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 - June 9, 2021 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 - June 9, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Corrigendum to “Congenitally Corrected Transposition of the Great Arteries: Anatomic, Physiologic Repair, and Palliation” [Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann 2019;22:32–42]
The middle initial was not present in the last author's name. This is corrected in the author list above. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - June 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Zachary Spigel, Ziyad M. Binsalamah, Christopher A. Caldarone Tags: Corrigendum Source Type: research

Computational Modeling to Support Surgical Decision Making in Single Ventricle Physiology
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. (Source: Seminars...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tain-Yen Hsia, Timothy Conover, Richard Figliola, for the Modeling of Congenital Hearts Alliance (MOCHA) Investigators Source Type: research

Innominate Vein Turn-down Procedure for Failing Fontan Circulation
After the Fontan, systemic venous hypertension induces pathophysiologic changes in the lymphatic system that can result in complications of pleural effusion, ascites, plastic bronchitis, and protein losing enteropathy. Advances in medical therapy and novel interventional approaches have not substantially improved the poor prognosis of these complications. A more physiological approach has been developed by decompression of the thoracic duct to the lower pressure common atrium with a concomitant increase of preload. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Viktor Hraska, Michael E. Mitchell, Ronald K. Woods, George M. Hoffman, Steven J. Kindel, Salil Ginde Source Type: research

Intraoperative Coronary Artery Imaging for Planning
A clear understanding of coronary anatomy is critical in congenital heart surgery, especially when a ventriculotomy is planned, as in right ventricular outflow tract reconstructions and biventricular repairs. Typically, major epicardial coronary arteries are easily identified during first-time operations. However, in reoperative surgery, epicardial adhesions can obscure coronary vessels making their identification challenging. This paper describes the application of intraoperative fluorescence imaging in congenital heart surgery to obtain real-time coronary artery visualization for operative planning in order to avoid coro...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Eric N. Feins, Ming-Sing Si, Christopher W. Baird, Sitaram M. Emani Source Type: research

Expandable Valves, Annuloplasty Rings, Shunts, and Bands for Growing Children
In congenital heart surgery, the surgeon must constantly consider how a palliative or corrective procedure could be impacted by the child's somatic growth. Within pediatric valve surgery, existing valve repair techniques lack growth-accommodating prostheses. Valve replacement options are fixed in size and unable to grow with the child, thus subjecting children to repeated valve reoperations. When creating a systemic-to-pulmonary artery shunt, replacing a branch pulmonary artery or conduit, creating an extracardiac Fontan pathway, or banding the pulmonary artery, the implant size must factor in both the child's current size...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Eric N. Feins, Sitaram M. Emani Source Type: research

Initial Application of a Bicuspid Aortic Annuloplasty Ring in Pediatric Cardiac Surgery
Aortic stenosis and aortic insufficiency (AI) are common valvular conditions that may necessitate repair or replacement of the aortic valve. Aortic valve replacement is associated with higher long-term complications and thus, a consistent, reliable method of repair is needed. This is especially true in the pediatric population where lifelong anticoagulation and development of recurrent aortic stenosisor aortic insufficiency are especially problematic. The Hemispherical Aortic Annuloplasty Reconstruction Technology ring has been developed and used for annular stabilization in adults with success, though its efficacy in the ...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nicolas D. Drysdale, Nicholas D. Andersen, James M. Meza, Andrew J. Lodge, J. Scott Rankin, Joseph W. Turek Source Type: research

Vascular Rings With Tracheoesophageal Compression: Management Considerations
Our series of vascular ring patients treated at Ann& Robert H. Lurie Children's Hospital of Chicago has now exceeded 450 patients (see Central Picture). The recommendations from this review are based on our experience with those patients. Since 1990, we have used preoperative cross-sectional imaging in all vascular ring patients. This has led us to refine our operative strategies and carefully tailor the operation to the individual's unique anatomy. In particular for right aortic arch patients, we now address the Kommerell diverticulum in most cases and carefully consider Kommerell diverticulum resection with left subclavi...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Carl L. Backer Source Type: research

Pulmonary Valve-Sparing Techniques for Tetralogy of Fallot: A Systematic Approach for Maximizing Success and Minimizing Risk
This article will discuss the rationale for a more aggressive approach to sparing the pulmonary valve, the various techniques available (including commissurotomy, leaflet thinning and debridement, balloon dilation, and finally modified monocusp repair), as well as a systematic approach for employing these techniques based on individual patient anatomy in a manner that takes full advantages of the benefits of the valve-sparing approach while mitigating the risks involved. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Michael H. Kwon, Emile A. Bacha Source Type: research

Tracheobronchomalacia, Tracheobronchial Compression, and Tracheobronchial Malformations: Diagnostic and Treatment Strategies
Tracheobronchomalacia (TBM) is an excessive dynamic narrowing of the airway that is greatest with increased mediastinal pressure such as coughing, Valsalva, and forced expiration. Airway compression and/or cartilage malformation is a fixed or static narrowing of the airway typically caused by great vessel malposition and/or abnormalities and may also contribute to airway narrowing. Although imprecise and misleading, the term TBM is often used to represent both problems, static and dynamic airway narrowing, which only serves to confuse and may mislead the treatment team into ineffective therapies. (Source: Seminars in Thora...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ali Kamran, Christopher W. Baird, Russell W. Jennings Source Type: research

Ventricular Assist Device Therapy and Fontan: A Story of Supply and Demand
The last 10 years have seen an increase in the number of Fontan patients with heart failure. There has been a coincident rapid evolution in the field of pediatric and congenital heart disease ventricular assist device therapy. Herein, we describe the existing body of literature regarding the use of ventricular assist device therapy in the Fontan circulation as well as the current approach to clinical decision-making and device implantation within the field. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Chet R. Villa, Tarek Alsaied, David L.S. Morales Source Type: research

Lymphatic Management in Single-Ventricle Patients
Lymphatic complications in patients with single ventricle include plastic bronchitis, protein-losing enteropathy, and chylous pleural effusion are a source of significant morbidity and mortality with historically limited therapeutic options. Novel lymphatic imaging techniques such as intranodal lymphangiography, dynamic contrast enhanced magnetic resonance lymphangiography and liver lymphangiography have allowed visualization of the lymphatic system and discovery of the pathophysiological mechanism of these conditions. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Maxim Itkin, Christian Pizarro, Wolfgang Radtke, Ellen Spurrier, Deborah A. Rabinowitz Source Type: research

Pulmonary Artery Banding for Children With Dilated Cardiomyopathy: US Experience
We present the results of the multicenter retrospective study of pulmonary artery band experience in the United States, with comparison to the German experience. Five centers contributed a total 14 patients (median age 5 months, interquartile range 3.5 –10). Mechanical ventilation was required in 9/12 (75%) patients and inotropes were used in 13/14 (93%) patients preoperatively. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual)
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Zachary A. Spigel, Anees Razzouk, John J. Nigro, Tara B. Karamlou, Minoo N. Kavarana, Mark E. Roeser, Iki Adachi Source Type: research

Molecular Approaches in Single Ventricle Management
Advances in medical and surgical management have significantly improved early outcomes in single ventricle congenital heart disease over the last 2 decades. Despite these advances, long-term outcomes remain suboptimal and therapeutic options to address systemic ventricular and/or Fontan failure are limited even in the modern era. Intricate molecular biologic techniques have shed light into the mechanisms of development of single ventricle disease. Efforts are underway to leverage this knowledge to improve clinical diagnosis, therapy, and prognostication. (Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric C...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Omar Toubat, S. Ram Kumar Source Type: research