1,721,012 research outputs found
Biventricular repair of right-dominant complete atrioventricular canal defect
No full textPediatr Cardiol. 2006 Nov-Dec;27(6):737-40. Epub 2006 Oct 27.
Biventricular repair of right-dominant complete atrioventricular canal defect.
Vida VL, Sanders SP, Milanesi O, Stellin G.
Source
Department of Cardiovascular Surgery, Paediatric Cardiac Surgery Unit, University of Padova Medical School, Via Giustiniani, 2, 35128, Padova, Italy. [email protected]
Abstract
Complete atrioventricular (AV) canal defects usually have right and left valve components of approximately equal size, although unbalanced forms do occur. Optimal management of unbalanced AV canal defects is controversial, with no proven guidelines for choosing between biventricular repair and univentricular palliation. We describe successful biventricular repair of a right-dominant unbalanced AV canal with severe left AV valve stenosis. This case illustrates that severely unbalanced AV canal defects can be repaired successfully by tailoring the AV valve to distribute it equally between the ventricles, The increase in left ventricular volume after surgery exceeded prediction based on conformational change alone.
PMID:
17072673
[PubMed - indexed for MEDLINE
Tetralogy of Fallot, intrapericardial hematic cysts, and left ventricular diverticulum: a rare association
No full textSurgical re-utilization of a pulmonary valve graft after failed percutaneous treatment.
No full textJ Heart Valve Dis. 2010 Mar;19(2):260-2.
Surgical re-utilization of a pulmonary valve graft after failed percutaneous treatment.
Vida VL, Speggiorin S, Maschietto N, Padalino MA, Milanesi O, Carminati M, Stellin G.
Source
Department of Pediatric and Congenital Cardiac Surgery, University of Padua, Padua, Italy. [email protected]
Abstract
The case is reported of a 22-year-old woman with severe right ventricular outflow tract (RVOT) homograft regurgitation and stenosis, after the repair of tetralogy of Fallot and complete atrioventricular canal, who was scheduled for percutaneous pulmonary valve implantation. In the catheterization laboratory, immediately after implantation, the stented pulmonary valve became dislodged back into the right ventricle. The patient required an emergency re-sternotomy in the operating room. When the RVOT had been incised the stented valve was rescued and successfully repositioned under direct surgical vision. The patient had an uneventful clinical outcome and was discharged home in good clinical condition, with a new, well-functioning pulmonary valve.
PMID:
20369515
[PubMed - indexed for MEDLINE
The Scimitar Syndrome: An European Multicentric Study
No full textBackground: Scimitar syndrome is a rare congenital heart disease. In order to evaluate the surgical results of managing this malformation, we have embarked on a multi-centric European study involving 19 different Centres and reporting the widest so far published series in the medical literature.
Methods: From January 1997 to December 2007, 68 patients with scimitar syndrome who underwent surgical correction, were included. Primary outcomes include hospital mortality and the efficacy of repair at the follow-up.
Results: Median age was 1.32 years (IQR 0.28 –7.87). Forty-two patients (62%) presented with symptoms including upper respiratory tract infections (n=25), cardiac failure (n=24), recurrent pneumonia (n=9), and cyanosis (n=4). Surgical repair included: intra-atrial baffle technique in 38 patients (56%)(group 1), re-implantation of the "scimitar vein" onto left atrium in 21 patients (31%)(group 2). Nine patients (13%) underwent a right pneumectomy together with atrial septal defect closure (group 3). Four patients died in hospital (5.9%)(1 in group 1, 2.6% and 3 in group 3, 33%)(p=0.008). Postoperative complications were more frequently reported in group 3 (7/9, 78%)(p=0.02, group 3 vs. all) if compared to group 2 (14/21, 67%) and group 1 (14/38, 37%)(p=0.02, group 2 vs. group
and related to the presence of preoperative congestive heart failure (OR=13). Median follow-up time was 4.5 year (IQR 1.6 – 8.3). Nine of 58 patients who survived the corrective procedure (15.5%) showed a stenosis of the scimitar drainage (6/37 in group 1, 16% and 3/21, 14.3% in group
Four patients (7%) required a reoperation, all in group 1; three patients (5.3%) required balloon dilation/stenting for scimitar vein stenosis (2 in group 1, 6% and 1 in group 2, 4.8%).
There were 2 late deaths (3.1%) due to severe pulmonary arterial hypertension (1 in group 1, 2.7% and 1 in group 2, 4.7%).
Conclusions: Surgical repair of scimitar syndrome is safe and effective, however, a relatively high incidence of stenosis of the scimitar venous drainage is present at follow-up. The intra-atrial baffle technique carries a lower incidence of postoperative complications, but it seems to relates to a higher incidence of reoperations for scimitar vein stenosis
Iatrogenic Aortopulmonary Fistula Occurring After Pulmonary Artery Balloon Angioplasty: A Word of Caution.
No full textAbstract
We describe the natural history of an adolescent patient who developed an aortopulmonary fistula (APF) after transcatheter stent placement for left pulmonary artery stenosis after neonatal repair of d-transposition of the great arteries. Due to its rarity, the APF was not initially diagnosed and treated until 4 months later. The APF was occluded with a covered stent. Because this is not an isolated report in the literature, we believe it should be considered as a potential complication in all patients after balloon dilation of stenotic pulmonary artery branches after arterial switch surgery
Spekle tracking in ALCAPA patients after surgical repair and normal ejection fractionas predictor of residual coronary disease
No full textPulmonary valve-sparing technique in patient with tetralogy of Fallot and anomalous coronary artery crossing the infundibulum.
No full textSurgery for Residual Inferior Left-to-Right Atrial Shunt
Full text linkWe report the case of three female patients who were scheduled for surgical correction of residual left-to-right shunt after initial repair of sinus venosus atrial septal defect (SV-ASD) during childhood. After excluding the possibility of an hemodynamic intervention, all three patients underwent a successful surgical closure through a right mini sub-axillary approach by using total peripheral cannulation for cardiopulmonary bypass and leaving the inferior vena cava completely un-snared allowing for an optimal visualization of the residual atrial septal communication and avoiding extensive dissection of mediastinal structures
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