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Pediatric Cardiac Surgery Annual最新文献

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Advice to Young Athletes With Anomalous Aortic Origin of a Coronary Artery With and Without Surgery 对冠状动脉主动脉起源异常的年轻运动员的建议，无论是否手术
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-01-28 DOI: 10.1053/j.pcsu.2025.01.002
Silvana Molossi MD, PhD , Shagun Sachdeva MD
{"title":"Advice to Young Athletes With Anomalous Aortic Origin of a Coronary Artery With and Without Surgery","authors":"Silvana Molossi MD, PhD ,&nbsp;Shagun Sachdeva MD","doi":"10.1053/j.pcsu.2025.01.002","DOIUrl":"10.1053/j.pcsu.2025.01.002","url":null,"abstract":"<div><div>Congenital coronary artery anomalies remain a leading cause of sudden cardiac death in the young. Within these, anomalous aortic origin of a coronary artery represents the largest group, with anomalies of the left coronary artery carrying higher risk for sudden cardiac arrest and clinical manifestations of myocardial ischemia. In contrast, anomalies of origin of the right coronary artery are more common and generally have a more benign clinical course, though rarely also associated with sudden events and myocardial ischemia. Risk stratification to guide management decisions remains to be well defined, though substantial advances have occurred in the last few years, with assessment of myocardial perfusion under provocative stress being an integral part of the evaluation in the young. Discussion and counseling on exercise behavior is essential to foster healthy lifestyle for these patients, acknowledging shared decision-making should be practiced in lieu of many unanswered questions as to outcomes long-term.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 83-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is the STAT Classification the Best That We Can Do? STAT分类是我们能做的最好的吗？
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-02-15 DOI: 10.1053/j.pcsu.2025.02.002
R.D.B. Jaquiss MD
{"title":"Is the STAT Classification the Best That We Can Do?","authors":"R.D.B. Jaquiss MD","doi":"10.1053/j.pcsu.2025.02.002","DOIUrl":"10.1053/j.pcsu.2025.02.002","url":null,"abstract":"<div><div>Case-mix description and adjustment is foundational for quality assessment and improvement. The current STAT system has evolved and improved over the past 2 decades. While imperfect, in its present form it has been and will be immensely useful as a tool to help guide and assess progress. Herein is presented an abbreviated review of the origin and evolution of the current system. Pitfalls in its use and inherent weaknesses are discussed, and the need for continued revisions and updates is acknowledged. A summary judgement of “good enough for now” is suggested.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 143-147"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editors’ Introduction 编辑的介绍
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-03-18 DOI: 10.1053/j.pcsu.2025.03.004
Tara Karamlou MD, MSc , David J. Barron MD, FRCS(CT)
{"title":"Editors’ Introduction","authors":"Tara Karamlou MD, MSc ,&nbsp;David J. Barron MD, FRCS(CT)","doi":"10.1053/j.pcsu.2025.03.004","DOIUrl":"10.1053/j.pcsu.2025.03.004","url":null,"abstract":"","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Management of Congenital Aortic and Truncal Valve Disease: A Comprehensive Review 先天性主动脉瓣和主动脉瓣疾病的外科治疗：综合综述
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-03-04 DOI: 10.1053/j.pcsu.2025.03.001
Supreet P. Marathe MCh , Christopher W. Baird MD
{"title":"Surgical Management of Congenital Aortic and Truncal Valve Disease: A Comprehensive Review","authors":"Supreet P. Marathe MCh ,&nbsp;Christopher W. Baird MD","doi":"10.1053/j.pcsu.2025.03.001","DOIUrl":"10.1053/j.pcsu.2025.03.001","url":null,"abstract":"<div><div>Congenital aortic and truncal valve diseases pose significant challenges due to their complex anatomy, diverse clinical presentations, and impact on long-term outcomes. Surgical management requires a tailored approach, balancing the need for immediate functional improvement with strategies to minimize reintervention, especially in growing children. This article outlines different surgical options to treat this pathology. Despite multiple choices, surgical decision-making remains complex, influenced by patient age, valve morphology, and comorbidities. Long-term outcomes depend on achieving a durable repair while preserving ventricular function and minimizing complications, emphasizing the need for multidisciplinary expertise in managing these challenging conditions.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 29-37"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postrepair Pulmonary Vein Stenosis: Addressing Anatomic and Patient Risk Factors to Improve Outcomes 术后肺静脉狭窄：处理解剖学和患者危险因素以改善预后
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-02-26 DOI: 10.1053/j.pcsu.2025.02.008
Alessia Di Nardo B Eng , Elizabeth D Persaud HBSc , Rachel D Vanderlaan MD, PhD
{"title":"Postrepair Pulmonary Vein Stenosis: Addressing Anatomic and Patient Risk Factors to Improve Outcomes","authors":"Alessia Di Nardo B Eng ,&nbsp;Elizabeth D Persaud HBSc ,&nbsp;Rachel D Vanderlaan MD, PhD","doi":"10.1053/j.pcsu.2025.02.008","DOIUrl":"10.1053/j.pcsu.2025.02.008","url":null,"abstract":"<div><div>Surgical results for correction of total anomalous pulmonary venous connection (TAPVC) have improved in the current era. Postrepair pulmonary vein stenosis (PR-PVS) remains a major complication following TAPVC repair, often necessitating multiple reinterventions, and impacting patient outcomes. Considerations for patient and anatomical risk factors, surgical techniques for primary TAPVC repair, as well PR-PVS postoperative surveillance and management will be reviewed. We will also touch on emerging areas of research related to PR-PVS pathogenesis and incorporation of patient-specific simulation for surgical planning in TAPVC.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 107-116"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Perspective on Neonatal Management of Hypoplastic Left Heart Syndrome 新生儿左心发育不全综合征的处理展望
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2024-12-24 DOI: 10.1053/j.pcsu.2024.12.002
Emile A. Bacha MD, Stephanie N. Nguyen MD, Andrew B. Goldstone MD, PhD, David Kalfa MD, PhD
{"title":"A Perspective on Neonatal Management of Hypoplastic Left Heart Syndrome","authors":"Emile A. Bacha MD,&nbsp;Stephanie N. Nguyen MD,&nbsp;Andrew B. Goldstone MD, PhD,&nbsp;David Kalfa MD, PhD","doi":"10.1053/j.pcsu.2024.12.002","DOIUrl":"10.1053/j.pcsu.2024.12.002","url":null,"abstract":"<div><div>Hypoplastic left heart syndrome (HLHS)—a universally fatal condition only 40 years ago—remains one of the most challenging congenital heart defects. The advancements and insights gained from historical experiences with the Norwood operation have transformed the prognosis for HLHS patients and profoundly shaped contemporary outcomes. This progress has spurred continuous refinement of surgical techniques, transcatheter interventions, and perioperative care, leading to notable improvements in both survival rates and quality of life for HLHS patients. Herein, we focus on key historical lessons and their implications for future practices for neonatal management of HLHS.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 3-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How-I-Do-It: The Ross Procedure in Adolescents With Bicuspid Aortic Valve, Aortic Regurgitation and a Dilated Annulus 我是怎么做的：罗斯手术治疗青少年二尖瓣主动脉瓣，主动脉瓣返流和主动脉环扩张
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-02-11 DOI: 10.1053/j.pcsu.2025.02.001
Vincent Chauvette MD, Elbert E. Williams MD, Lilyanne Chen MD, Ismail El-Hamamsy MD, PhD
{"title":"How-I-Do-It: The Ross Procedure in Adolescents With Bicuspid Aortic Valve, Aortic Regurgitation and a Dilated Annulus","authors":"Vincent Chauvette MD,&nbsp;Elbert E. Williams MD,&nbsp;Lilyanne Chen MD,&nbsp;Ismail El-Hamamsy MD, PhD","doi":"10.1053/j.pcsu.2025.02.001","DOIUrl":"10.1053/j.pcsu.2025.02.001","url":null,"abstract":"<div><div>While the Ross procedure provides optimal clinical outcomes for young patients with aortic valve disease, the presence of preoperative aortic regurgitation (AR) with a dilated aortic annulus have long been recognized as independent predictors of early autograft failure. While this had led many to abandon the Ross procedure in this setting, we sought to specifically address the clinical and anatomic features that are unique to patients with severe AR, namely a dilated aortic annulus, aortic/pulmonary annular mismatch, ascending aortic dilatation and persistent hypertension early after surgery. Using a tailored surgical approach along with strict blood pressure control postoperatively, we believe that many of the concerns with the Ross procedure in this setting can be successfully mitigated. Importantly, these adjuncts do not compromise the dynamism of the autograft root, an important feature for the long-term benefits of the Ross procedure, especially in young and adolescent populations. In this article, we describe in detail our Ross technique in the setting of young patients with bicuspid AR and a dilated aortic annulus.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 79-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mitral Valve Repair Techniques in Neonates and Infants 新生儿和婴儿二尖瓣修复技术
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-02-12 DOI: 10.1053/j.pcsu.2025.01.003
Justus G. Reitz MD , Sofia Hanabergh MS , Eiri Kisamori MD , Yves d'Udekem PhD, MD
{"title":"Mitral Valve Repair Techniques in Neonates and Infants","authors":"Justus G. Reitz MD ,&nbsp;Sofia Hanabergh MS ,&nbsp;Eiri Kisamori MD ,&nbsp;Yves d'Udekem PhD, MD","doi":"10.1053/j.pcsu.2025.01.003","DOIUrl":"10.1053/j.pcsu.2025.01.003","url":null,"abstract":"<div><div>Mitral valve repair is often preferred over replacement due to the preservation of native valve function, allowing for somatic growth and resulting in fewer complications and reoperations. Although there are no randomized trials comparing repair and replacement specifically in this age group, retrospective studies still indicate better long-term survival and lower reoperation rates with repair. While neonates and infants experience higher mortality rates compared to older children, freedom from re-intervention is durable in the survivors and matches that of older children. Especially compression suture annuloplasty and chordal replacement using Gore-Tex sutures have shown favorable outcomes, but the rarity of the condition makes it challenging to train new surgeons. Utilizing detailed video documentation could help bridge this educational gap. While advancements in materials for valve repair in neonates and infants have been slow, emerging options like new materials that grow with the patient offer potential for future innovation. In complex cases such as Shone's syndrome, new techniques, including an-bloc replacement of the aorta and mitral valve, may improve outcomes.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 46-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Right Atrial Appendage Tissue for Pulmonary Valve Reconstruction in Tetralogy of Fallot 右心房附件组织在法洛四联症肺动脉瓣重建中的应用
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-03-01 DOI: 10.1053/j.pcsu.2025.02.010
Ayman Almousa MD , Andrew Behrmann , Paighton Miller MD , Shamik Bhattacharya PhD , Dilip Nath MD , Jacob R. Miller MD , Pirooz Eghtesady MD, PhD
{"title":"Use of Right Atrial Appendage Tissue for Pulmonary Valve Reconstruction in Tetralogy of Fallot","authors":"Ayman Almousa MD ,&nbsp;Andrew Behrmann ,&nbsp;Paighton Miller MD ,&nbsp;Shamik Bhattacharya PhD ,&nbsp;Dilip Nath MD ,&nbsp;Jacob R. Miller MD ,&nbsp;Pirooz Eghtesady MD, PhD","doi":"10.1053/j.pcsu.2025.02.010","DOIUrl":"10.1053/j.pcsu.2025.02.010","url":null,"abstract":"<div><div>We explore the innovative use of atrial appendage tissue for creating pulmonary valves in children, focusing on its application in Tetralogy of Fallot repair. We discuss the background, preclinical studies, surgical approach, and early clinical outcomes, demonstrating the potential of this technique in reducing pulmonary insufficiency and improving surgical outcomes.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 60-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Don't Give up on the Left Ventricle! Surgical Strategies for Recruitment of the Borderline Left Heart 不要放弃左心室！边缘性左心再入的手术策略
Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 Epub Date: 2025-02-26 DOI: 10.1053/j.pcsu.2025.02.009
Gianna Dafflisio BS, Sitaram M. Emani MD
{"title":"Don't Give up on the Left Ventricle! Surgical Strategies for Recruitment of the Borderline Left Heart","authors":"Gianna Dafflisio BS,&nbsp;Sitaram M. Emani MD","doi":"10.1053/j.pcsu.2025.02.009","DOIUrl":"10.1053/j.pcsu.2025.02.009","url":null,"abstract":"<div><div>Patients with hypoplastic left heart syndrome often undergo a definitive decision in infancy regarding lifetime circulatory management. However, the decision between single ventricle palliation or primary biventricular repair is less obvious for patients with ‘borderline left heart’ structures. An alternative strategy for the patient with borderline left heart is staged left ventricular recruitment (SLVR). SLVR refers to the strategy in which initial stage I palliation is pursued, and interstage procedures are then performed to promote flow through the left heart and induce growth of left heart structures. If ventricular response to SLVR is robust, eventual biventricular conversion can be pursued. At our institution, 53 patients have undergone (or are undergoing) SLVR for hypoplastic left heart syndrome, with 29 patients successfully progressing to biventricular or 1.5 ventricle repair. This paper outlines the rationale and management strategy of SLVR from the past two decades of our center's experience.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 13-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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