Editorial| Volume 16, ISSUE 1, P1, 2013

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      The Pediatric Cardiac Surgery Annual of The Seminars in Thoracic and Cardiovascular Surgery includes topics from the 2012 AATS Congenital Post-Graduate Course and the Post-Graduate Skills Sessions. This year's Guest Editor, Dr Emile Bacha from Columbia University, has collected a number of important reviews on the complex areas of decision-making in congenital cardiothoracic surgery. Several of the papers discuss the options for management of patients with Hypoplastic Left Heart Syndrome, including the Hybrid Stage I as initial palliation or the right ventricle to pulmonary artery conduit versus the standard Norwood approach. Dr Bacha has included a summary of an individualized approached to the management of patients with this complex congenital anomaly. As we gain more and more information from the Single Ventricle Reconstruction randomized trial on therapy for Hypoplastic Left Heart Syndrome, hopefully we will be able to resolve the controversies in management of this condition and provide a more individualized approach to care.
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