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Demographics, diagnoses, and intraoperative variables were similar. Median net fluid balance was more negative in +PD at 24 hours, ?24?mL/kg (interquartile range: ?62, 11) vs. +18?mL/kg (interquartile range: ?26, 11), P = .003, and 48 hours, ?88?mL/kg (interquartile range: ?132, ?54) vs. ?46?mL/kg (interquartile range: ?84, ?12), P = .004. +PD had median 55?mL/kg less fluid intake at 24 hours, P = .058. Peritoneal drain, urine, and chest tube output were comparable over first 24 hours. Mean inotrope score was lower in +PD at 24 hours. +PD had earlier sternal closure��24 hours (interquartile range: 20, 40) vs. 63 hours (interquartile range: 44, 72), P R428 chemical structure of mechanical ventilation��71 hours (interquartile range: 49, 135) vs. 125 hours (interquartile range: 70, 195), P = .10. +PD experienced lower serum concentrations of interleukin-6 and interleukin-8 at 24 hours. Prophylactic PD is associated with greater net negative fluid this website balance, decreased inotrope requirements, and lower serum concentrations of inflammatory cytokines in the early postoperative period. ""Abnormal coronary artery anatomy should be ruled out in any patient with myocardial dysfunction and an abnormal electrocardiogram. The reported etiologies of infantile myocardial ischemia are abnormalities of coronary arteries, perinatal asphyxia, umbilical catheterization, and myocarditis. Generalized arterial calcification of infancy, although rare, should be considered in the differential diagnosis of infantile myocardial ischemia if coronary artery origin is found to be normal on echocardiography. ""Objectives.? To evaluate the incidence of atrial tachy-arrhythmia (AT) recurrence following conversion from right atrial-pulmonary artery (RA-PA) Fontan to total cavopulmonary connection (TCPC) in adults. Background.? AT is a recognized sequel of Fontan palliation, especially in RA-PA Fontans, and is associated with significant morbidity. While catheter ablation achieves fairly reliable short-term success with low morbidity, conversion to TCPC with arrhythmia E-64 surgery is a highly effective treatment option for the classical Fontan patients with incessant AT. Methods.? Single center retrospective review. Results.? Twenty-seven adults underwent Fontan conversion from RA-PA to TCPC, mostly for AT indications (n = 24). Nine (33%) underwent conversion to a lateral tunnel (LT) and 18 (67%) to an extracardiac (EC) Fontan. Two patients died