/library/oar/handle/123456789/27460 2026-05-28T19:02:54Z /library/oar/handle/123456789/3727 Title: Management of congenital tracheal stenosis : a multidisciplinary approach Authors: Dodge-Khatami, Ali; Tsang, V.T.; Roebuck, D.J.; Elliott, M.J. Abstract: Congenital tracheal stenosis is a rare but underdiagnosed anomaly which can present as life-threatening respiratory insufficiency in neonates and infants. Initial control of the airway is mandatory. Surgical correction is the mainstay of therapy and is achieved with low mortality. The type and extent of repair depends largely on the length of stenosis. Cardiac anomalies are frequently associated and may be addressed at the time of tracheal surgery. Despite initial satisfactory results, post-operative morbidity due to persistent granulation tissue is substantial. It is through a multidisciplinary approach and close follow-up of the repaired airway that these demanding patients are best cared for. The long-term quality of life remains uncertain. 2000-01-01T00:00:00Z /library/oar/handle/123456789/3726 Title: Dilated cardiomyopathy in childhood Authors: Franklin, O.M. Abstract: Dilated Cardiomyopathy is an uncommon disease in children but morbidity and mortality in affected patients are high. This review discuses clinical presentation, diagnosis, medical management and prognosis of the condition, with an emphasis on recent advances that have influenced management of these children. 2000-01-01T00:00:00Z /library/oar/handle/123456789/3725 Title: Computational fluid dynamics in paediatric cardiac surgery Authors: Dubini, Gabriele; Migliavacca, Francesco; De Leval, Marc R. Abstract: Computational fluid dynamics techniques have been applied to study both the local and the global haemodynamics created by different surgical reconstructions, currently used to treat complex congenital heart defects. These operations are characterised by competition of flows which can lead to postoperative failure of the surgical treatment. Different techniques have been used in order to improve knowledge of the global haemodynamics in patients submitted to such operations, and to devise possible optimal hydraulic designs of the connections. The adopted approach has combined highly-detailed, three-dimensional models of the connections with simplified zero-dimensional, lumped-parameter network models of the overall circulation of the patient. Three-dimensional models of the connections have been developed by means of the finite element method. Local fluid dynamics features have been analysed and then ‘incorporated’ in mathematical models able to predict some clinically relevant postoperative haemodynamic data. Results emphasise the impact of local geometry on global haemodynamics. 2000-01-01T00:00:00Z /library/oar/handle/123456789/3724 Title: Antibiotic prophylaxis cards for bacterial endocarditis Authors: Grech, Victor E. Abstract: Infective endocarditis is a largely preventable cause of morbidity and mortality in individuals with congenital heart disease. Patient and physician awareness is crucial, and in this regard, antibiotic prophylaxis cards are very helpful. Reference to the presentation of an antibiotic prophylaxis card which is based on recent recommendations by the American Heart Association. This card is currently in use in Malta for both paediatric and adult patients 2000-01-01T00:00:00Z