A Novel Surgical Approach to Mechanical Circulatory Support in Univentricular Infants Avihu Z. Gazit, MD, Orlando Petrucci, MD, PhD, Peter Manning, MD,

Slides:

Advertisements

Similar presentations

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura, MD,

Advertisements

A Novel Innominate Vein-to-Common Atrium Fenestration at Fontan Completion Thomas S. Mir, MD, PhD, Florian Arndt, MD, Patrick von Samson, MD, Lisa Philipp,

Mauer Biscotti, MD, Matthew Bacchetta, MD

Improved Hemodynamics and Outcome After Modified Norwood Operation on the Beating Heart Joachim Photiadis, MD, Boulos Asfour, MD, PhD, Nicodème Sinzobahamvya,

True Lumen Perfusion Technique for Extensive Aortic Dissections Involving the Neck and Femoral Vessels V Rao Parachuri, FRCS CTh, Ajay Subramanian, DNB.

Manuel Caceres, MD, Darryl S. Weiman, MD, JD

Noninvasive Screening for Pulmonary Hypertension by Exercise Testing in Congenital Heart Disease Jan Müller, PhD, Pinar Bambul Heck, MD, Peter Ewert,

John C. Dykes, MD, Olaf Reinhartz, MD, Christopher S

The First Cardiac Operation Using Cardiopulmonary Bypass

Moderately Hypothermic Cardiopulmonary Bypass and Low-Flow Antegrade Selective Cerebral Perfusion for Neonatal Aortic Arch Surgery Guido Oppido, MD,

Transatrial Cannulation of the Left Ventricle for Acute Type A Aortic Dissection: A 5-Year Experience Azizolah Rahimi-Barfeh, MD, Christina Grothusen,

Quality of Life in Patients Undergoing Totally Thoracoscopic Closure for Atrial Septal Defect Zeng-Shan Ma, MD, PhD, Qiu-Yang Yin, RN, Ming-Feng Dong,

50th Anniversary Landmark Commentary on Bove EL, Behrendt DM

Successful Bridge Through Transplantation With Berlin Heart Ventricular Assist Device in a Child With Failing Fontan David M. Hoganson, MD, Umar S. Boston,

Total Arch Replacement Under Normothermic Beating Heart Surgery

Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery: Development of a Predictive Risk Algorithm Mitchell J. Magee, MD, Morley A. Herbert,

Burdens Without Blessings: Peer Reviewers Get No Respect

Antonio M. Calafiore, MD The Annals of Thoracic Surgery

Denton A. Cooley, August 22, 1920, to November 18, 2016

A Novel Technique of Aortic Root Reconstruction for Extensive Endocarditis: The Pericardial Skirt Technique Kiyoshi Doi, MD, PhD, Suguru Ohira, MD, Masahiro.

An Easy Modification of Tube Graft Interposition During Fenestration in Borderline Fontan Circulation C. Tayyar Sarioglu, MD, Emrah Sisli, MD, Yusuf.

New Technique of Aortic Root Reconstruction With Aortic Valve Annuloplasty in Ascending Aortic Aneurysm Akhtar Rama, MD, Sylvain Rubin, MD, Nicolas Bonnet,

Fetal Right Ventricular Myocardial Function Is Better Preserved by Fibrillatory Arrest During Fetal Cardiac Bypass Orlando Petrucci, MD, PhD, R. Scott.

Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future William F. Turner, MD, John H. Sloan,

Surgical Resection of a Giant Coronary Aneurysm

Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD

Early Constrictive Epicarditis After Coronary Artery Bypass Surgery

Origins of the Cardiothoracic Surgery Network (CTSNet)

James D. St. Louis, MD The Annals of Thoracic Surgery

Maternal-Fetal Interactions in Fetal Cardiac Surgery

Who Do You Say You Are? The Annals of Thoracic Surgery

Direct True Lumen Cannulation (“Samurai” Cannulation) for Acute Stanford Type A Aortic Dissection Tadashi Kitamura, MD, PhD, Masaki Nie, MD, PhD, Tetsuya.

Use of Amiodarone After Major Lung Resection

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Christopher P. Lawrance, MD, Matthew C. Henn, MD, Jacob R

Hybrid Management of a Giant Left Main Coronary Artery Aneurysm

Percutaneous Transcatheter Closure of the Aortic Valve

Luke A. Ziegler, BA, Sandeep Sainathan, MD, Victor O

Go Watanabe, MD, PhD, Norihiko Ishikawa, MD, PhD

Aorto-Left Ventricular Tunnel: An Alternative Surgical Approach

Redo Aortic Valve Replacement in Children

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Unusual Cause of Femorofemoral Cardiopulmonary Bypass Failure

Editorial Board, January 2010

Bradford B. Smith, MD, Matthew A

Simple, Safe and Easy Technique to Ensure the Correct Length of Artificial Chordae in Mitral Valve Repair Khalil Fattouch, MD, PhD, Giuseppe Bianco,

Athanasios Tsiouris, MD, Sherif Elkinany, MD, Bulat A

Balloon Valvuloplasty Through the Right Ventricle: Another Treatment of Pulmonary Atresia With Intact Ventricular Septum Qian-zhen Li, MD, Hua Cao, MD,

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Surgical Treatment of Aortic Prosthetic Valve Endocarditis: A 20-Year Single-Center Experience Sossio Perrotta, MD, Anders Jeppsson, MD, PhD, Victoria.

Use of Saphenous Vein Graft in Axillary Artery Cannulation

An Unusual Cause of Hemoptysis in a Young Woman

Minimally Invasive Surgical Aortic Valve Replacement Through a Right Anterior Thoracotomy: How I Teach It Mahesh K. Ramchandani, MD, Moritz C. Wyler.

Brian M. Cardis, MD, Derek A. Fyfe, MD, PhD, William T. Mahle, MD

Invited Commentary The Annals of Thoracic Surgery

Robert Lee Replogle, September 30, 1931–May 9, 2016

The American Board of Thoracic Surgery: Update

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Transapical Arterial Cannulation for Salvage Cardiopulmonary Bypass in Transcatheter Aortic Valve Replacement Derek R. Brinster, MD, Jay A. Patel, Harry.

Y. Joseph Woo, MD, Michael A. Acker, MD The Annals of Thoracic Surgery

Successful use of argatroban as a heparin substitute during cardiopulmonary bypass: heparin-induced thrombocytopenia in a high-risk cardiac surgical patient

Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure Victor O. Morell, MD, Peter A.

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Late Consequences of a Much Earlier Decision

An Assay to Monitor Bivalirudin Levels on Cardiopulmonary Bypass

The Impact of New Technology on Cardiothoracic Surgical Practice

Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support Peter B. Manning, MD, Michael J. Rutter, MD,

Long-Term Results of Apical Aortic Conduits in Children With Complex Left Ventricular Outflow Tract Obstruction John W. Brown, MD, Mark Ruzmetov, MD,

Cardiac Autotransplantation and Radical Bi-Atrial Resection for Recurrent Atrial Myxoma James S. Gammie, MD, A. Reza Abrishamchian, MD, Bartley P. Griffith,

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

Presentation transcript:

A Novel Surgical Approach to Mechanical Circulatory Support in Univentricular Infants Avihu Z. Gazit, MD, Orlando Petrucci, MD, PhD, Peter Manning, MD, Mark Shepard, RN, CCP, Sirine Baltagi, MD, Kathleen Simpson, MD, Chesney Castleberry, MD, Charles Canter, MD, Pirooz Eghtesady, MD, PhD The Annals of Thoracic Surgery Volume 104, Issue 5, Pages 1630-1636 (November 2017) DOI: 10.1016/j.athoracsur.2017.04.023 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Aortic cannulation using apical Berlin Heart cannula and a 8 mm Gore-Tex tube. Note the shorter side of the beveled cannula is oriented superiorly to prevent potential kinking. The Annals of Thoracic Surgery 2017 104, 1630-1636DOI: (10.1016/j.athoracsur.2017.04.023) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Atrial Berlin Heart cannula has a “basket,” which is placed deeply into the atrium and may predispose to clot formation. (B) Arterial Berlin Heart cannula used in the atrium, as we propose, does not offer a surface for potential clot formation. The Annals of Thoracic Surgery 2017 104, 1630-1636DOI: (10.1016/j.athoracsur.2017.04.023) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Common atrium cannulation using an arterial Berlin Heart cannula and a purse string suture to flatten out the edges of the atrial tissue, preventing potential encroachment into the lumen of the cannula. Additional pledgeted interrupted sutures are then applied to secure cannula in place. The Annals of Thoracic Surgery 2017 104, 1630-1636DOI: (10.1016/j.athoracsur.2017.04.023) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Final aspect of proposed cannulation with no incisions into systemic ventricle and permitting cannulation without use of cardiopulmonary bypass. The Annals of Thoracic Surgery 2017 104, 1630-1636DOI: (10.1016/j.athoracsur.2017.04.023) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions