Incidence and characteristics of heart block after heart surgery in pediatric patients: A multicenter study  Leonardo Liberman, MD, Eric S. Silver, MD,

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Incidence and characteristics of heart block after heart surgery in pediatric patients: A multicenter study  Leonardo Liberman, MD, Eric S. Silver, MD, Paul J. Chai, MD, Brett R. Anderson, MD, MBA  The Journal of Thoracic and Cardiovascular Surgery  Volume 152, Issue 1, Pages 197-202 (July 2016) DOI: 10.1016/j.jtcvs.2016.03.081 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Distribution of the operations with placement of a permanent pacemaker for heart block after surgery (n = 990). HLHS, Hypoplastic left heart syndrome; Sub AS, subaortic stenosis; TVR, tricuspid valve replacement; AVR, aortic valve replacement; TOF, tetralogy of Fallot; VSD, ventricular septal defect; MVR, mitral valve replacement; AVC, atrioventricular canal. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 197-202DOI: (10.1016/j.jtcvs.2016.03.081) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 This funnel plot displays the incidence of heart block with pacemaker placement for each of 57 operations as a function of the number of cases in the cohort. The horizontal solid line represents the average incidence across all operation subtypes. The dashed lines represent the 5th and 95th binomial prediction limits. Procedure types falling above or below these limits were said to be associated with significantly high or low incidences, respectively. TVR, Tricuspid valve replacement; MVR, mitral valve replacement; VSD, ventricular septal defect; Sub AS, subaortic stenosis; AVR, aortic valve replacement; ASO, arterial switch operation; CAVC, complete atrioventricular cannal; PAPVC, partial anomalous pulmonary venous connection; TAPVC, total anomalous pulmonary venous connection; HLHS, hypoplastic left heart syndrome; PDA, patent ductus arteriosus; RV, right ventricle; PA, pulmonary artery; IAA, interrupted aortic arch; PV, pulmonary valve; BT, Blalock-Tausig shunt; ASD, atrial septal defect. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 197-202DOI: (10.1016/j.jtcvs.2016.03.081) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Funnel plot shows the incidence of heart block for each operation as a function of number of cases. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 197-202DOI: (10.1016/j.jtcvs.2016.03.081) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions