Congenital Heart Surgery Nomenclature and Database Project: pulmonary atresia—ventricular septal defect

2000 ◽  
Vol 69 (3) ◽  
pp. 97-105 ◽  
Author(s):  
Christo I Tchervenkov ◽  
Nathalie Roy
Keyword(s):  
Ventricular Septal Defect ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Pulmonary Atresia ◽  
Congenital Heart Surgery

Congenital Heart Surgery Nomenclature and Database Project: ventricular septal defect

2000 ◽  
Vol 69 (3) ◽  
pp. 25-35 ◽  
Author(s):  
Jeffrey P Jacobs ◽  
Redmond P Burke ◽  
James A Quintessenza ◽  
Constantine Mavroudis
Keyword(s):  
Ventricular Septal Defect ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Congenital Heart Surgery

Congenital Heart Surgery Nomenclature and Database Project: atrial septal defect

2000 ◽  
Vol 69 (3) ◽  
pp. 18-24 ◽  
Author(s):  
Jeffrey P Jacobs ◽  
James A Quintessenza ◽  
Redmond P Burke ◽  
Constantine Mavroudis
Keyword(s):  
Atrial Septal Defect ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Congenital Heart Surgery

scholarly journals Stenting of modified Blalock–Taussig shunt in adult with palliated pulmonary atresia and ventricular septal defect: a case report

2019 ◽  
Vol 3 (4) ◽  
pp. 1-4
Author(s):  
Julia Illner ◽  
Holger Reinecke ◽  
Helmut Baumgartner ◽  
Gerrit Kaleschke
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Congenital Heart ◽  
Septal Defect ◽  
Pulmonary Atresia ◽  
Complex Congenital Heart Disease ◽  
Bare Metal

Abstract Background Adults with complex congenital heart disease palliated with systemic-to-pulmonary artery shunts have become rare and represent a particularly challenging patient group for the cardiologist. One of the complications and causes of severe clinical deterioration during long-term follow-up are progressive obstruction or total occlusion of the shunt. The risk for surgical intervention is frequently high and catheter intervention may be complicated by complex anatomy and shunt calcification. Case summary We report the case of a 47-year-old man with uncorrected (palliated) pulmonary atresia and ventricular septal defect who presented with progressive cyanosis (oxygen saturation 69%) and decreasing exercise capacity. Computed tomography revealed a totally occluded modified left Blalock–Taussig (BT) shunt and a severely stenosed central shunt (Waterston–Cooley) in a patient with confluent but hypoplastic pulmonary arteries and multiple major aortic pulmonary collaterals. Due to a high operative risk, an interventional, percutaneous approach was preferred to re-do surgery. From a radial access the calcified BT shunt could be crossed with a hydrophilic guidewire. Then, a rotational thrombectomy, balloon dilatation, and bare-metal stenting at the proximal and distal anastomoses were performed. Post-interventionally, peripheral oxygen saturation increased from 69% to 82%. Clopidogrel was administered for 1 month after bare-metal stenting. At 1-year follow-up, the BT shunt was still patent on echocardiography and exercise tolerance markedly improved. Discussion This case highlights the benefit of percutaneous rotational thrombectomy followed by stenting of chronically occluded systemic-to-pulmonary artery shunts for further palliation in adult patients with complex congenital heart disease not suitable for surgical repair.

scholarly journals Pediatric Cardiac Surgical Patterns of Practice and Outcomes in Japan and Europe

2021 ◽  
Vol 12 (3) ◽  
pp. 312-319
Author(s):  
Jürgen Hörer ◽  
Yasutaka Hirata ◽  
Hisateru Tachimori ◽  
Masamichi Ono ◽  
Vladimiro Vida ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Hospital Discharge ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Congenital Heart Surgery ◽  
Atrioventricular Septal Defect ◽  
Postoperative Length ◽  
Surgery Mortality ◽  
Patterns Of Practice

Objectives: The Japan Cardiovascular Surgery Database–Congenital section (JCVSD-Congenital) and the European Congenital Heart Surgeons Association (ECHSA) Congenital Heart Surgery Database (CHSD) share the same nomenclature. We aimed at comparing congenital cardiac surgical patterns of practice and outcomes in Japan and Europe using the JCVSD-Congenital and ECHSA-CHSD. Methods and Results: We examined Japanese (120 units, 63,365 operations) and European (96 units, 90,098 operations) data in JCVSD-Congenital and ECHSA-CHSD from 2011 to 2017. Patients’ age and weight, periprocedural times, mortality at hospital discharge, and postoperative length of stay were calculated for ten benchmark operations. There was a significantly higher proportion of ventricular septal defect closures and Glenn operations and a significantly lower proportion of coarctation repairs, tetralogy of Fallot repairs, atrioventricular septal defect repairs, arterial switch operations, truncus repairs, Norwood operations, and Fontan operations in JCVSD-Congenital compared to ECHSA-CHSD. Postoperative length of stay was significantly longer following all benchmark operations in JCVSD-Congenital compared to ECHSA-CHSD. Mean STAT mortality score (Society of Thoracic Surgeons European Association for Cardio-Thoracic Surgery mortality score) was significantly higher in JCVSD-Congenital (0.78) compared to ECHSA-CHSD (0.71). Mortality at hospital discharge was significantly lower in JCVSD-Congenital (4.2%) compared to ECHSA-CHSD (6.0%, P < .001). Conclusions: The distribution of the benchmark procedures and age at the time of surgery differ between Japan and Europe. Postoperative length of stay is longer, and the mean complexity is higher in Japan compared to European data. These comparisons of patterns of practice and outcomes demonstrate opportunities for continuing bidirectional transcontinental collaboration and quality improvement.

scholarly journals Congenital Heart Surgery: Analysis of 102 Cases

2016 ◽  
Vol 30 (2) ◽  
pp. 58-60
Author(s):  
AKM Manzurul Alam ◽  
Istiaq Ahmed ◽  
Manzil Ahmed ◽  
Al Mamun Hossain
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Heart Diseases ◽  
Ductus Arteriosus ◽  
Signs And Symptoms ◽  
Congenital Heart Surgery ◽  
Corrective Surgery ◽  
Life Threatening

Congenital heart diseases (CHDs) are a group of problems in the structure of the heart that is present at birth. Signs and symptoms depend on the specific type of problem. Symptoms can vary from none to life-threatening. CHD is prevalent throughout the world including Bangladesh. It is the leading cause of birth defect-related death. Most of the patients with CHDs need corrective surgery and life-long follow up with heart care. In this series, 102 cases of CHD patients were operated, 82 of them were of atrial septal defect (ASD), 12 ventricular septal defect (VSD), 2 Tetralogy of Fallot (TOF) and 6 patent ductus arteriosus (PDA). Operative and post-operative periods were uneventful. There were no major complications including death.Bangladesh Heart Journal 2015; 30(2) : 58-60

Cyanosis due to diastolic right-to-left shunting across a ventricular septal defect in a patient with repaired tetralogy of Fallot and pulmonary atresia

1999 ◽  
Vol 9 (5) ◽  
pp. 506-508
Author(s):  
J. D. R. Thomson ◽  
J. Forster ◽  
J. L. Gibbs
Keyword(s):  
Ventricular Septal Defect ◽  
Congenital Heart ◽  
Septal Defect ◽  
Pulmonary Atresia ◽  
Systolic Pressure ◽  
Left Ventricular Pressure ◽  
Left Ventricular ◽  
Right Ventricular Systolic Pressure ◽  
Ventricular Systolic Pressure ◽  
The Right

AbstractCyanosis as a result of right-to-left shunting across a ventricular septal defect is commonly encountered in patients with congenital heart disease when systolic pressure in the right ventricle exceeds that in the left ventricle. Reported is the case of a child who remained cyanosed after surgical correction of pulmonary atresia despite right ventricular systolic pressure being lower than left ventricular pressure. Colour-flow Doppler showed a residual ventricular septal defect, with right-to-left shunting in diastole alone.

Peritoneal dialysis during congenital heart surgery admissions: insights from a large database

2020 ◽  
Vol 30 (4) ◽  
pp. 451-455
Author(s):  
Rohit S. Loomba ◽  
Enrique G. Villarreal ◽  
Ronald A. Bronicki ◽  
Saul Flores
Keyword(s):  
Peritoneal Dialysis ◽  
Length Of Stay ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Congenital Heart Surgery ◽  
Fluid Restriction ◽  
Specific Patient ◽  
Left Heart Syndrome ◽  
Univariate Analyses

AbstractBackground:The management of fluid overload after congenital heart surgery has been limited to diuretics, fluid restriction, and dialysis. This study was conducted to determine the association between peritoneal dialysis and important clinical outcomes in children undergoing congenital heart surgery.Methods:A retrospective review was conducted to identify patients under 18 years of age who underwent congenital heart surgery. The data were obtained over a 16-year period (1997–2012) from the Kids’ Inpatient Database. Data analysed consisted of demographics, diagnoses, type of congenital heart surgery, length of stay, cost of hospitalisation, and mortality. Logistic regression was performed to determine factors associated with peritoneal dialysis.Results:A total of 46,176 admissions after congenital heart surgery were included in the study. Of those, 181 (0.4%) utilised peritoneal dialysis. The mean age of the peritoneal dialysis group was 7.6 months compared to 39.6 months in those without peritoneal dialysis. The most common CHDs were atrial septal defect (37%), ventricular septal defect (32.6%), and hypoplastic left heart syndrome (18.8%). Univariate analyses demonstrated significantly greater length of stay, cost of admission, and mortality in those with peritoneal dialysis. Regression analyses demonstrated that peritoneal dialysis was independently associated with significant decrease in cost of admission (−$57,500) and significant increase in mortality (odds ratio 1.5).Conclusions:Peritoneal dialysis appears to be used in specific patient subsets and is independently associated with decreased cost of stay, although it is associated with increased mortality. Further studies are needed to describe risks and benefit of peritoneal dialysis in this population.

Unusual Ventriculo-Arterial Alignments and Connections

2020 ◽  
Vol 11 (3) ◽  
pp. 355-357
Author(s):  
Stephen P. Sanders ◽  
Shuhei Toba
Keyword(s):  
Management Strategy ◽  
Rare Case ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
World Journal ◽  
Congenital Heart Surgery ◽  
Subaortic Stenosis ◽  
Biventricular Repair ◽  
Anatomically Corrected Malposition

In this issue of World Journal for Pediatric and Congenital Heart Surgery, Kari and colleagues present a case of anatomically corrected malposition {S, L, L} with ventricular septal defect and complex subaortic stenosis managed by staged biventricular repair. This rare case with interesting management strategy provides an opportunity to clarify this and related unusual ventriculo-arterial alignments.

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