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.

Toward more granular guidelines in AAOCA: Associating anatomical details with specific surgical strategies
Patients with AAOCA require imaging to clarify the multiple potential anatomic sites of obstruction (fixed or dynamic). Once repaired, the pathway of blood to the myocardium must not encounter: (1) intrinsic ostial stenosis, (2) obstruction from compression or distortion near the commissure or the intercoronary pillar, (3) stenosis where the artery exits the aortic wall (due to an acutely angled “take-off”), (4) compression due to a pathway between the great vessels, (5) stenosis or compression along an intramural course, or (6) compression due to an intramuscular (intraseptal/intraconal) course. (Source: Seminars in T...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - February 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Anusha Jegatheeswaran, William M. DeCampli Source Type: research

How to Start a Lymphatic Program
Many patients are born with lymphatic abnormalities or are susceptible to pathology following cardiac surgery. It therefore becomes important to evaluate and treat lymphatic disorders in centers performing congenital heart surgery. Programs can make strides towards starting a lymphatic branch if appropriately equipped with proper staff, tools, and other capabilities to perform lymphatic system access, imaging, and intervention. In reality, many of these components already exist in most centers, and a successful and comprehensive program can be established by enlisting these already established services. (Source: Seminars i...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - February 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Mohamed Ali Ghandour, Sanjay Sinha Source Type: research

Hybrid First-stage Palliation and Other Strategies to Achieve Biventricular Repair in High-Risk Neonates With Complex Heart Anomalies and Aortic Arch Obstruction
Medical and surgical advances have allowed single-stage total repair in neonates born with complex congenital heart anomalies and aortic arch obstruction. Nonetheless, total repair might be too complex or high risk in certain neonates with demographic, clinical or morphologic risk factors. Alternative management strategies might offer these neonates better outcomes with superior anatomic repair, shorter hospitalization, reduced morbidity, and improved survival. Alternative initial surgical strategies might include aortic arch repair and pulmonary artery band with or without cardiopulmonary bypass, extracardiac repair only ...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - February 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Bahaaldin Alsoufi Tags: Review Article Source Type: research

The Ross Procedure in Adolescence and Beyond: Are There Still Contraindications?
The Ross procedure is an excellent operation to treat children and adults with aortic valve disease. Compared to prosthetic aortic valve replacement, it provides important clinical benefits in terms of survival, hemodynamics, freedom from valve-related complications, and durability, especially in women of childbearing age. However, the Ross procedure is a longer and technically more challenging operation. As a result, the choice of procedure should be driven by patient anatomy and clinical characteristics. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - February 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Ismail El-Hamamsy, Charles Laurin, Elbert E. Williams Source Type: research

Infant Mitral Valve Replacement: Current State of the Art
Mitral valve replacement (MVR) in the very young is an imposing clinical challenge. Early and late mortality risk is substantial, severe adverse events are common, and redo mitral valve replacement is inevitable. Therapeutic options are limited. In the older infant with an annulus of 17mm or larger, mechanical MVR is associated with low risk of mortality and predictable durability. For the very young with annular hypoplasia, bovine jugular vein conduit MVR appears to offer equivalent or better early outcomes with the possibility of subsequent valve expansion, potentially prolonging the interval to redo MVR. (Source: Semina...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - February 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: David M. Overman, Francis X. Moga, Elizabeth H. Stephens, Joseph A. Dearani, Robroy H. MacIver Source Type: research

Editor's Introduction
Each year, invited speakers for the American Association for Thoracic Surgery (AATS) congenital program provide important updates regarding state-of-the-art techniques and advances in procedures and thought.  Along with their co-authors, a number of these leaders have provided important educational manuscripts for the Pediatric Cardiac Surgery Annual. In this edition, we cover advances in technique, advances in current applications, synthesis of two vexing topics, and how to care for a segment of our c omplex adult congenital patients using up-to-date techniques and tools. (Source: Seminars in Thoracic and Cardiovascular ...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - February 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Glen S. Van Arsdell Source Type: research

Integrating Novel Physiologic Data into Decision-Making in Congenital Heart Surgery
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 collat...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Osami Honjo Source Type: research

Management Options for Congenitally Corrected Transposition: Which, When, and for Whom?
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. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric ...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Jacob R Miller, Vinod Sebastian, Pirooz Eghtesady Source Type: research

Surgical Management of Complex Aortic Valve Disease in Young Adults: Repair, Replacement, and Future Alternatives
The ideal aortic valve substitute in young adults remains unknown. Prosthetic valves are associated with a suboptimal survival and carry a significant risk of valve-related complications in young patients, mainly reinterventions with tissue valves and, thromboembolic events and major bleeding with mechanical prostheses. The Ross procedure is the only substitute that restores a survival curve similar to that of a matched general population, and permits a normal life without functional limitations. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ismail Bouhout, David Kalfa, Amee Shah, Andrew B. Goldstone, Jamie Harrington, Emile Bacha Source Type: research

Considerations for Biventricular Conversion of Fontan Circulation
Despite significant improvements in the management of Fontan circulation in patients with single ventricle physiology, long-term outcomes continue to be suboptimal. Conversion to biventricular circulation is increasingly gaining popularity, particularly in the subset of patients who are not ideal Fontan candidates. Meticulous image-guided planning, extensive preoperative discussions, and a team-based approach are required for successful execution of complex biventricular conversion. A segmental approach to the anatomy of the heart defect allows methodical planning of the technique of biventricular conversion. (Source: Semi...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: S. Ram Kumar, Jon Detterich Source Type: research

Transcatheter Approaches to Palliation for Tetralogy of Fallot
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) ste...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Athar M. Qureshi, Christopher A. Caldarone, Travis J. Wilder Source Type: research

Comparing Long-Term Sequelae of the Systemic Right Ventricle: An Overview of Single Versus Biventricular Arrangements
Patients with systemic right ventricles (RV) are at risk for heart failure and sudden cardiac death. Contributing factors to RV dysfunction include increased afterload from the systemic circulation, coronary insufficiency, progressive tricuspid valve regurgitation, the presence of residual lesions after palliation and arrhythmias. While all patients with a systemic right ventricle (SRV) are vulnerable to heart failure, there are distinct differences between patients with congenital dextro-transpostion of the great arteries (d-TGA) repaired by atrial switch, unrepaired congenitally corrected transposition of the great arter...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Stephanie Fuller Source Type: research

Editor's Introduction to the 2022 issue of Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
As we celebrate the 2022 Annual Meeting of the American Association for Thoracic Surgery, held in person after years of virtual meetings required by the pandemic, it is a pleasure to reflect upon the educational insights that arise in the vibrant ‘in-person’ forum provided by the AATS. Although collegial learning at the Annual Meeting is extremely valuable, time limitations often prevent the speakers from going into great depth in the discussion of topics of interest. In contrast, the Pediatric Cardiac Surgery Annual provides an ‘in-pr int’ forum where issues at the forefront of congenital heart surgery can be prob...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Christopher A. Caldarone Tags: Introduction 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 - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Masthead
(Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research