Pediatric Cardiac Surgery Annual最新文献_第9页

Ventricular Assist Device Therapy in the Fontan Circulation 心室辅助装置在方坦循环中的应用

Pediatric Cardiac Surgery Annual Pub Date : 2021-01-01 Epub Date: 2021-06-08 DOI: 10.1053/j.pcsu.2021.01.001

Chet R. Villa MD, Angela Lorts MD, MBA, David L.S. Morales MD

引用次数: 3

How and When Should Tetralogy of Fallot be Palliated Prior to Complete Repair? 法洛四联症在完全修复前应如何及何时进行缓和?

Pediatric Cardiac Surgery Annual Pub Date : 2021-01-01 Epub Date: 2021-06-08 DOI: 10.1053/j.pcsu.2021.02.002

David J. Barron FRCS(CT), Anusha Jegatheeswaran MD, PhD

{"title":"How and When Should Tetralogy of Fallot be Palliated Prior to Complete Repair?","authors":"David J. Barron FRCS(CT), Anusha Jegatheeswaran MD, PhD","doi":"10.1053/j.pcsu.2021.02.002","DOIUrl":"10.1053/j.pcsu.2021.02.002","url":null,"abstract":"<div>The controversy regarding the best or ideal surgical management of Tetralogy of Fallot (ToF) stems from the recognition of there being a spectrum of morphology and associated lesions, each of which require a different approach to achieve the three goals of minimizing mortality preserving right ventricular function long-term and minimizing reinterventions. A one-size-fits-all approach to ToF needs to be replaced by a considered and personalized approach in order to yield the best outcomes possible for individual patients. The great majority of patients with ToF undergo primary complete repair between age 3–9 months with excellent outcomes. However, the greatest challenge is the severely cyanotic neonates where primary repair is still associated with high mortality and reintervention rates. Risk factors are low weight and small/poorly developed pulmonary vasculature. High-risk neonates have better outcomes with palliation—but mortality is still high. Palliative interventions in the catherization lab are showing better outcomes than traditional BT shunt and the RVOT stent is emerging as potential game-changer. Primary neonatal repair is still recommended if weight >3 kg and Nakata >100 mm2/m2. However, neonates with low weight, small pulmonary arteries or multiple comorbidities (including ToF/AVSD and anomalous LAD) may do better with a staged approach, There is good argument for RVOT stenting as a bridge to complete repair due to its stable circulation without diastolic run off and volume loading of the circulation, and its potential to allow branch PA growth.</div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"24 ","pages":"Pages 77-84"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39017499","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: 9

Anomalous Aortic Origin of the Coronary Arteries – State of the Art Management and Surgical Techniques 冠状动脉异常的主动脉起源-最新的治疗和手术技术

Pediatric Cardiac Surgery Annual Pub Date : 2021-01-01 Epub Date: 2021-06-08 DOI: 10.1053/j.pcsu.2021.03.004

Carlos Bonilla-Ramirez MD , Silvana Molossi MD, PhD , Christopher A. Caldarone MD , Ziyad M. Binsalamah MD, FRCSC

{"title":"Anomalous Aortic Origin of the Coronary Arteries – State of the Art Management and Surgical Techniques","authors":"Carlos Bonilla-Ramirez MD , Silvana Molossi MD, PhD , Christopher A. Caldarone MD , Ziyad M. Binsalamah MD, FRCSC","doi":"10.1053/j.pcsu.2021.03.004","DOIUrl":"10.1053/j.pcsu.2021.03.004","url":null,"abstract":"<div>Anomalous aortic origin of a coronary artery (AAOCA) can be associated with myocardial ischemia and sudden cardiac arrest. We describe and compare the management and surgical techniques for patients with AAOCA. Patients presenting to the Coronary Artery Anomalies Program are evaluated and managed following a standardized approach. Our approach and data were compared to other single-center and multi-institutional data and results. Patients with AAOCA present as an incidental finding approximately 50% of the time. Advanced axial imaging is essential to define the anatomic characteristics of this lesion. Preoperative and postoperative assessment of myocardial perfusion with provocative testing is feasible and contributes to risk stratification. The surgical techniques for AAOCA repair include coronary unroofing, transection and reimplantation, and neo-ostium creation, among others. In general, surgical repair of AAOCA can mitigate the risk of ischemia with low mortality. The specific morbidities and complications of each different technique should be considered during the surgical planning. Surgical repair of AAOCA can mitigate the risk of ischemia with a low associated mortality but with clinically relevant morbidities. Long-term follow-up is necessary to accurately balance the risks of repaired and unrepaired AAOCA.</div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"24 ","pages":"Pages 85-94"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39017500","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: 4

Cardiac Surgery: A Complete Guide 心脏外科:完整指南

Pediatric Cardiac Surgery Annual Pub Date : 2020-12-01 DOI: 10.1007/978-3-030-24174-2

引用次数: 4

Cardiac Resynchronization Therapy for Heart Failure 心脏再同步化治疗心力衰竭

Pediatric Cardiac Surgery Annual Pub Date : 2020-02-12 DOI: 10.1007/978-3-030-24174-2_66

Mumin R. Noor, Rebecca E. Lane, Owais Dar

引用次数: 0

Truncus Arteriosus

Pediatric Cardiac Surgery Annual Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-24174-2_98

Sandeep Sainathan, Kenneth Bayle, C. Knott-Craig, U. Boston

引用次数: 0

Aortic Arch Aneurysms 主动脉弓动脉瘤

Pediatric Cardiac Surgery Annual Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-24174-2_57

Mahnoor Imran, Mohammad A Zafar, T. Chkhikvadze, B. Ziganshin, J. Elefteriades

引用次数: 1

Stented Bioprosthetic Valves 支架生物假体瓣膜

Pediatric Cardiac Surgery Annual Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-24174-2_33

G. Santarpino, S. Raja

引用次数: 0

Computational Modeling to Support Surgical Decision Making in Single Ventricle Physiology 支持单心室生理学手术决策的计算模型

Pediatric Cardiac Surgery Annual Pub Date : 2020-01-01 Epub Date: 2020-04-28 DOI: 10.1053/j.pcsu.2020.01.001

Tain-Yen Hsia MD , Timothy Conover PhD , Richard Figliola PhD , for the Modeling of Congenital Hearts Alliance (MOCHA) Investigators

{"title":"Computational Modeling to Support Surgical Decision Making in Single Ventricle Physiology","authors":"Tain-Yen Hsia MD , Timothy Conover PhD , Richard Figliola PhD , for the Modeling of Congenital Hearts Alliance (MOCHA) Investigators","doi":"10.1053/j.pcsu.2020.01.001","DOIUrl":"10.1053/j.pcsu.2020.01.001","url":null,"abstract":"<div>Many of the advances in congenital heart surgery were built upon lessons and insights gained from model simulations. While animal and mock-circuit models have historically been the main arena to test new operative techniques and concepts, the recognition that complex cardiovascular anatomy and circulation can be modeled mathematically ushered a new era of collaboration between surgeons and engineers. In 1996, the computational age in congenital heart surgery began when investigators in London and Milan tapped the power of the computer to simulate the Fontan procedure and introduced operative improvements. Since then, computational modeling has led to numerous contributions in congenial heart surgery as continuing sophistication and advances in numerical and imaging methods furthered the ability to refine anatomic and physiologic details. Idealized generic models have given way to precise patient-specific simulations of the 3-dimensional anatomy, reconstructed circulation, affected hemodynamics, and altered physiology. Tools to perform virtual surgery, and predict flow dynamic and circulatory results, have been developed for some of the most complex defects, such as those requiring single ventricle palliation. In today's quest for personalized medicine and precision care, computational modeling's role to assist surgical planning in complex congenital heart surgery will continue to grow and evolve. With ever closer collaboration between surgeons and engineers, and clear understanding of modeling limitations, computational simulations can be a valuable adjunct to support preoperative surgical decision making.</div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"23 ","pages":"Pages 2-10"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.pcsu.2020.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37889476","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: 6

Pulmonary Valve-Sparing Techniques for Tetralogy of Fallot: A Systematic Approach for Maximizing Success and Minimizing Risk 法洛四联症的肺瓣保留技术:一种最大化成功和最小化风险的系统方法

Pediatric Cardiac Surgery Annual Pub Date : 2020-01-01 Epub Date: 2020-04-28 DOI: 10.1053/j.pcsu.2020.02.005

Michael H. Kwon MD, Emile A. Bacha MD

引用次数: 2