Pediatric Cardiac Surgery Annual最新文献_第5页

How-I-Do-It: Aortic Annular Enlargement - Are the Nicks and Manouguian Obsolete? 我是怎么做的主动脉瓣环扩大--Nicks 和 Manouguian 已经过时了吗？

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2023-12-23 DOI: 10.1053/j.pcsu.2023.12.005

Kenneth R. Hassler DO, Katelyn Monaghan BS, China Green BS, Bo Yang MD, PhD

{"title":"How-I-Do-It: Aortic Annular Enlargement - Are the Nicks and Manouguian Obsolete?","authors":"Kenneth R. Hassler DO, Katelyn Monaghan BS, China Green BS, Bo Yang MD, PhD","doi":"10.1053/j.pcsu.2023.12.005","DOIUrl":"10.1053/j.pcsu.2023.12.005","url":null,"abstract":"<div>The Y-incision aortic annular enlargement (AAE), first performed in August 2020, offers a safe and more effective alternative for management of a small aortic annulus/root without need for violation of the left ventricular outflow tract, mitral valve geometry, or left/right atria in both first-time aortic valve replacement (AVR) and reoperative AVR. In the first consecutive 119 patients with Y-incision AAE, the median age was 65 (59, 71), 67% female, 28% had previous cardiac surgery, and 2 cases had endocarditis. The preoperative mean gradient was 36 (30, 47), and the native aortic valve area was 0.9 (0.7, 1.0). After aortic annular enlargement, the median prosthesis size was 29 (27, 29) with 63% of patients having a size 29 or the largest sized valve. The median increment of annulus enlargement was 3 (3, 4) valve sizes. Postoperative complications included 1 operative mortality, 1 stroke exacerbation, and 2 pacemaker implantations (including one case of endocarditis with Gerbode fistula). There was no renal failure requiring permanent dialysis, mediastinitis, or reoperation for bleeding. Postoperative computed tomography aortogram showed the aortic root was enlarged from 27 (24, 30) to 40 (37, 42) mm without aortic pseudoaneurysm. The postoperative mean gradient was 6 (5, 9) mm Hg and valve area was 2.2 (1.8, 2.6) cm2 at 24 months. Mitral and tricuspid valve functions were significantly improved. This report describes the Y-incision technique with the most up-to-date modifications and short-term outcomes.</div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"27 ","pages":"Pages 25-36"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191669","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

Reconstruction of Fibrous Skeleton of the Heart for Double-Valve Replacement in A Pediatric Patient - Modified Commando Procedure 为一名儿科患者重建心脏纤维骨架以进行双瓣膜置换术--改良突击队程序

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-24 DOI: 10.1053/j.pcsu.2024.01.006

Arif Selcuk MD, Yves d'Udekem MD, PhD, Sofia Hanabergh MS, Mahmut Ozturk MD, Aybala Tongut MD, Can Yerebakan MD, PhD, Manan Desai MD

{"title":"Reconstruction of Fibrous Skeleton of the Heart for Double-Valve Replacement in A Pediatric Patient - Modified Commando Procedure","authors":"Arif Selcuk MD, Yves d'Udekem MD, PhD, Sofia Hanabergh MS, Mahmut Ozturk MD, Aybala Tongut MD, Can Yerebakan MD, PhD, Manan Desai MD","doi":"10.1053/j.pcsu.2024.01.006","DOIUrl":"10.1053/j.pcsu.2024.01.006","url":null,"abstract":"<div>The so-called Commando procedure, initially described by David and colleagues, consists in the reconstruction of the mitro-aortic fibrous lamina by a patch that enlarges both annuli. Its use has been described to upsize the aortic and mitral annulus for double valve replacement in adolescents. We describe a modified technique of this reconstruction of the fibrous skeleton of the heart, combined with Konno procedure to further enlarge the aortic annulus. In modified Commando procedure, following the reconstruction of aortomitral continuity with a bovine pericardium CardioCel patch (Admedus Regen Pty Ltd, Perth, WA, Australia), an aortic valved conduit that was made on the bench in order to have bottom skirt that enabled the suturing of the composite conduit far inside the left ventricle outflow tract. Coronary buttons were implanted at the supra-commissural level. The advantages of this modified Commando procedure are (1) the creation of a new aortic annulus when the integrity of this annulus has been compromised, (2) the upsizing of both annuli to any possible size of aortic and mitral prostheses, and (3) the relief of any residual left ventricular outflow tract obstruction.</div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"27 ","pages":"Pages 61-62"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139639014","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

Late Pulmonary Autograft Dilation: Can We Make a Good Operation Great? The Tailored Approach 肺自体移植晚期扩张：我们能让好手术变得更好吗？量身定制的方法

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-23 DOI: 10.1053/j.pcsu.2024.01.004

Ismail El-Hamamsy MD , Luca A. Vricella MD

引用次数: 0

Imaging of Double Inlet Left Ventricle 左心室双入口成像

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-23 DOI: 10.1053/j.pcsu.2024.01.005

Lindsay S. Rogers MD, MEd

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Editors’ Introduction 编辑导言

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-26 DOI: 10.1053/j.pcsu.2024.01.009

Meena Nathan MD, MPH, FRCS , Stephanie M. Fuller MD, MS

引用次数: 0

Late Pulmonary Autograft Dilation: Can We Make a Good Operation Great? The Supported Ross 肺自体移植晚期扩张：我们能让好手术变得更好吗？得到支持的罗斯

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-24 DOI: 10.1053/j.pcsu.2024.01.007

Michael E. Mitchell MD , Ronald K. Woods MD, PhD , Tracy R. Geoffrion MD, MPH , Mami Sow MD

{"title":"Late Pulmonary Autograft Dilation: Can We Make a Good Operation Great? The Supported Ross","authors":"Michael E. Mitchell MD , Ronald K. Woods MD, PhD , Tracy R. Geoffrion MD, MPH , Mami Sow MD","doi":"10.1053/j.pcsu.2024.01.007","DOIUrl":"10.1053/j.pcsu.2024.01.007","url":null,"abstract":"<div>The Ross procedure is an excellent option for aortic valve replacement resulting in outstanding hemodynamic performance and the ability to avoid systemic anticoagulation. The long-term durability of the autograft is generally good but concerns for later aortic root dilation with ensuing neoaortic insufficiency have prompted efforts to stabilize the autograft, root, sinuses and Sino-tubular junction in order to delay or entirely avoid late reinterventions on the neoaortic root. We have employed an inclusion technique, supporting the Auto-graft in a Terumo Gelweave™ Valsalva graft. We performed a retrospective study of all 129 patients undergoing the Ross procedure from 1992 to 2019 at Children's Wisconsin. Fifty-one underwent the supported Ross (SR) and 78 underwent unsupported Ross (UR). Structured clinical data was collected and echocardiograms were reviewed. Median follow-up was 4.9 years (up to 22.6 years) for UR patients and 3.6 years (up to 11.4 years) for SR patients. In order to provide a fair comparison, we sub -analyzed patients aged 10 to 18 years who underwent the Ross procedure, 16 who underwent the UR and 18 patients who underwent the SR. Change in aortic annulus diameter (P = 0.002), aortic sinus diameter (P = 0.001) change in left ventricular function (P = 0.039) and change in aortic insufficiency (P = 0.008) were all worse in UR. The SR is simple, reproducible, and predictable. It seems to prevent change in annulus diameter, sinus diameter and to reduce late neoaortic insufficiency. Longer follow-up with a larger group of patients is required to draw definitive conclusions.</div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"27 ","pages":"Pages 47-51"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638222","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

From Surgical to Total Transcatheter Stage I Palliation: Exploring Evidence and Perspectives 从外科手术到全经导管 I 期姑息治疗：探索证据和观点。

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2023-12-15 DOI: 10.1053/j.pcsu.2023.12.002

Rodrigo Zea-Vera MD , Francesca Sperotto MD, PhD , Pirooz Eghtesady MD, PhD , Nicola Maschietto MD, PhD

{"title":"From Surgical to Total Transcatheter Stage I Palliation: Exploring Evidence and Perspectives","authors":"Rodrigo Zea-Vera MD , Francesca Sperotto MD, PhD , Pirooz Eghtesady MD, PhD , Nicola Maschietto MD, PhD","doi":"10.1053/j.pcsu.2023.12.002","DOIUrl":"10.1053/j.pcsu.2023.12.002","url":null,"abstract":"<div>Neonates with single ventricle physiology and ductal-dependent systemic circulation, such as those with hypoplastic left heart syndrome, undergo palliation in the first days of life. Over the past decades, variations on the traditional Stage 1 palliation, also known as Norwood operation, have emerged. These include the hybrid palliation and the total transcatheter approach. Here, we review the current evidence and data on different Stage 1 approaches, with a focus on their advantages, challenges, and future perspectives. Overall, although controversy remains regarding the superiority or inferiority of one approach to another, outcomes after the Norwood and the hybrid palliation have improved over time. However, both procedures still represent high-risk approaches that entail exposure to sternotomy, surgery, and potential cardiopulmonary bypass. The total transcatheter Stage 1 palliation spares patients the surgical and cardiopulmonary bypass insults and has proven to be an effective strategy to bridge even high-risk infants to a later palliative surgery, complete repair, or transplant. As the most recently proposed approach, data are still limited but promising. Future studies will be needed to better define the advantages, challenges, outcomes, and overall potential of this novel approach.</div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"27 ","pages":"Pages 3-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196279","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

Staged Ventricular Septation of the Double-Inlet Ventricle: How-I-Do-It 双入口心室分期室间隔缺损：如何操作

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-20 DOI: 10.1053/j.pcsu.2024.01.001

Stephanie N. Nguyen MD , Jan M. Quaegebeur MD, PhD , Kanwal Farooqi MD , Emile A. Bacha MD , Andrew B. Goldstone MD, PhD

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En Bloc Rotation of the Outflow Tracts – Double Root Translocation 流出道整块旋转 - 双根移位

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-23 DOI: 10.1053/j.pcsu.2024.01.008

Rudolf Mair MD , Michaela Kreuzer MD , Eva Sames-Dolzer MD

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Improving Outcomes in Pulmonary Vein Stenosis: Novel Pursuits and Paradigm Shifts 改善肺静脉狭窄的治疗效果：新的追求和范式转变

Pediatric Cardiac Surgery Annual Pub Date : 2024-01-01 Epub Date: 2024-01-21 DOI: 10.1053/j.pcsu.2024.01.003

Rachel D. Vanderlaan MD, PhD

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