03 for low vs middle and low vs high cost tertiles for both groups; p = 0.84 (STAT 1–3), and p = 0.44 (STAT 4–5) for middle vs high cost tertiles [15]. (Reproduced with permission of Elsevier Inc.) The Annals of Thoracic Surgery 2016 102, 688-695DOI: (10.1016/j.athoracsur.2016.07.015) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions