Surgical Treatment for Atrioventricular Septal Defect. Masakazu Nakao Consultant, Paediatric Cardiothoracic Surgery
|
|
- Mark Ferguson
- 6 years ago
- Views:
Transcription
1 Surgical Treatment for Atrioventricular Septal Defect Masakazu Nakao Consultant, Paediatric Cardiothoracic Surgery 1
2 History Rastelli classification (Rastelli) Pulmonary artery banding (Muller & Dammann) Detail anatomy of the bundle of His in AVSD (Lev) Modified single patch repair of AVSD (Wilcox) Today Intracardiac repair of AVSD using cross-circulation(lillehei) Single patch repair of AVSD (Maloney, Gerbode) Modified Australian single patch repair of AVSD championed (Nunn) Two patch repair of AVSD (Trusler) 2
3 3 Partial AVSD
4 Indications Symptomatic mitral regugitation Congestive heart failure Otherwise, same as ASD Operate electively in most of patients Operate as soon as medical treatment fails for heart failure 4
5 Surgical Treatment - Overview Corrective Repair of partial AVSD Closure of atrial septal defect Repair of mitral valve cleft 5
6 Surgical Treatment mitral valve repair a. Simple commissuroplasty b. Shortening of chordae c. Shortening of chordae (completed) d. Local annuloplasty for central imcompetence Adopted from Pacifico AD. Atrio-ventricular septal defect: Surgery for congenital heart defect, third edition. Eds. Stark JF, et al. John Wiley & Sons, 2006:
7 Surgical Treatment Valve Orifice Size BSA (m 2 ) MITRAL TRICUSPID AORTIC PULMONARY BSA (m 2 ) Table in actual use in KKH, modified from Rawlett UF, et al. The quantitative anatomy of the normal child s heart. Pediatr Clin North Am 1963;10:499 7
8 Surgical Treatment - Closure of Atrial Septal Defect Stay on TV till away from septum 2. Avoid AV node 3. Coronary sinus is safe or keep CS on the left side Adopted from Pacifico AD. Atrio-ventricular septal defect: Surgery for congenital heart defect, third edition. Eds. Stark JF, et al. John Wiley & Sons, 2006:
9 Short-Term Mortality Early mortality 0~2% Dilated heart, significant mitral regurgitation are risk factors 9
10 Long-Term Mortality Possible risk factors Younger age (<1.5yo) Preoperative significant MR Survival adopted from Bowman JL, et al. Should repair of partial atrioventricular septal defect be delayed until later in childhood? Am J Cardiol 2014;114:
11 Short-Term Morbidities Residual leak Mitral regurgitation 3% Complete heart eart block 2% LVOTO due to elongated LVOT 3% 11
12 Long-Term Morbidities Over 249 patients Survival-free of reoperation curve adopted from Bowman JL, et al. Should repair of partial atrioventricular septal defect be delayed until later in childhood? Am J Cardiol 2014;114: Reoperation details adopted from Buratto E, et al. Long-term outcomes of reoperations following repair of partial atrioventricular septal defect. Eur J Cardiothorac Surg 2016;50:
13 13 Complete AVSD
14 Indications Failure to thrive Recurrent chest infection Congestive heart failure 1970s ~ early 1980s: Autopsy and clinical study revealed the high risk after the first year - 65% of untreated patients die by 1 year, 85% by 2 years and 96% by 5 years. Operate as soon as medical treatment fails < 6 months for Trisomy 21 < 1 year for others 14
15 Contraindication Eisenmenger Syndrome Predominant right-to-left shunt PVR > 8 Wood units/m 2 If PVR study shows a good response to pulmonary vasodilators, some may be apt for surgery. 15
16 Surgical Treatment - Overview Palliative - Pulmonary artery banding Corrective Single patch repair Two patch repair Modified single patch repair 16
17 Surgical Treatment - Palliative Pulmonary artery banding Previously employed as a two-stage strategy Should be avoided unless left with no choice - increase AV valve regurgitation - carries high mortality 15~25% 17
18 Surgical Treatment Corrective Corrective Single patch repair Two patch repair Modified single patch repair 18
19 Surgical Treatment General Consideration Conduction AV valve Closure of ventricular component Closure of atrial component 19
20 Surgical Treatment General Consideration Conduction stay on the right side AV valve Closure of ventricular component Closure of atrial component Adopted from Pacifico AD. Atrio-ventricular septal defect: Surgery for congenital heart defect, third edition. Eds. Stark JF, et al. John Wiley & Sons, 2006:
21 Surgical Treatment General consideration Conduction AV valve more to the left Closure of ventricular component Closure of atrial component Adopted from Pacifico AD. Atrio-ventricular septal defect: Surgery for congenital heart defect, third edition. Eds. Stark JF, et al. John Wiley & Sons, 2006:
22 Surgical Treatment Single patch repair Adopted from Pacifico AD. Atrio-ventricular septal defect: Surgery for congenital heart defect, third edition. Eds. Stark JF, et al. John Wiley & Sons, 2006:
23 Surgical Treatment Two patch repair Stay on the right side 2. Patch can be boat-shape 3. Height aims to be lower than annular level 4. Too short patch will cause leak at the edge 23 Adopted from Dekel H, et al. Repair of Atrioventricular Septal Defects: The 2-Patch Sandwich Technique. Operative techniques in thoracic and cardiovascular surgery 2015;20(1):63-74
24 Patch meets the annulus on the right side of crest 2. Suture line avoid edge of crest and AV node to the right side 24 Adopted from Dekel H, et al. Repair of Atrioventricular Septal Defects: The 2-Patch Sandwich Technique. Operative techniques in thoracic and cardiovascular surgery 2015;20(1):63-74
25 Mattress suture touch the annulus 2. Keep mattress suture not too wide - become crumpled and shortened 25 Adopted from Dekel H, et al. Repair of Atrioventricular Septal Defects: The 2-Patch Sandwich Technique. Operative techniques in thoracic and cardiovascular surgery 2015;20(1):63-74
26 1. Give more to the left 2. Location of the chordae can be used as a guide 3. Lesser and greater curvature of patch meet annulus Adopted from Dekel H, et al. Repair of Atrioventricular Septal Defects: The 2-Patch Sandwich Technique. Operative techniques in thoracic and cardiovascular surgery 2015;20(1):63-74
27 1 1. Sometimes gap between RSL and RIL is big - pull RSL and RIL equally to zone of apposition and paste to septal patch 27 Adopted from Dekel H, et al. Repair of Atrioventricular Septal Defects: The 2-Patch Sandwich Technique. Operative techniques in thoracic and cardiovascular surgery 2015;20(1):63-74
28 Surgical Treatment Modified single patch Drawing is exaggerated, need closer stitches 2. Some people take eptfe/dacron strip before autologous pericardium 3. Nunn suggested length to be 70%, some 80% of annular diameter 1 28 Adopted from Clarke A, et al. The simplified single patch repair of complete atrioventricular septal defect. Operative techniques in thoracic and cardiovascular surgery 2004;9(3):
29 1 1. Well away to the right side of AV node - floor of CS is safe area 29 Adopted from Clarke A, et al. The simplified single patch repair of complete atrioventricular septal defect. Operative techniques in thoracic and cardiovascular surgery 2004;9(3):
30 Short-Term Mortality Modified from Backer CL, Mavroudis C. Atrioventricular canal defects: Pediatric cardiac surgery, fourth edition. Eds. Mavroudis C, Backer CL, Wiley-Blackwell, 2013:
31 Short-Term Mortality St. Louis JD, et al. Contemporary outcomes of complete atrioventricular septal defect repair: Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg 2014;148:
32 Long-Term Mortality Modified from Backer CL, Mavroudis C. Atrioventricular canal defects: Pediatric cardiac surgery, fourth edition. Eds. Mavroudis C, Backer CL, Wiley-Blackwell, 2013:
33 Short-Term Morbidities Residual leak Complete heart bock Left AV valve regurgitation Right AV valve regurgitation LVOTO due to elongated LVOT 33
34 Short-Term Morbidities Modified from Backer CL, Mavroudis C. Atrioventricular canal defects: Pediatric cardiac surgery, fourth edition. Eds. Mavroudis C, Backer CL, Wiley-Blackwell, 2013:
35 Short-Term Morbidities St. Louis JD, et al. Contemporary outcomes of complete atrioventricular septal defect repair: Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg 2014;148:
36 Long-Term Morbidities LAVVR is an independent risk factor for Mortality Ginde S, et al. Long-term outcomes after surgical repair of complete atrioventricular septal defect. J Thorac Cardiovasc Surg 2015;150:
37 Conclusion AVSD represents a wide spectrum of intracardiac anomalies Partial AVSD are treated much like ASD. Complete AVSD should undergo operative repair in early period of life. Postoperative management centers on proactive treatment of pulmonary hypertension. 37
38 Further Reading 1. Hoohenkerk GJF, et al. More than 30 years experience with surgical correction of atrioventricular septal defects. Ann Thorac Surg 2010;90: Kaza AK, et al. Surgical interventions for atrioventricular septal defect subtypes: The pediatric heart network experience. Ann Thorac Surg 2011;92: St. Louis JD, et al. Contemporary outcomes of complete atrioventricular septal defect repair: Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg 2014;148: Ginde S, et al. Long-term outcomes after surgical repair of complete atrioventricular septal defect. J Thorac Cardiovasc Surg 2015;150:
39 39
Surgical Treatment for Double Outlet Right Ventricle. Masakazu Nakao Consultant, Paediatric Cardiothoracic Surgery
for Double Outlet Right Ventricle Masakazu Nakao Consultant, Paediatric Cardiothoracic Surgery 1 History Intraventricular tunnel (Kawashima) First repair of Taussig-Bing anomaly (Kirklin) Taussig-Bing
More informationTechniques for repair of complete atrioventricular septal
No Ventricular Septal Defect Patch Atrioventricular Septal Defect Repair Carl L. Backer, MD *, Osama Eltayeb, MD *, Michael C. Mongé, MD *, and John M. Costello, MD For the past 10 years, our center has
More informationRepair of Complete Atrioventricular Septal Defects Single Patch Technique
Repair of Complete Atrioventricular Septal Defects Single Patch Technique Fred A. Crawford, Jr., MD The first repair of a complete atrioventricular septal defect was performed in 1954 by Lillehei using
More informationDown Syndrome Medical Interest Group Friday, 12 June Cardiac Surgery in patients with Down Syndrome
Down Syndrome Medical Interest Group Friday, 12 June 2015 Cardiac Surgery in patients with Down Syndrome Mr. Attilio Lotto, FRCS CTh Congenital Cardiac Surgeon Cardiac surgery in patients with Down syndrome
More informationafter AV Canal Repair: When and How To Intervene
Left Atrioventricular Valve Regurgitation after AV Canal Repair: When and How To Intervene Thomas L Spray, M.D. Chief, Cardiothoracic Surgery Alice Langdon Warner Endowed Chair The Children s Hospital
More informationAtrioventricular valve repair: The limits of operability
Atrioventricular valve repair: The limits of operability Francis Fynn-Thompson, MD Co-Director, Center for Airway Disorders Surgical Director, Pediatric Mechanical Support Program Surgical Director, Heart
More informationAccepted Manuscript. The Left atrioventricular valve: The Achilles Heel of incomplete endocardial cushion defects. Meena Nathan, MD, MPH
Accepted Manuscript The Left atrioventricular valve: The Achilles Heel of incomplete endocardial cushion defects Meena Nathan, MD, MPH PII: S0022-5223(18)32898-8 DOI: https://doi.org/10.1016/j.jtcvs.2018.10.120
More informationThe clinical problem of atrioventricular valve regurgitation
Mitral Regurgitation in Congenital Heart Defects: Surgical Techniques for Reconstruction Richard G. Ohye Mitral valve regurgitation (MR) is an important source of morbidity and mortality worldwide. While
More informationPerimembranous VSD: When Do We Ask For A Surgical Closure? LI Xin. Department of Cardiothoracic Surgery Queen Mary Hospital Hong Kong
Perimembranous VSD: When Do We Ask For A Surgical Closure? LI Xin Department of Cardiothoracic Surgery Queen Mary Hospital Hong Kong Classification (by Kirklin) I. Subarterial (10%) Outlet, conal, supracristal,
More informationOutcomes of Mitral Valve Repair for Mitral Regurgitation Due to Degenerative Disease
Outcomes of Mitral Valve Repair for Mitral Regurgitation Due to Degenerative Disease TIRONE E. DAVID, MD ; SEMIN THORAC CARDIOVASC SURG 19:116-120c 2007 ELSEVIER INC. PRESENTED BY INTERN 許士盟 Mitral valve
More informationSurgery For Ebstein Anomaly
Surgery For Ebstein Anomaly Christian Pizarro, MD Chief, Pediatric Cardiothoracic Surgery Director, Nemours Cardiac Center Alfred I. dupont Hospital for Children Professor of Surgery and Pediatrics Sidney
More informationAnatomy of Atrioventricular Septal Defect (AVSD)
Surgical challenges in atrio-ventricular septal defect in grown-up congenital heart disease Anatomy of Atrioventricular Septal Defect (AVSD) S. Yen Ho Professor of Cardiac Morphology Royal Brompton and
More informationAlthough most patients with Ebstein s anomaly live
Management of Neonatal Ebstein s Anomaly Christopher J. Knott-Craig, MD, FACS Although most patients with Ebstein s anomaly live through infancy, those who present clinically as neonates are a distinct
More informationAtrial Septal Defects
Supplementary ACHD Echo Acquisition Protocol for Atrial Septal Defects The following protocol for echo in adult patients with atrial septal defects (ASDs) is a guide for performing a comprehensive assessment
More informationAtrioventricular Canal (Septal) Defects. Norman H Silverman MD. D Sc (Med),FACC, FAHA
Atrioventricular Canal (Septal) Defects Norman H Silverman MD. D Sc (Med),FACC, FAHA Embryology of the A-V Canal Looping NHS. Formation of the Atrial Septum Embryology of the A-V Canal NHS. Development
More informationRepair of very severe tricuspid regurgitation following detachment of the tricuspid valve
OPEN ACCESS Images in cardiology Repair of very severe tricuspid regurgitation following detachment of the tricuspid valve Ahmed Mahgoub 1, Hassan Kamel 2, Walid Simry 1, Hatem Hosny 1, * 1 Aswan Heart
More informationLEFT VENTRICULAR OUTFLOW OBSTRUCTION WITH A VSD: OPTIONS FOR SURGICAL MANAGEMENT
LEFT VENTRICULAR OUTFLOW OBSTRUCTION WITH A VSD: OPTIONS FOR SURGICAL MANAGEMENT 10-13 March 2017 Ritz Carlton, Riyadh, Saudi Arabia Zohair AlHalees, MD Consultant, Cardiac Surgery Heart Centre LEFT VENTRICULAR
More informationWhen to close an Atrial Septal Defect (ASD) in adulthood?
When to close an Atrial Septal Defect (ASD) in adulthood? Philippe ALDEBERT Hôpital de la Timone, CHU Marseille Département de cardiologie pédiatrique et congénitale médico-chirurgical Abbott Incidence
More informationAnatomically Sound, Simplified Approach to Repair of "Complete" Atrioventricular Septal Defect
Anatomically Sound, Simplified Approach to Repair of "Complete" Atrioventricular Septal Defect Benson R. Wilcox, MD, David R. Jones, MD, Elman G. Frantz, MD, Lela W. Brink, MD, G. William Henry, MD, Michael
More informationTetralogy of Fallot (TOF) with atrioventricular (AV)
Tetralogy of Fallot with Atrioventricular Canal Defect: Two Patch Repair Sitaram M. Emani, MD, and Pedro J. del Nido, MD Tetralogy of Fallot (TOF) with atrioventricular (AV) canal defect is classified
More informationComplete atrioventricular septal defect (CAVSD) is a
Early Repair of Complete Atrioventricular Septal Defect is Safe and Effective R. Ramesh Singh, MBBCh, Patrick S. Warren, MD, T. Brett Reece, MD, Peter Ellman, MD, Benjamin B. Peeler, MD, and Irving L.
More informationThe Double Switch Using Bidirectional Glenn and Hemi-Mustard. Frank Hanley
The Double Switch Using Bidirectional Glenn and Hemi-Mustard Frank Hanley No relationships to disclose CCTGA Interesting Points for Discussion What to do when. associated defects must be addressed surgically:
More informationThe Edge-to-Edge Technique f For Barlow's Disease
The Edge-to-Edge Technique f For Barlow's Disease Ottavio Alfieri, Michele De Bonis, Elisabetta Lapenna, Francesco Maisano, Lucia Torracca, Giovanni La Canna. Department of Cardiac Surgery, San Raffaele
More informationLate secondary TR after left sided heart disease correction: is it predictibale and preventable
Late secondary TR after left sided heart disease correction: is it predictibale and preventable Gilles D. Dreyfus Professor of Cardiothoracic surgery Nath J, et al. JACC 2004 PREDICT Incidence of secondary
More informationPartial atrioventricular septal defect (AVSD), the socalled
Surgery for Partial Atrioventricular Septal Defect in the Adult Michael A. Gatzoulis, MD, Sloane Hechter, Gary D. Webb, MD, and William G. Williams, MD The Toronto Congenital Cardiac Centre for Adults,
More informationA New Radiopaque Surgical Suture* Juro WADA, M.D. and Masahiro ENDO, M.D.
A New Radiopaque Surgical Suture* Juro WADA, M.D. and Masahiro ENDO, M.D. SUMMARY We have developed a new X-ray visible suture. It is a polyester suture containing platinum wires. The radiopaque suture
More informationCongenital Heart Disease An Approach for Simple and Complex Anomalies
Congenital Heart Disease An Approach for Simple and Complex Anomalies Michael D. Pettersen, MD Director, Echocardiography Rocky Mountain Hospital for Children Denver, CO None Disclosures 1 ASCeXAM Contains
More informationOstium primum defects with cleft mitral valve
Thorax (1965), 20, 405. VIKING OLOV BJORK From the Department of Thoracic Surgery, University Hospital, Uppsala, Sweden Ostium primum defects are common; by 1955, 37 operated cases had been reported by
More informationIn 1980, Bex and associates 1 first introduced the initial
Technique of Aortic Translocation for the Management of Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonary Stenosis Victor O. Morell, MD, and Peter D. Wearden, MD, PhD In
More informationClinicians and Facilities: RESOURCES WHEN CARING FOR WOMEN WITH ADULT CONGENITAL HEART DISEASE OR OTHER FORMS OF CARDIOVASCULAR DISEASE!!
Clinicians and Facilities: RESOURCES WHEN CARING FOR WOMEN WITH ADULT CONGENITAL HEART DISEASE OR OTHER FORMS OF CARDIOVASCULAR DISEASE!! Abha'Khandelwal,'MD,'MS' 'Stanford'University'School'of'Medicine'
More informationAortic valve repair is a technique that is gaining popularity
Aortic Valve Repair in Children, Including Pericardial Patch Reconstruction Aditya K. Kaza, MD,* and John A. Hawkins, MD Aortic valve repair is a technique that is gaining popularity in children because
More informationM/3, cc-tga, PS, BCPC(+) Double Switch Operation
2005 < Pros & Cons > M/3, cc-tga, PS, BCPC(+) Double Switch Operation Congenitally corrected TGA Atrio-Ventricular & Ventriculo-Arterial discordance Physiologically corrected circulation with the morphologic
More informationThe role of intraoperative TOE in congenital cardiac surgery
The role of intraoperative TOE in congenital cardiac surgery Justiaan Swanevelder Dept of Anaesthesia Groote Schuur and Red Cross War Memorial Children s Hospitals University of Cape Town, South Africa
More informationManagement of complex CHD in adults
Management of complex CHD in adults Victor Tsang Society of Thoracic Surgeons of Thailand 2016 The impact of infant cardiac surgery Over 90 % of infants born with CHD will reach adulthood By 2010, adults
More informationRepair of Congenital Mitral Valve Insufficiency
Repair of Congenital Mitral Valve Insufficiency Roland Hetzer, MD, PhD, and Eva Maria Delmo Walter, MS, MD, PhD Principles of Mitral Valve Repair We believe that mitral valve repair for congenital mitral
More informationVentricule Unique & Fuite de la Valve Atrioventriculaire: Quand Intervenir? Emre Belli Massy
Ventricule Unique & Fuite de la Valve Atrioventriculaire: Quand Intervenir? Emre Belli Massy CHD Atr ioventr icular valve r epair in patients with functional single-ventr icle physiology: Impact of ventr
More informationHani K. Najm MD, Msc, FRCSC FACC, FESC President Saudi Society for Cardiac Surgeons Associate Professor of Cardiothoracic Surgery King Abdulaziz
Hani K. Najm MD, Msc, FRCSC FACC, FESC President Saudi Society for Cardiac Surgeons Associate Professor of Cardiothoracic Surgery King Abdulaziz Cardiac Centre Riyadh, Saudi Arabia Decision process for
More informationJournal of American Science 2015;11(4)
Atrioventricular Canal Anatomy and Differences from Normal Hearts, a Systemic Review of Literatures Walid AE Hammad* 1, M-Wael Badawi 1, Ahmet Arnaz 2, Ahmed Allam 3, Mohamed Elghanam 3, Ahmed Mostafa
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/19123 holds various files of this Leiden University dissertation. Author: Hoohenkerk, Gerard Joannes Franciscus Title: Surgical correction of atrioventricular
More informationJOINT MEETING 2 Tricuspid club Chairpersons: G. Athanassopoulos, A. Avgeropoulou, M. Khoury, G. Stavridis
JOINT MEETING 2 Tricuspid club Chairpersons: G. Athanassopoulos, A. Avgeropoulou, M. Khoury, G. Stavridis Similarities and differences in Tricuspid vs. Mitral Valve Anatomy and Imaging. Echo evaluation
More informationH.Elkady, MD., T.Salah,MD., H. Hassanin,MD.,T Farouk,MD., and H. shawky, MD. Cardiothoracic surgery Department, Faculty of Medicine, Cairo University
Early Repair Of Complete Atrio-Ventricular Canal Malformations H.Elkady, MD., T.Salah,MD., H. Hassanin,MD.,T Farouk,MD., and H. shawky, MD. Cardiothoracic surgery Department, Faculty of Medicine, Cairo
More informationThe first report of the Society of Thoracic Surgeons
REPORT The Society of Thoracic Surgeons National Congenital Heart Surgery Database Report: Analysis of the First Harvest (1994 1997) Constantine Mavroudis, MD, Melanie Gevitz, BA, W. Steves Ring, MD, Charles
More informationECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT
ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT Karen Stout, MD, FACC Divisions of Cardiology University of Washington Medical Center Seattle Children s Hospital NO DISCLOSURES
More informationOverview of Surgical Approach to Mitral Valve Disease : Why Repair? Steven F. Bolling, MD Cardiac Surgery University of Michigan
Overview of Surgical Approach to Mitral Valve Disease : Why Repair? Steven F. Bolling, MD Cardiac Surgery University of Michigan Degenerative MR is not Functional MR 2o - Functional MR : Ventricular Problem!!
More informationAdult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016
1 Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016 DISCLOSURES I have no disclosures relevant to today s talk 2 Why should all echocardiographers
More informationMitral incompetence after repair of ostium
Thorax (1965), 20, 40. Mitral incompetence after repair of ostium primum septal defects A. R. C. DOBELL, D. R. MURPHY, G. M. KARN, AND A. MARTINEZ-CARO From the Department of Cardiovascular Surgery, the
More informationAdult Congenital Heart Disease T S U N ` A M I!
Adult Congenital Heart Disease T S U N ` A M I! Erwin Oechslin, MD, FRCPC, FESC Director, Congenital Cardiac Centre for Adults University Health Network Peter Munk Cardiac Centre / Toronto General Hospital
More informationClinical material and methods. Fukui Cardiovascular Center, Fukui, Japan
Mitral Valve Regurgitation after Atrial Septal Defect Repair in Adults Shohei Yoshida, Satoshi Numata, Yasushi Tsutsumi, Osamu Monta, Sachiko Yamazaki, Hiroyuki Seo, Takaaki Samura, Hirokazu Ohashi Fukui
More informationAtrioventricular Septal Defect Echocardiographic Imaging
Atrioventricular Septal Defect Echocardiographic Imaging Dr Choo Tze Liang Jonathan MBBS(S pore), FRCPCH (UK), DRCOG (UK), FRCP (Edin), FAMS (Paeds) Senior Consultant Cardiology Service KK Women s and
More information"Giancarlo Rastelli Lecture"
"Giancarlo Rastelli Lecture" Surgical treatment of Malpositions of the Great Arteries Pascal Vouhé Giancarlo Rastelli (1933 1970) Cliquez pour modifier les styles du texte du masque Deuxième niveau Troisième
More informationAtrial Septal Defect Closure. Stephen Brecker Director, Cardiac Catheterisation Labs
Stephen Brecker Director, Cardiac Catheterisation Labs ADVANCED ANGIOPLASTY Incorporating The Left Main 5 Plus Course Conflicts of Interest The following companies have supported educational courses held
More informationReoperation for Left Ventricular Outflow Tract Obstruction After Repair of Atrioventricular Septal Defect
Reoperation for Left Ventricular Outflow Tract Obstruction After Repair of Atrioventricular Septal Defect David M. Overman Division of Pediatric Cardiac Surgery The Children s Heart Clinic Chief, Division
More informationWhat is the Definition of Small Systemic Ventricle. Hong Ryang Kil, MD Department of Pediatrics, College of Medicine, Chungnam National University
What is the Definition of Small Systemic Ventricle Hong Ryang Kil, MD Department of Pediatrics, College of Medicine, Chungnam National University Contents Introduction Aortic valve stenosis Aortic coarctation
More informationDouble outlet right ventricle: navigation of surgeon to chose best treatment strategy
Double outlet right ventricle: navigation of surgeon to chose best treatment strategy Jan Marek Great Ormond Street Hospital & Institute of Cardiovascular Sciences, University College London Double outlet
More informationEchocardiographic assessment in Adult Patients with Congenital Heart Diseases
Echocardiographic assessment in Adult Patients with Congenital Heart Diseases Athanasios Koutsakis Cardiologist, Cl. Research Fellow George Giannakoulas Ass. Professor in Cardiology 1st Cardiology Department,
More informationA Unique Milieu for Perioperative Care of Adult Congenital Heart Disease Patients at a Single Institution
Original Article A Unique Milieu for Perioperative Care of Adult Congenital Heart Disease Patients at a Single Institution Ghassan Baslaim, MD, and Jill Bashore, RN Purpose: Adult patients with congenital
More informationAn anterior aortoventriculoplasty, known as the Konno-
The Konno-Rastan Procedure for Anterior Aortic Annular Enlargement Mark E. Roeser, MD An anterior aortoventriculoplasty, known as the Konno-Rastan procedure, is a useful tool for the cardiac surgeon. Originally,
More informationNotes by Sandra Dankwa 2009 HF- Heart Failure DS- Down Syndrome IE- Infective Endocarditis ET- Exercise Tolerance. Small VSD Symptoms -asymptomatic
Congenital Heart Disease: Notes. Condition Pathology PC Ix Rx Ventricular septal defect (VSD) L R shuntsdefect anywhere in the ventricle, usually perimembranous (next to the tricuspid valve) 30% 1)small
More informationA pulmonary vascular resistance of 8 Woods units per meter squared defines operablity in congenital heart disease
A pulmonary vascular resistance of 8 Woods units per meter squared defines operablity in congenital heart disease RMF Berger Beatrix Children s Hospital University Medical Center Groningen The Netherlands
More informationCardiac Catheterization Cases Primary Cardiac Diagnoses Facility 12 month period from to PRIMARY DIAGNOSES (one per patient)
PRIMARY DIAGNOSES (one per patient) Septal Defects ASD (Atrial Septal Defect) PFO (Patent Foramen Ovale) ASD, Secundum ASD, Sinus venosus ASD, Coronary sinus ASD, Common atrium (single atrium) VSD (Ventricular
More informationCandice Silversides, MD Toronto Congenital Cardiac Centre for Adults University of Toronto Toronto, Canada
PVR Following Repair of TOF Now? When? Candice Silversides, MD Toronto Congenital Cardiac Centre for Adults University of Toronto Toronto, Canada Late Complications after TOF repair Repair will be necessary
More informationSurgical Management of TOF in Adults. Dr Flora Tsang Associate Consultant Department of Cardiothoracic Surgery Queen Mary Hospital
Surgical Management of TOF in Adults Dr Flora Tsang Associate Consultant Department of Cardiothoracic Surgery Queen Mary Hospital Tetralogy of Fallot (TOF) in Adults Most common cyanotic congenital heart
More informationIntroduction. Study Design. Background. Operative Procedure-I
Risk Factors for Mortality After the Norwood Procedure Using Right Ventricle to Pulmonary Artery Shunt Ann Thorac Surg 2009;87:178 86 86 Addressor: R1 胡祐寧 2009/3/4 AM7:30 SICU 討論室 Introduction Hypoplastic
More informationTricuspid Valve Repair for Ebstein's Anomaly
Tricuspid Valve Repair for Ebstein's Anomaly Joseph A. Dearani, MD, and Gordon K. Danielson, MD E bstein's anomaly is a malformation of the tricuspid valve and right ventricle that is characterized by
More informationConcomitant procedures using minimally access
Surgical Technique on Cardiac Surgery Concomitant procedures using minimally access Nelson Santos Paulo Cardiothoracic Surgery, Centro Hospitalar de Vila Nova de Gaia, Oporto, Portugal Correspondence to:
More informationIndex. cardiology.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A ACHD. See Adult congenital heart disease (ACHD) Adult congenital heart disease (ACHD), 503 512 across life span prevalence of, 504 506
More informationOutline 9/17/2016. Advances in Percutaneous Mitral Valve Repair and Replacement. Scope of the Problem and Guidelines
Advances in Percutaneous Mitral Valve Repair and Replacement Scott M Lilly MD PhD, Interventional Cardiology The Ohio State University Contemporary Multidisciplinary Cardiovascular Conference Orlando,
More informationMiddle mediastinum---- heart & pericardium. Dep. of Human Anatomy Zhou Hongying
Middle mediastinum---- heart & pericardium Dep. of Human Anatomy Zhou Hongying eaglezhyxzy@163.com Subdivisions of the mediastinum Contents of Middle mediastinum Heart Pericardium: a serous sac enclosing
More informationLate Results after Correction of Ventricular Septal Defect with Severe Pulmonary Hypertension
Tohoku J. Exp. Med., 1994, 174, 41-48 Late Results after Correction of Ventricular Septal Defect with Severe Pulmonary Hypertension KIYOSHI HANEDA, NAOSHI SATO, TAKAO TOGO, MAKOTO MIURA, MASAKI RATA and
More informationHani K. Najm MD, Msc, FRCSC, FRCS (Glasgow), FACC, FESC President of Saudi Heart Association King Abdulaziz Cardiac Centre Riyadh, Saudi Arabia.
Hani K. Najm MD, Msc, FRCSC, FRCS (Glasgow), FACC, FESC President of Saudi Heart Association King Abdulaziz Cardiac Centre Riyadh, Saudi Arabia. Decision process for Management of any valve Timing Feasibility
More informationWhat is the Role of Surgical Repair in 2012
What is the Role of Surgical Repair in 2012 The Long-Term Results of Surgery Raphael Rosenhek Department of Cardiology Medical University of Vienna European Society of Cardiology 2012 Munich, August 27th
More informationThe Rastelli procedure has been traditionally used for repair
En-bloc Rotation of the Truncus Arteriosus A Technique for Complete Anatomic Repair of Transposition of the Great Arteries/Ventricular Septal Defect/Left Ventricular Outflow Tract Obstruction or Double
More informationCongenitally Corrected Transposition of the Great Arteries (cctga or l-loop TGA)
Congenitally Corrected Transposition of the Great Arteries (cctga or l-loop TGA) Mary Rummell, MN, RN, CPNP, CNS Clinical Nurse Specialist, Pediatric Cardiology/Cardiac Surgery Doernbecher Children s Hospital,
More informationCommon Defects With Expected Adult Survival:
Common Defects With Expected Adult Survival: Bicuspid aortic valve :Acyanotic Mitral valve prolapse Coarctation of aorta Pulmonary valve stenosis Atrial septal defect Patent ductus arteriosus (V.S.D.)
More informationRepair or Replacement
Surgical intervention post MitraClip Device: Repair or Replacement Saudi Heart Association, February 21-24 Rüdiger Lange, MD, PhD Nicolo Piazza, MD, FRCPC, FESC German Heart Center, Munich, Germany Division
More informationPediatric Echocardiography Examination Content Outline
Pediatric Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 Anatomy and Physiology Normal Anatomy and Physiology 10% 2 Abnormal Pathology and Pathophysiology
More informationDiversion of the inferior vena cava following repair of atrial septal defect causing hypoxemia
Marshall University Marshall Digital Scholar Internal Medicine Faculty Research Spring 5-2004 Diversion of the inferior vena cava following repair of atrial septal defect causing hypoxemia Ellen A. Thompson
More informationEbstein s anomaly is characterized by malformation of
Fenestrated Right Ventricular Exclusion (Starnes Procedure) for Severe Neonatal Ebstein s Anomaly Brian L. Reemtsen, MD,* and Vaughn A. Starnes, MD*, Ebstein s anomaly is characterized by malformation
More informationAortic valve repair: When and how to employ this novel approach?
Aortic valve repair: When and how to employ this novel approach? Konstadinos A Plestis, MD System Chief of Cardiac Thoracic and Vascular Surgery Main Line Health Care System Professor Sidney Kimmel Medical
More informationEva Maria Delmo Walter Takeshi Komoda Roland Hetzer
Surgical repair of the congenitally malformed mitral valve leaflets in infants and children Eva Maria Delmo Walter Takeshi Komoda Roland Hetzer Deutsches Herzzentrum Berlin Germany Background and Objective
More informationCONGENITAL HEART DISEASE (CHD)
CONGENITAL HEART DISEASE (CHD) DEFINITION It is the result of a structural or functional abnormality of the cardiovascular system at birth GENERAL FEATURES OF CHD Structural defects due to specific disturbance
More informationThe need for right ventricular outflow tract reconstruction
Polytetrafluoroethylene Bicuspid Pulmonary Valve Implantation James A. Quintessenza, MD The need for right ventricular outflow tract reconstruction and pulmonary valve replacement is increasing for many
More informationAortic root enlargement is an invaluable surgical technique
Aortic Root Enlargement in the Adult Christopher M. Feindel, MD, CM, FRCS(C) Aortic root enlargement is an invaluable surgical technique with which every cardiac surgeon performing aortic valve replacement
More informationWhen should we intervene surgically in pediatric patient with MR?
When should we intervene surgically in pediatric patient with MR? DR.SAUD A. BAHAIDARAH CONSULTANT, PEDIATRIC CARDIOLOGY ASSISTANT PROFESSOR OF PEDIATRICS HEAD OF CARDIOLOGY AND CARDIAC SURGERY UNIT KAUH
More informationPosterior leaflet prolapse is the most common lesion seen
Techniques for Repairing Posterior Leaflet Prolapse of the Mitral Valve Robin Varghese, MD, MS, and David H. Adams, MD Posterior leaflet prolapse is the most common lesion seen in degenerative mitral valve
More informationReconstruction of the Aortic Valve and Root A Practical approach Failures after aortic valve repair. Diana Aicher. September 16 th -18 th 2015
Reconstruction of the Aortic Valve and Root A Practical approach Failures after aortic valve repair Diana Aicher September 16 th -18 th 2015 Classification of failures- root repair 51/810 acute/ intraoperative
More informationComplex Congenital Heart Disease in Adults
Complex Congenital Heart Disease in Adults Linda B. Haramati, MD Disclosures Complex Congenital Heart Disease in Adults Linda B. Haramati MD, MS Jeffrey M. Levsky MD, PhD Meir Scheinfeld MD, PhD Department
More informationChapter 24: Diagnostic workup and evaluation: eligibility, risk assessment, FDA guidelines Ashwin Nathan, MD, Saif Anwaruddin, MD, FACC Penn Medicine
Chapter 24: Diagnostic workup and evaluation: eligibility, risk assessment, FDA guidelines Ashwin Nathan, MD, Saif Anwaruddin, MD, FACC Penn Medicine Mitral regurgitation, regurgitant flow between the
More informationThe Tricuspid Valve: The Not So Forgotten Valve. Manuel J Antunes Cardiothoracic Surgery Coimbra, Portugal
The Tricuspid Valve: The Not So Forgotten Valve Manuel J Antunes Cardiothoracic Surgery Coimbra, Portugal No Conflicts of Interest to declare with regards to this subject 2 INCIDENCE OF TRICUSPID REGURGITATION
More informationTGA Surgical techniques: tips & tricks (Arterial switch operation)
TGA Surgical techniques: tips & tricks (Arterial switch operation) Seoul National University Children s Hospital Woong-Han Kim Surgical History 1951 Blalock and Hanlon, atrial septectomy 1954 Mustard et
More information(Ann Thorac Surg 2008;85:845 53)
I Made Adi Parmana The utility of intraoperative TEE has become increasingly more evident as anesthesiologists, cardiologists, and surgeons continue to appreciate its potential application as an invaluable
More informationEbstein s anomaly is defined by a downward displacement
Repair of Ebstein s Anomaly Sylvain Chauvaud, MD Ebstein s anomaly is a tricuspid valve anomaly associated with poor right ventricular contractility in severe cases. Surgery is indicated in all symptomatic
More information5.8 Congenital Heart Disease
5.8 Congenital Heart Disease Congenital heart diseases (CHD) refer to structural or functional heart diseases, which are present at birth. Some of these lesions may be discovered later. prevalence of Chd
More informationMRI (AND CT) FOR REPAIRED TETRALOGY OF FALLOT
MRI (AND CT) FOR REPAIRED TETRALOGY OF FALLOT Linda B Haramati MD, MS Departments of Radiology and Medicine Bronx, New York OUTLINE Pathogenesis Variants Initial surgical treatments Basic MR protocols
More informationResidual Right=to-Left Shunt Following Repair of Atrial Septal Defect
Residual Right=to-Left Shunt Following Repair of Atrial Septal Defect Susan J. Desnick, Ph.D., M.D., William A. Neal, M.D., Demetre M. Nicoloff, M.D., and James H. Moller, M.D. ABSTRACT Information about
More informationTricuspid valve surgery in patients with a systemic right ventricle
Tricuspid valve surgery in patients with a systemic right ventricle Roderick Scherptong, Hubert Vliegen, Michiel Winter, Barbara Mulder, Ernst van der Wall, Dave Koolbergen, Mark Hazekamp Eduard Holman,
More informationSlide 1. Slide 2. Slide 3 CONGENITAL HEART DISEASE. Papworth Hospital NHS Trust INTRODUCTION. Jakub Kadlec/Catherine Sudarshan INTRODUCTION
Slide 1 CONGENITAL HEART DISEASE Jakub Kadlec/Catherine Sudarshan NHS Trust Slide 2 INTRODUCTION Most common congenital illness in the newborn Affects about 4 9 / 1000 full-term live births in the UK 1.5
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/19123 holds various files of this Leiden University dissertation. Author: Hoohenkerk, Gerard Joannes Franciscus Title: Surgical correction of atrioventricular
More informationImaging to select patients for Transcatheter TV
Imaging to select patients for Transcatheter TV Jeroen J Bax Dept of Cardiology Leiden Univ Medical Center The Netherlands San Diego, february 2018 Research grants: Medtronic, Biotronik, Boston Scientific,
More informationDebanding and repair of ventricular septal defect: a new technique for older patients
Thorax, 1979, 34, 531-53 5 Debanding and repair of ventricular septal defect: a new technique for older patients P LAURIDSEN, A UHRENHOLDT, AND I H RYGG From the Department of Thoracic Surgery R and Cardiovascular
More information