1,720,979 research outputs found

    Septal defects: surgeons do it better.

    No full text
    Until the recent availability of percutaneous devices, the role of the septal defect occluder was played by surgeons. In this paper the pros and cons of the two techniques in the approach to the atrial and ventricular septal defects are analyzed. Although the reported results are rather interesting, it seems clear that one of the crucial aspects to guarantee good results is the selection of patients for the transcatheter approach. Surgery is not confined by the constraints of defect anatomy, and good results may be achieved without regard to patient selection or an otherwise unfavorable anatomy of the defect. Up to now, the follow-up of transcatheter closure has been relatively short and cannot be compared with that of surgery. Therefore, caution should be exercised when proposing the transcatheter approach to septal defects as the true alternative to conventional surger

    Hypoplastic left heart syndrome in situs inversus totalis

    No full text
    A very rare case of a newborn with hypoplastic left heart syndrome and situs inversus totalis is herein reported. Successful surgical treatment of this cardiac malformation was accomplished at our institution and consisted of: modified Norwood stage I procedure, with direct anastomosis of the transected main pulmonary artery to the aortic arch, without any prosthetic material interposition and right ventricle to pulmonary artery polytetrafluoroethylene shun

    Adjustable aorto-pulmonary shunt to prevent temporary pulmonary over-circulation.

    No full text
    The Blalock-Taussig shunt can produce a temporary pulmonary over-circulation and can be downsized with a metallic clip. This hemodynamic situation can be reversible leading to desaturation. We describe a very simple method to resize temporarily the shunt with a removable metallic cli

    Arterial switch operation for a complex transposition of the great arteries in dextrocardia.

    No full text
    A very rare case of a newborn with dextrocardia, complete transposition of the great arteries {S,D,D}, ventricular septal defect, aortic arch hypoplasia, juxtaposition of the morphologically right atrial appendage and superoinferior ventricles is herein presented. He successfully underwent arterial switch operation, ventricular septal defect closure and aortic arch reconstruction with end to end extended direct anastomosi

    Double orifice tricuspid valve in an infant with tetralogy of Fallot.

    No full text
    Atrioventricular valve duplication, also known as double orifice valve, is an excitingly rare anomaly that can involve either the mitral or more uncommonly the tricuspid valve. Herein we describe a case of a double orifice tricuspid valve that prejudiced the complete repair in a symptomatic infant with tetralogy of Fallot
    corecore