Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Are Bioprosthetic Valves Appropriate for Aortic Valve Replacement in Young Patients?
Selection of a prosthetic aortic valve for use in the young patient is complicated by a variety of important considerations. Age, growth potential, activity and life style expectations, child bearing, and social factors, in addition to anatomic considerations, are all important to the recommendation of a prosthetic valve choice. We review the clinical experience and expectations of currently available prosthetic aortic valves available for the young patient, and describe the advantages and disadvantages for each. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Aditya K. Kaza, Frank A. Pigula Source Type: research

Preservation of the Pulmonary Valve During Early Repair of Tetralogy of Fallot: Surgical Techniques
During the last decade interest in preserving pulmonary valve (PV) function has stimulated a few surgeons to apply valve-sparing techniques in repairing tetralogy of Fallot (TOF), with the aim of preserving long-term right ventricular function. Since June 2007, we embarked upon a program for preserving PV function in selected patients during TOF repair. More recently, the introduction of more complex PV plasty techniques allowed us to further extend the applicability of PV preservation techniques. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Vladimiro L. Vida, Alvise Guariento, Fabio Zucchetta, Massimo Padalino, Biagio Castaldi, Ornella Milanesi, Giovanni Stellin Source Type: research

Heart Transplantation in Children after a Fontan Procedure: Better than People Think
We examined 273 primary pediatric heart transplants. Since 1988, 33 (12.1%) of 273 children (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kirk R. Kanter Source Type: research

Larger Centers Produce Better Outcomes in Pediatric Cardiac Surgery: Regionalization is a Superior Model – The Con Prospective
Regionalization, in the context of congenital heart surgery, describes a process where smaller units close and patients are redistributed to larger centers. Proponents argue this will produce superior patient outcome based primarily on a volume-outcome effect. The potential disadvantage is that, as distance to center increases, access to service is compromised. In this article the volume-outcome effect is appraised and the effect of risk-stratification and threshold volumes explored. Access to service, and how certain congenital lesions and demographics might be disadvantaged, is reviewed. (Source: Seminars in Thoracic and...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Mark H.D. Danton Source Type: research

The Relentless Effects of the Fontan Paradox
The Fontan operation is the anticipated palliative strategy for children born with single-ventricle type of congenital heart disease. As a result of important circulatory limitations, a series of end-organ complications are now increasingly recognized. Elevated central venous pressure and impaired cardiac output are the hallmarks of cavo-pulmonary flow, which result in a cascade of pathophysiological consequences. The Fontan circulation likely impacts all organ systems in an indolent and relentless manner, with progressive decline in functionality likely to occur in many. (Source: Seminars in Thoracic and Cardiovascular Su...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Jack Rychik Source Type: research

Is Four Stage Management the Future of Univentricular Hearts? Destination Therapy in the Young
For the child born with a functionally univentricular heart, multi-stage surgical palliation culminating in the Fontan operation is now well established as the standard of care. Though this is an effective approach, there are several inherent disadvantages to the Fontan circulation: subnormal resting cardiac output, impaired exercise capacity, increased risk of thromboembolism, and increased risk of arrhythmia. Perhaps most importantly, the long-term deleterious effects of substantial systemic venous hypertension, which is necessary to “drive” blood through the pulmonary vascular bed, include progressive dysfunction of...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Robert D.B. Jaquiss, Hamza Aziz Source Type: research

Mechanical Pulmonary Valve Replacement
Although most valve operations performed annually address lesions of the aortic or mitral valves, the frequency of pulmonary valve replacement (PVR) is increasing because most patients with congenital heart disease are surviving into the adult years. The vast majority of patients, especially children that require PVR, obtain a tissue valve because of the relative good durability and the lack of a need for anticoagulation. Because the need for repeat operation is inevitable for most patients, and the population of adults with congenital heart disease continues to grow, there are increasing situations in which a mechanical p...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: John M. Stulak, Bassem N. Mora, Sameh M. Said, Hartzell V. Schaff, Joseph A. Dearani Source Type: research

Transcatheter/Hybrid Aortic Valves in the Young
Transcatheter aortic valve implantation (T-AVI) has been established as an alternative to conventional aortic valve replacement. The number of procedures is steadily rising and has reached comparable implant rates to conventional aortic valve replacement. The success of T-AVI is easily explained by their true minimally invasive nature, ease of use, and excellent hemodynamics. Whilst their use was initially limited to high-risk patients, current trends show that more and more intermediate-risk patients are now treated with theses prostheses. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Mirko Doss, Thomas Walther Source Type: research

Table of Contents
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 6, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tracheobronchial Issues in Congenital Heart Disease
We present an overview of the etiologies of tracheobronchial lesions typically seen in children with congenital heart disease and review management options for these lesions. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - May 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Catherine K. Hart, Michael J. Rutter Source Type: research

Improving Pacemaker Therapy in Congenital Heart Disease: Contractility and Resynchronization
Designed as effective therapy for patients with symptomatic bradycardia, implantable cardiac pacemakers initially served to improve symptoms and survival. With initial applications to the elderly and those with severe myocardial disease, extended longevity was not a major concern. However, with design technology advances in leads and generators since the 1980s, pacemaker therapy is now readily applicable to all age patients, including children with congenital heart defects. As a result, emphasis and clinical interests have advanced beyond simply quantity to quality of life. (Source: Seminars in Thoracic and Cardiovascular ...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - May 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Peter P. Karpawich Source Type: research

Evolution of the Surgical Approach to Congenitally Corrected Transposition of the Great Arteries
The traditional surgical approach (physiologic repair) of congenitally corrected transposition of the great arteries (ccTGA) attempts at restoring normal physiology by repairing the associated lesions. It fails to address the most serious anatomic abnormality, mainly ventriculoarterial discordance, and results in less than optimal long-term outcomes. Anatomic repair was introduced to incorporate the left ventricle into the systemic circulation. The excellent short-term and intermediate results of the double switch operation and its modifications make it the procedure of choice for the treatment of ccTGA. (Source: Seminars ...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - May 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Chawki El-Zein, Sujata Subramanian, Michel Ilbawi Source Type: research

Transplantation in the Fontan Patient
The failing Fontan circulation presents difficult treatment challenges. When Fontan revision and or intervention for treatable arrhythmias is not feasible, heart transplantation is the only therapeutic option. Particular challenges presented by these patients include limited ability to assess hemodynamics, complex anatomy, multiple prior procedures, and unique underlying pathologic states. These issues complicate the decision-making process for further surgical intervention verses transplantation. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - May 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: David C. Mauchley, Max B. Mitchell Source Type: research

Left Ventricular Retraining: Theory and Practice
Congenitally corrected transposition of the great arteries or l-transposition of the great arteries is characterized by discordance of both the atrioventricular and ventriculoarterial connections. Physiologic repair of associated conditions, whereby the morphologic right ventricle remains the systemic ventricle, has resulted in unsatisfactory long-term outcomes due to the development of right ventricular failure and tricuspid valve regurgitation. While intuitively attractive, anatomic repair also has inherent challenges and risks, particularly for those patients who present late and require left ventricular retraining. (So...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - May 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Richard G. Ohye, Ming-Sing Si, Edward L. Bove, Jennifer C. Hirsch-Romano Source Type: research

Three-Dimensional Echocardiography for the Assessment of Atrioventricular Valves in Congenital Heart Disease: Past, Present and Future
Echocardiography has developed as an imaging technology over 60 years to become the mainstay for investigating heart disease, providing invaluable structural and functional information. In the last 20 years, 3-dimensional echocardiography (3DE) has emerged as an adjunct to 2-dimensional echocardiography in adult and congenital heart disease. Early work with 3-dimensional imaging of the mitral valve describing normal annular shape and function significantly changed the understanding of mitral valve dynamics. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - May 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Timothy Colen, Jeffrey F. Smallhorn Source Type: research