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Developments have been made on cardiac surgical audit in Bristol

BMJ 1999; 318 doi: (Published 26 June 1999) Cite this as: BMJ 1999;318:1760
  1. Bruce E Keogh, Secretary (,
  2. Jules Dussek, President,
  3. Leslie Hamilton, Paediatric cardiac surgeon, standards of care committee
  1. Society of Cardiothoracic Surgeons of Great Britain and Ireland, c/o Concorde Services, London W12 9RT

    EDITOR—The cardiac surgical community is trying to address some of Shortis and Winkler's concerns about the Bristol affair.1

    Congenital cardiac surgery represents a tenth of cardiac surgery in the United Kingdom. Its complexity and small numbers make individual surgical audit difficult. However, the Society of Cardiothoracic Surgeons of Great Britain and Ireland has defined repair of aortic coarctation and ventriculoseptal defect as surgeon specific marker operations for congenital cardiac surgery. Throughout the United Kingdom in 1997-8, 238 operations for simple coarctation were performed by 27 surgeons, with only one death. Similarly, 302 operations for isolated ventriculoseptal defect were performed by a slightly different group of 27 surgeons, with only …

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