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Heart Transplantation in Children for End-Stage Congenital Heart Disease
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - October 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Anees J. Razzouk, Leonard L. Bailey Source Type: research

All This Monitoring…What’s Necessary, What’s Not?
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - October 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: James S. Tweddell, Nancy S. Ghanayem, George M. Hoffman Source Type: research

A Modification of the Pulmonary Autograft Procedure to Prevent Late Autograft Dilatation
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - October 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ross M. Ungerleider, Michael Walsh, Yoshio Ootaki Source Type: research

Tetralogy of Fallot and Pulmonary Valve Replacement: Timing and Techniques in the Asymptomatic Patient
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - October 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Stephanie Fuller Source Type: research

Introduction
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - October 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Joseph A. Dearani Source Type: research

Mechanical Assist Devices in Neonates and Infants
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - October 1, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Angela Lorts, Farhan Zafar, Iki Adachi, David L.S. Morales Source Type: research

Subject Index
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - October 1, 2014 Category: Cardiovascular & Thoracic Surgery 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 - October 1, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mechanical Assist Devices in Neonates and Infants
Abstract: Clinical advances in the field of mechanical support have led to additional treatment strategies in adult and, subsequently, pediatric heart failure management. The limited number of device options available to the pediatric population has led to a reallocation of resources in order to broaden the pediatric device armamentarium. Although there are very few device options in pediatrics, there are short-term support options that include the RotaFlow and PediMag. The longer-term support option for small children is limited to only the Berlin heart EXCOR device, which had been approved by the FDA since December 2011....
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Angela Lorts, Farhan Zafar, Iki Adachi, David L.S. Morales Source Type: research

All This Monitoring…What’s Necessary, What’s Not?
The goal of perioperative monitoring is to aid the clinician in optimizing care to achieve the best possible survival with the lowest possible morbidity. Ideally, we would like to have monitoring that can rapidly and accurately identify perturbations in circulatory well-being that would permit timely intervention and allow for restoration before the patient is damaged. The evidence to support the use of our standard monitoring strategies (continuous electrocardiography, blood pressure, central venous pressure, oxygen saturation and capnography) is based on expert opinion, case series, or at best observational studies. Whil...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: James S. Tweddell, Nancy S. Ghanayem, George M. Hoffman Source Type: research

Neuroprotective Strategies – What Do We Really Need to Know?
Abstract: While preliminary data are encouraging, definitive data are lacking to conclusively demonstrate the benefit of perioperative neurologic monitoring in improving neurodevelopmental outcomes in children who require surgery for congenital heart disease. Nonetheless, in the current era, some form of perioperative neurologic monitoring is important. Strategies include bicortical near infrared spectroscopy monitoring in the pre- and postoperative periods along with bicortical near infrared spectroscopy and transcranial Doppler intraoperatively. These monitors provide real-time information concerning cerebral oxygen deli...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Francisco A. Guzmán-Pruneda, Charles D. Fraser Source Type: research

Heart Transplantation in Children for End-Stage Congenital Heart Disease
Abstract: Heart transplantation (HT) as primary therapy for children with congenital heart disease (CHD) has become unusual. With improved early results of reconstructive surgery, the population of children and adults surviving with CHD is expanding. End-stage CHD related to myocardial dysfunction or circulation failure after prior surgery is becoming more common as an indication for HT. This heterogeneous group of CHD recipients referred for HT presents unique decision-making, technical, and physiologic challenges. Historically, a diagnosis of CHD has been a major risk factor for early mortality after HT. Rescue HT, espec...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Anees J. Razzouk, Leonard L. Bailey Source Type: research

Mechanical Circulatory Support: Strategies and Outcomes in Pediatric Congenital Heart Disease
Abstract: Patients with acute or progressive heart failure in the setting of congenital heart disease may need mechanical circulatory support (MCS) to enhance survival while awaiting cardiac transplantation. Because the majority of MCS devices are implanted after prior cardiac operations, special precautions are necessary at the time of implant. MCS in single ventricle patients usually requires ventricular and aortic cannulation, with a systemic to pulmonary artery shunt for pulmonary blood flow. Limited outcomes data is available, with less than 15% of pediatric MCS patients having congenital heart disease. The Berlin EXC...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: James K. Kirklin, F. Bennett Pearce, Robert J. Dabal, Waldemar F. Carlo Source Type: research

Scimitar Syndrome: The Curved Turkish Sabre
Abstract: Scimitar syndrome is a rare association of congenital cardiopulmonary anomalies characterized by an anomalous pulmonary vein (scimitar vein) that drains into the inferior vena cava, a hypogenetic right lung, and dextroposition of the heart. It has been reported in 3% to 6% of patients with partial anomalous pulmonary venous connection. Patients are either diagnosed early with severe symptoms (infantile type) or late with minimal symptoms (childhood/adult type). In this chapter we reviewed the history, pathophysiology, presentation, diagnosis, and treatment methods of Scimitar syndrome in the current era. (Source:...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sertaç Çiçek, Ahmet Hulusi Arslan, Murat Ugurlucan, Yahya Yildiz, Sibel Ay Source Type: research

Reoperation after Vascular Ring Repair
The majority of patients having surgical intervention for a vascular ring have resolution of their symptoms. However, 5% to 10% of these patients develop recurrent symptoms related either to airway or esophageal compression and may require reoperation. In our series of 300 patients with vascular rings, we performed a reoperation on 26 patients, not all of whom were originally operated on at our institution. The four primary indications for reoperation were Kommerell diverticulum (n = 18), circumflex aorta (n = 2), residual scarring (n = 2), and tracheobronchomalacia requiring aortopexy (n = 4). All patients undergoing reop...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Carl L. Backer, Michael C. Mongé, Hyde M. Russell, Andrada R. Popescu, Jeffrey C. Rastatter, John M. Costello Source Type: research