Repair of Complex Transposition of Great Arteries: Up to 30 Years of Follow-Up.
CONCLUSIONS: Long-term survival is good without detectable differences between operations. Since the early 2000s increasing use of Nikaidoh and REV-procedures was obvious, with REV performing particularly well. Surgery-specific and unspecific reoperations are most common after Rastelli. PMID: 31715151 [PubMed - as supplied by publisher]
ConclusionsIn favor of AVr, good patient selection, amenable techniques for the suitable pathology will give a good target hence the aim of the work.
Peripheral pulmonary artery stenosis (PPAS) is a relatively rare form of congenital heart disease typically associated with genetic syndromes, such as Williams or Alagille syndromes. However, some patients present with severe stenosis without associated syndromes. The purpose of the study was to review our surgical experience in such patients. This was a retrospective review of 30 patients who underwent surgical repair for peripheral pulmonary artery stenosis. Concomitant anatomical diagnoses in 20 patients (67%) included: supravalvar aortic stenosis (n=8), tetralogy of Fallot (n=4), d-transposition of the great arteries (...
AbstractPulmonary arterial hypertension (PAH) related to left-to-right shunt can progress to Eisenmenger syndrome, a serious and fatal disease that is not yet curable. This pilot study considered stem cell injection as a new treatment modality in persistent pulmonary hypertension after the correction of a congenital heart defect. Three patients with persistent pulmonary hypertension after ventricular septal defect repair were included in this pilot study for a clinical trial. Mononuclear stem cells derived from patients ’ bone marrow specimens were injected into the right and left pulmonary arteries via cardiac cathe...
ConclusionsSecondary subaortic stenosis (SSS) occurs after DORV surgery. The Konno operation or the RRIB can be selected for surgical correction, which is more satisfactory and safer for the treatment of stenosis. For patients with SSS after the operation of VSD or PAVSD, the FMR can be chosen for the operation. The operation is relatively simple, the operation time is short and the effect is satisfactory. Existing problems include that the incidence of a third ‐degree atrioventricular block is slightly higher after the operation.
ConclusionsLong-term survival is good without detectable differences between operations. Since the early 2000s increasing use of Nikaidoh and REV-procedures was obvious, with REV performing particularly well. Surgery-specific and unspecific reoperations are most common after Rastelli.
Truncus arteriosus (TA) is a rare form of complex cyanotic congenital heart disease (CHD) (accounting for ∼2-4% of CHD lesions) where the pulmonary arteries (PAs), aorta and coronary arteries arise from a single great vessel.1,2 Complete surgical repair typically occurs in early infancy and involves PA reconstruction, insertion of a valved conduit or homograft between the right ventricular outflow tra ct (RVOT) and PAs, ventricular septal defect closure and, in some instances, repair or replacement of the native truncal valve.
ConclusionsDue to the relatively high prevalence of abnormal stress MPI, tailored protocols with a stress-first MPI as well as the use of 2-day protocols and advanced imaging technologies including CZT SPECT, novel image reconstruction software, and PET MPI could substantially reduce radiation dose in complex CHD.
ConclusionsEarly complications after ASO do occur and are mostly associated with prematurity and need for aortic arch repair. Timing of surgical repair does not seem to influence the rate of these complications.
CONCLUSIONS: Early complications after ASO do occur and are mostly associated with prematurity and need for aortic arch repair. Timing of surgical repair does not seem to influence the rate of these complications. PMID: 31152730 [PubMed - as supplied by publisher]
Publication date: Available online 27 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Richard D. Mainwaring, Tristan D. Margetson, Patrick McCarthy, Justin Sleasman, Ozzie Jahadi, Paul Shuttleworth, Don Sheff, Sami Kollmann, William L. Patrick, Frank L. HanleyAbstractBackgroundPulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (PA/VSD/MAPCAs) is a rare form of congenital heart disease characterized by the entirety of pulmonary blood flow originating from systemic vessels. The purpose of this study was to measure the residual collateral flow following harvesting of the M...