Pediatric Cardiac Surgery Annual最新文献_第7页

Strategies for Complex Reoperative Aortic Arch Reconstruction in Patients With Congenital Heart Disease 先天性心脏病患者复杂再手术主动脉弓重建的策略

Pediatric Cardiac Surgery Annual Pub Date : 2023-01-01 Epub Date: 2022-12-27 DOI: 10.1053/j.pcsu.2022.12.006

William C. Frankel MD , Eric E. Roselli MD

{"title":"Strategies for Complex Reoperative Aortic Arch Reconstruction in Patients With Congenital Heart Disease","authors":"William C. Frankel MD , Eric E. Roselli MD","doi":"10.1053/j.pcsu.2022.12.006","DOIUrl":"10.1053/j.pcsu.2022.12.006","url":null,"abstract":"<div><p><span><span>Aortic dilation is common in patients<span><span> with congenital heart disease including those with a </span>bicuspid aortic valve, </span></span>connective tissue disease<span><span>, coarctation of the aorta<span>, and conotruncal defects. In addition, neo-aortic dilation has been described in patients after aortic reconstruction including the </span></span>Norwood procedure, the </span></span>arterial switch operation<span><span>, and the Ross procedure<span><span>. Although aortic catastrophe is rare in patients with congenital heart disease, common pathologic endpoints in these patients likely manifest with similar aortic tissue behavior. A lifelong care model with similar indications for surveillance and prophylactic repair to other more common </span>aortopathies is therefore warranted. Still, reoperative </span></span>aortic arch reconstruction<span> in these patients is often a complex and high-risk endeavor, and in all cases, a tailored and adaptable plan ensuring adequate myocardial and cerebral protection with appropriate rescue measures is paramount. A surgical team taking on these challenging cases should possess an armamentarium of open, hybrid, and endovascular techniques which can be individualized to a patient's unique anatomy<span>, surgical history, and concomitant lesions as well as the team's measured outcomes and experience.</span></span></span></p></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"26 ","pages":"Pages 81-88"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9339882","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 to Start a Lymphatic Program 如何启动淋巴计划

Pediatric Cardiac Surgery Annual Pub Date : 2023-01-01 Epub Date: 2022-12-28 DOI: 10.1053/j.pcsu.2022.12.008

Mohamed Ali H. Ghandour MD, Sanjay P. Sinha MD

引用次数: 0

The Ross Procedure in Adolescence and Beyond: Are There Still Contraindications? 青春期及以后的罗斯手术：还有禁忌症吗？

Pediatric Cardiac Surgery Annual Pub Date : 2023-01-01 Epub Date: 2022-12-29 DOI: 10.1053/j.pcsu.2022.12.010

Ismail El-Hamamsy MD, PhD, Charles Laurin MD, Elbert E. Williams MD

引用次数: 0

Editor's Introduction to the 2022 issue of Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 编辑对2022年胸外科和心血管外科研讨会的介绍:儿科心脏外科年度

Pediatric Cardiac Surgery Annual Pub Date : 2022-01-01 Epub Date: 2022-07-11 DOI: 10.1053/j.pcsu.2022.05.003

Christopher A. Caldarone

引用次数: 0

Considerations for Biventricular Conversion of Fontan Circulation 方坦循环双心室转换的考虑

Pediatric Cardiac Surgery Annual Pub Date : 2022-01-01 Epub Date: 2022-07-11 DOI: 10.1053/j.pcsu.2022.04.003

S. Ram Kumar , Jon Detterich

引用次数: 1

Transcatheter Approaches to Palliation for Tetralogy of Fallot 经导管入路缓解法洛四联症

Pediatric Cardiac Surgery Annual Pub Date : 2022-01-01 Epub Date: 2022-07-11 DOI: 10.1053/j.pcsu.2022.05.001

Athar M. Qureshi , Christopher A. Caldarone , Travis J. Wilder

{"title":"Transcatheter Approaches to Palliation for Tetralogy of Fallot","authors":"Athar M. Qureshi , Christopher A. Caldarone , Travis J. Wilder","doi":"10.1053/j.pcsu.2022.05.001","DOIUrl":"10.1053/j.pcsu.2022.05.001","url":null,"abstract":"<div><p>To this day, controversy still exists regarding the optimal method to treat symptomatic neonates and infants with Tetralogy of Fallot (TOF). Symptomatic (severely cyanotic or ductal dependent) infants with TOF can undergo either a staged repair approach (consisting of initial palliation followed by complete repair) or primary repair. Traditionally, initial palliative procedures have been surgical, for example placement of a Blalock-Taussig-Thomas (BTT) shunt. Recent advances in technology have facilitated the introduction of catheter-based procedures as palliative techniques, for example, patent ductus arteriosus (PDA) stenting and right ventricular outflow tract (RVOT) stenting as more durable solutions than balloon pulmonary valvuloplasty (BPV). In this article, we discuss the rationale for these procedures, technical aspects of these procedures and outcomes data compared to traditional surgical procedures. Recent data have suggested that RVOT and PDA stenting procedures offer many advantages over traditional surgical palliative procedures as palliative methods in this patient population. This comes at a cost of increased reintervention burden, which may be considered part of the overall treatment strategy in smaller neonates and can be minimized with a focus on technical aspects and overall treatment strategies. Advanced surgical techniques are required at the eventual complete repair to negotiate removal of stent material and pulmonary artery reconstruction in some instances. Further adoption of catheter based palliative procedures for infants with symptomatic TOF has the potential to tip the outcomes towards favoring a staged approach, particularly in high-risk infants.</p></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"25 ","pages":"Pages 48-57"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40522542","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: 3

Comparing Long-Term Sequelae of the Systemic Right Ventricle: An Overview of Single Versus Biventricular Arrangements 比较系统性右心室的长期后遗症:单心室与双心室排列的综述

Pediatric Cardiac Surgery Annual Pub Date : 2022-01-01 Epub Date: 2022-07-11 DOI: 10.1053/j.pcsu.2022.05.002

Stephanie Fuller

引用次数: 0

Surgical Management of Complex Aortic Valve Disease in Young Adults: Repair, Replacement, and Future Alternatives 青壮年复杂主动脉瓣疾病的外科治疗:修复、置换和未来选择

Pediatric Cardiac Surgery Annual Pub Date : 2022-01-01 Epub Date: 2022-07-11 DOI: 10.1053/j.pcsu.2022.04.002

Ismail Bouhout , David Kalfa , Amee Shah , Andrew B. Goldstone , Jamie Harrington , Emile Bacha

引用次数: 2

Integrating Novel Physiologic Data into Decision-Making in Congenital Heart Surgery 将新的生理数据整合到先天性心脏手术的决策中

Pediatric Cardiac Surgery Annual Pub Date : 2022-01-01 Epub Date: 2022-07-11 DOI: 10.1053/j.pcsu.2022.02.001

Osami Honjo

{"title":"Integrating Novel Physiologic Data into Decision-Making in Congenital Heart Surgery","authors":"Osami Honjo","doi":"10.1053/j.pcsu.2022.02.001","DOIUrl":"10.1053/j.pcsu.2022.02.001","url":null,"abstract":"<div><p>Optimal decision-making to determine the type and timing of surgical intervention for various congenital heart disease (CHD) requires adequate understanding and interpretation of anatomic and physiologic data obtained from various imaging modalities. Cardiac magnetic resonance (CMR) has revolutionized the way we evaluate the anatomy and physiology of CHD. In addition to 2- and 3-dimensional anatomic data and volumetry, phase-contrast CMR allows quantitative measurements of cardiac output, pulmonary blood flow, pulmonary-to-systemic flow ratio, the amount of intracardiac shunt, valve regurgitation, and aortopulmonary collateral flows. This review article describes the utilization of CMR-derived flow data in surgical decision-making in three distinct subgroups: (1) patients with borderline left ventricle (LV) with emphasis on the ascending aortic flow and other physiologic parameters, (2) single ventricle patients who undergo bidirectional cavopulmonary shunt with emphasis on the impact of superior vena cava blood flow on postoperative physiology, and (3) patients with pulmonary atresia and major aortopulmonary collateral arteries with emphasis on the impact of total pulmonary blood flow and systemic-to-pulmonary flow ratio on clinical outcomes.</p></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"25 ","pages":"Pages 19-27"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40505543","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: 1

Management Options for Congenitally Corrected Transposition: Which, When, and for Whom? 先天性纠正移位的管理选择:哪种，何时，为谁?

Pediatric Cardiac Surgery Annual Pub Date : 2022-01-01 Epub Date: 2022-07-11 DOI: 10.1053/j.pcsu.2022.04.001

Jacob R Miller, Vinod Sebastian, Pirooz Eghtesady

{"title":"Management Options for Congenitally Corrected Transposition: Which, When, and for Whom?","authors":"Jacob R Miller, Vinod Sebastian, Pirooz Eghtesady","doi":"10.1053/j.pcsu.2022.04.001","DOIUrl":"10.1053/j.pcsu.2022.04.001","url":null,"abstract":"<div><p>Management strategies for congenitally corrected transposition of the great arteries (ccTGA) historically consisted of a physiologic repair, resulting in the morphologic right ventricle (mRV) supporting systemic circulation. This strategy persisted despite the development of heart failure by middle age because of the reasonable short-term outcomes, and the natural history of some patients with favorable anatomy (felt to demonstrate the mRV's ability to function in the long-term), and due to the less-than-optimal outcomes associated with anatomical repair. As outcomes with anatomical repair improved, and the long-term risk of systemic mRV dysfunction became apparent, more have begun to realize its advantages. In addition to the decision on whether or not to pursue anatomical repair, and the optimal timing, studies demonstrating the nuance to morphologic left ventricle retraining have demonstrated its feasibility. Further considerations in ccTGA have begun to be better understood, including: the management of a poorly functioning mRV, systemic tricuspid valve regurgitation, the utility of morphologic left ventricle outflow tract obstruction (native or surgically created) and pacing strategies. While some considerations are apparent: biventricular pacing is superior to univentricular, tricuspid regurgitation must be managed early with either progression towards anatomical repair (pulmonary artery banding if needed for retraining) or tricuspid replacement (not repair) based on the patient's age; others remain to be completely elucidated. Overall, the heterogeneity of ccTGA, as well as the unique presentation with each patient regarding ventricular and valvular function and center-to-center variability in management strategies has made the interpretation of published data difficult. That said, more recent long-term outcomes favor anatomical repair in most situations.</p></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"25 ","pages":"Pages 38-47"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40505547","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