Heartport Endoclamp for Complex Cardiac Repairs with Total Circulatory Arrest

2002 ◽  
Vol 10 (4) ◽  
pp. 376-377 ◽  
Author(s):  
Serban C Stoica ◽  
Stewart R Craig ◽  
Colin J Sinclair ◽  
Ciro Campanella
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Circulatory Arrest ◽  
Ventricular Aneurysm ◽  
Access Technology ◽  
Port Access ◽  
Primary Procedure ◽  
Postinfarction Ventricular Septal Defect ◽  
Total Circulatory Arrest ◽  
Cardiac Operations

A method of performing redo cardiac operations using port-access technology and total circulatory arrest is described. The technique was useful in 2 cases requiring re-intervention within 4 months of the primary procedure. The indications were repair of an infected ventricular aneurysm and recurrence of a postinfarction ventricular septal defect. Dense mediastinal adhesions were avoided by approaching the site of pathology directly via a left anterior thoracotomy.

Postinfarction Ventricular Septal Defect with Posterior Ventricular Aneurysm

CHEST Journal ◽  
1975 ◽  
Vol 68 (6) ◽  
pp. 837-838 ◽  
Author(s):  
Michael S. Chandra ◽  
Richard D. Raines ◽  
Donald B. Doty ◽  
J. Michael Kioschos
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Ventricular Aneurysm ◽  
Postinfarction Ventricular Septal Defect

Right ventricular aneurysm associated with postinfarction ventricular septal defect

1996 ◽  
Vol 61 (2) ◽  
pp. 737-738 ◽  
Author(s):  
Cesar Nahas ◽  
James W. Jones ◽  
Javier Lafuente ◽  
Mahesh Ramchandani ◽  
Arthur C. Beall
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricular ◽  
Septal Defect ◽  
Ventricular Aneurysm ◽  
Postinfarction Ventricular Septal Defect

One-Stage Repair of Cardiac and Arch Anomalies without Circulatory Arrest

2003 ◽  
Vol 11 (3) ◽  
pp. 250-254 ◽  
Author(s):  
Kona Samba Murthy ◽  
Robert Coelho ◽  
Christopher Roy ◽  
Snehal Kulkarni ◽  
Benjamin Ninan ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Aortic Arch ◽  
Septal Defect ◽  
Circulatory Arrest ◽  
Coarctation Of The Aorta ◽  
Innominate Artery ◽  
Double Outlet Right Ventricle ◽  
Interrupted Aortic Arch ◽  
Ischemic Time ◽  
Arch Obstruction

Between 1999 and 2002, 23 patients underwent single-stage complete repair of cardiac anomalies and aortic arch obstruction, without circulatory arrest. Median age was 1.2 years. Intracardiac defects included ventricular septal defect in 9, double-outlet right ventricle in 6, d-transposition of the great arteries and ventricular septal defect in 2, subaortic obstruction in 3, and atrial septal defect in 3. Fourteen patients had coarctation of the aorta, 6 had coarctation with hypoplastic aortic arch, and 3 had interrupted aortic arch. Simple techniques were employed such as cannulation of the ascending aorta near the innominate artery and maintaining cerebral and myocardial perfusion. After correction of arch obstruction, intracardiac repair was undertaken. The mean cardiopulmonary bypass time was 169 min, aortic crossclamp time was 51 min, and arch repair took 16 min. There was no operative mortality or neurological deficit. In follow-up of 1–43 months, no patient had residual coarctation. This simplified technique avoids additional procedures, reduces ischemic time, and prevents problems related to circulatory arrest.

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