Ppt on atrial septal defect surgery

“Dominant-Negative ALK2 Allele Associates with Congenital Heart Defects” [Smith et. al, 2009] Presented by Arron Sikka & Anita Isama.

surgery Introduction I Primitive heart tube Inner layer of endothelial cells Endocardium Outer layer of myocardial cells After formation of the heart tube, endothelial cells migrate to the cardiac jelly, undergo endothelium-mesenchyme transition and give rise to endocardial cushions (ECs) “ECs contribute to the valves and septa of the heart and disruptions in their formation result in valvular and septal defects/have a structural cardiac defect. Son has premium-type atrial septal defect, whereas father has /


Vanessa Beretta & Dan Fleming. About CHD A congenital heart defect also known as CHD is a defect in the structure of the heart and great vessels. Most.

. Cyanotic Tetralogy of Fallet Transpostion of the great Vessels Tricuspid Atresia Truncus Arteriosus Non-Cyanotic Ventricular Septal Defect Atrial Septal Defect Patent Ductus Arteriosus Aortic Stenosis Full list of CHD’s found here: http://www.congenitalheartdefects.com/typesofCHD/ the heartbeat and removes some fluid from tissues. Other defects require surgical procedures to restore as much circulation as possible. In some cases, multiple surgeries are needed to be performed to help balance the circulation/


Congenital Cardiac Defects

life often can close the ductus. If that doesnt work, surgery is needed. Septal defect: A hole in the septum that divides the right and left sides of the heart. A hole in the septum between the atria is called an atrial septal defect (ASD). A hole between the ventricles is called a ventricular septal defect (VSD). These defects can cause the blood to circulate improperly, so the heart/


Ebstein’s Malformation

National University Hospital Department of Thoracic & Cardiovascular Surgery Ebstein’s Malformation 1. Definition Congenital defect of tricuspid valve in which the origins of the septal or posterior leaflet or both, are displaced /low amplitude R-wave, WPW (5%) 5. Echocardiography 6. Cardiac catheterization & cineangiography Radiographic Findings Cardiomegaly, Atrialized RV, TR Pathologic Features Three primary pathologic features predominate in patients with Ebstein anomaly RV abnormalities Tricuspid valve /


Birth Defects Shun Zhu, Department of Cellular and Genetic Medicine.

CHD  Atrial Septal Defect  Atrioventricular Septal Defect  Coarctation of the Aorta  Hypoplastic Left Heart Syndrome  Pulmonary Atresia  Tetralogy of Fallot  Total Anomalous Pulmonary Venous Return  Transposition of the Great Arteries  Tricuspid Atresia  Truncus Arteriosus  Ventricular Septal Defect http://www.cdc.gov/ncbddd/heartdefects/facts.html Coarctation of the Aorta  Part of the aorta is narrower than usual  A critical congenital heart defect, the baby may need surgery or other/


Double Inlet Ventricle Seoul National University Hospital Department of Thoracic & Cardiovascular Surgery.

Seoul National University Hospital Department of Thoracic & Cardiovascular Surgery Double Inlet Ventricle 1.Definition A congenital cardiac malformation /bodily structures tend to be symmetric. Morphology of Atrial Isomerism Bilateral right or left atria Conduction system Anomalies of systemic venous connection Anomalies of pulmonary venous connection Atrioventricular connection Atrioventricular septal & other atrial septal defect Ventricular morphology and VSD Pulmonary outflow tract Ventriculoarterial /


Anterior papillary muscle septalization associated with annuloplasty as a new approach to treat functional tricuspid regurgitation Jean-Paul Couetil, MD.

Echocardiographic Measurements - 2-D TTE standard manner before and after surgery (Vivid7 GE) RVED, RVES,RV fractional area change -/Surgery – Anterior Papillary Muscle Septalisation (APM-S) associated with tricuspid ring implantation (Physio-ring size 26 to 34 mm) – Associated procedures: Mitral valve repairn=2450% Mitral valve replacementn=817% Aortic valve replacementn=613% Yacoub interventionn=12% Coronary artery bypass graftingn=48% Surgical ablation of atrial fibrillationn=48% Ventricular septal defect/


CARDIOTHORACIC SURGERY and common Documentation tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries.

Atrial Fibrillation [ ] Persistent Atrial Fibrillation [ ] Chronic Atrial Fibrillation (includes permanent Atrial Fibrillation) [ ] Unspecified Atrial/defect [ ] Surgical acquired coagulation defect (Bleeding related to a coagulopathy after surgery, not correctable by surgery) [ ] Unspecified coagulation defect [ ] Congenital coagulation defect [ ] Acquired coagulation defect/Lateral [ ] Inferior [ ] Posterior [ ] Q Wave [ ] Septal [ ] Unspecified[ ] Other _____________________ SPECIFIC ARTERY (Based on site)/


Ventricular Septal Defect Seoul National University Hospital Department of Thoracic & Cardiovascular Surgery.

National University Hospital Department of Thoracic & Cardiovascular Surgery Primary Ventricular Septal Defect 1. Definition A hole or multiple holes in the interventricular septum. A VSD may/cross circulation in 1954 DuShane et al in Mayo Clinic : Intracardiac repair with pump oxygenator in 1955~1956 Lillehei : Atrial approach to VSD in 1957 Ventricular Septal Defect 1. Embryology VSD occurs at 1 st. 8 weeks of fetal life through interaction between interventricular muscular partition, endocardial cushions/


Congenital Heart Defects Fred Hill, MA, RRT. Categories of Heart Defects Left-to-right shunt Cyanotic heart defects Obstructive heart defects.

, RRT Categories of Heart Defects Left-to-right shunt Cyanotic heart defects Obstructive heart defects L  R: Atrial Septal Defect Small defect usually no problem Large defects  blood flow to lungs –  c. o. 2 - 4 X   workload for the heart Presentation:  h. r. & contractility, diaphoresis, huff & puff, poor suck Shortened life span if uncorrected ASD closed ~ 5 years of age L  R: Ventricular Septal Defect Large defect   R V pressures May/


CVS Examination Dr.Amr Khayat, MBBS

CVS Examination Dr.Amr Khayat, MBBS Member of Saudi General Surgery Society Member of Saudi Society for Vascular Surgery Member of Saudi Association for Plastic Surgery CVS Examination General The praecordium General appearance The hands The face/ at the 2nd left intercostal space). What is the diagnosis? A-Pulmonic regurgitation B-Mitral regurgitation C-Tricuspid regurgitation D-Atrial septal defect 1. A 45 year old man comes into your office complaining of heart palpitations. You listen at his heart apex /


CONGENITAL DEFECTS. CHIHUAHUAS, MALTESE, POODLE, POMERANIAN, SHELTIE PUPPIES COMMONLY AFFECTED.

the blood will shunt from left to right resulting in overload of the right side of the heart. Atrial Septal Defect  CLINICAL SIGNS: ATRIAL SEPTAL DEFECTS  Result in overload of the right side of the heart → dilation and hypertrophy of the right-/SEPTAL DEFECTS:  Animals with small defects may have minimal or no signs  Larger defects may result in acute left-sided heart failure, usually by 8 weeks of age  A harsh holosystolic murmur  CLIENT INFO:  Repair of these defects requires open-heart surgery/


VENTRICULAR SEPTAL DEFECT by Dr.Amarnath BR BMC. CONGENITAL HEART DISEASE (con-together,genitus-born) The majority of congenital anomalies of the heart.

abnormal BP VENTRICULAR SEPTAL DEFECT most common ACHD 2 nd most common CHD(32%) SYNONYMS * Roger’s disease * Interventricular septal defect * congenital /normal tracing -mod.VSD ~ broad,notched P wave characteristic of Lt. Atrial overload as well as LV overload,namely,deep Q waves & tall R/ block  Delayed growth & development (FTT) in infancy  Damage to electrical conduction system during surgery(causing arrythmias)  Pulmonary hypertension INTERVENTION  3 MAJOR TYPES  SMALL (less than 3mm diameter/


بسم الله الرحمن الرحيم.

Negligible-risk category - Physiologic, or functional heart murmurs - Surgical repair without residua beyond 6 months : ASD, PDA,VSD - Cardiac pacemaker or - implanted defibrillator - Isolated secundum atrial septal defect - Mitral valve prolapse without reg. - Previous coronary artery bypass surgery - Previous rheumatic heart disease without valvular dysfunction High-risk category - Complex cyanotic congenital heart disease : Transposition of the great vessels Tetralogy of Fallot - Surgically created/


Congenital LVOT Obstruction

high-risk patient with aortic stenosis Aortic Stenosis Aortic valve bypass surgery Ideal candidates for this type of approach could include patients with/ outflow tract is augmented by a patch which closes created ventricular septal defect Subaortic Stenosis Ross-Konno procedure Ventriculoseptoplasty Widened Interventricular Septum (Ventriculoseptoplasty) /(Lt & non) B; incision in the roof of left atrium and atrial septum exposes mitral annulus C; triangular prosthetic patch enlarges mitral annulus (MVR)/


Congenital Heart Diseases: Atrial Septal Defect. Patient History This is a case of G.L., a 21 year old female, complaining of easy fatigability and occasional.

Atrial Septal Defect/ most children with small defects remain asymptoma-tic In /defects there are various degrees of right axis deviation associated with right ventricular Enlargement Ostium secundum defects – incomplete right bundle block & right axis deviation Ostium primum defects/the site of defect (saline injection) / patients with left atrial hypertension and left ventricular/ ventricular and right atrial dilatation are possible./: atrial arrhythmias, left atrial hypertension Transcather closure –Air embolism (/


Copyright © 2013, Canadian Cardiovascular Society 09/09/2015 1 2012 CCS Atrial Fibrillation Guidelines Update Skanes AC, Healey JS et al., Can J Cardiol.

2015 16 2012 CCS Atrial Fibrillation Guidelines Update Echocardiogram Assess ventricular size / LV wall thickness / function Evaluate left atrial size (if possible, left atrial volume) Exclude significant valvular or congenital heart disease (particularly atrial septal defects) Estimate ventricular filling/ Evidence We suggest that patients who have not been receiving a beta-blocker before cardiac surgery have beta-blocker therapy initiated just before or immediately after the operative procedure in the /


Double Switch Operation for Failing Systemic Ventricle

Systemic Ventricle Yong Jin Kim, M.D. Department of Thoracic & Cardiovascular Surgery Seoul National University Hospital 2001.7 Introduction Conventional managements of AV discordant heart ( Atrial switch operation in TGA) place morphologic right ventricle & tricuspid valve in/Operative Indications of CC-TGA The presence of corrected TGA is not an indication for a reparative operation 1. Ventricular septal defect · same as normal heart 2. VSD & Important PS · same as TOF 3. Left-sided tricuspid incompetence /


Cardiovascular surgery, Congenital heart disease Dr. Robin Man Karmacharya, Lecturer, Department of Surgery, Dhulikhel Hospital.

heart disease Dr. Robin Man Karmacharya, Lecturer, Department of Surgery, Dhulikhel Hospital Introduction Cardiac anomalies since birth 1% child at/ and division, or pericardial patching Atrial septal defect Defect in atrial septum Types: – Ostium secondum (Patent foramen ovale) – Ostium primum (Atrioventricular canal defect) – Superior venacaval – Inferior venacaval – Coronary sinus defect Operation: Pericardial patch or Dacron patch Ventricular Septal defect Defect in interventricular septum Left to right/


WATCHMAN™ Left Atrial Appendage Closure Device

Transfemoral Access: Catheter advanced to the LAA via the femoral vein (Does not require open heart surgery) General anesthesia* 1 hour procedure* 1-2 day hospital stay* * Typical to patient treatment in/media/medications or device materials, Altered mental status, Anemia requiring transfusion, Anesthesia risks, Angina, Anoxic encephalopathy, Arrhythmias, Atrial septal defect , AV fistula , Bruising, hematoma or seroma, Cardiac perforation , Chest pain/discomfort, Confusion post procedure, Congestive/


SH-230609-AD JUN2015 WATCHMAN™ Left Atrial Appendage Closure Device www.watchmandevice.com.

Access: Catheter advanced to the LAA via the femoral vein (Does not require open heart surgery) WATCHMAN™ Left Atrial Appendage Closure (LAAC) Device Procedure General anesthesia* 1 hour procedure* 1-2 day hospital / or device materials, Altered mental status, Anemia requiring transfusion, Anesthesia risks, Angina, Anoxic encephalopathy, Arrhythmias, Atrial septal defect, AV fistula, Bruising, hematoma or seroma, Cardiac perforation, Chest pain/discomfort, Confusion post procedure, Congestive heart/


HEART DISORDERS Blood Vessels –Arteriosclerosis –Atherosclerosis Arrythmias Structural Defects –Valve damage –Congenital Infections Congestive Heart Failure.

Arrythmias Structural Defects –Valve damage –Congenital Infections Congestive Heart Failure ARRYTHMIAS Ectopic Beats and Reentry Sinus Node Abnormalities Conduction Abnormalities Atrial Ventricular AV/ Fibrous thickening & distortion Commissural Fusion Still 18-27 Treatment Open Heart Surgery –Commissuratomy –Valve Replacement 18-25 Pig heart Replacement valve New damage / is the shunt in the right-to-left direction? Blood Flow through septal defects May also be called shunts 1. Direction of flow? –why? 2/


Sef lucr. Dr. Cristina Grigorescu Clinic of Thoracic Surgery

blood from the superior vena cava and inferior vena cava. Right atrial blood passes through the tricuspid valve into the right ventricle. Right / activity against gram-positive organisms and anaerobic oral flora are administered. Surgery is required. Injuries identified within 24 hours of their occurrence are /wounds. Cardiac Myocardial infarction Arrhythmias Pericarditis Ventricular aneurysm formation Septal defects Valvular insufficiency Pulmonary and bronchial Atelectasis Pneumonia Pulmonary abscess /


Syndromes and Birth Defects

factors. Most Common Birth Defects Heart Lip Palate Limbs Neural Tube Defects Congenital Heart Defects Any defect of the heart that is present at birth Atrial Septal Defect (ASD) Ventral Septal Defect (VSD) 1 in 125 babies are born with CHD Multiple causes and is often a characteristic of a syndrome but can stand alone ASD and VSD can be remedied with medication or surgery but can resolve without either/


Tetralogy of Fallot Seoul National University Hospital Department of Thoracic & Cardiovascular Surgery.

Surgery Tetralogy of Fallot 1. Definition Tetralogy of Fallot is characterized by underdevelopment of right ventricular infundibulum with anterior & leftward displacement (malalignment) of infundibular(conal, outlet) septum & it’s parietal extension. This displacement of septum is associated with right ventricular outflow stenosis & ventricular septal defect/ Anatomy Tetralogy of Fallot Anatomic substrate of repair from right atrial approach  Anatomy RVOT Reconstruction  Principles The diameter of annulus/


ANAL RECTAL MALFORMATIONS (ARMs) PRESENTER:- SR. MASSENGA GENERAL SURGERY DEPARTMENT.

(ARMs) PRESENTER:- SR. MASSENGA GENERAL SURGERY DEPARTMENT SUBTOPICS  LIST OF ABBREVIATION  DEFINITION  EPIDEMIOLOGY  CLASSIFICATION  CLINICAL PRESENTATION  ASSOCIATED ANOMALIES  INVESTIGATION  TREATMENT  COMPLICATIONS  BMC CHALLENGES LIST OF ABBREVIATIONS ARM…Anal rectal malformation PSARP… posterior sagittal anorectoplasty CMF…Congenital malformation ASD…Atrial septal defect PDA…Patent ductus arteriosus FOF…Tetralogy of Fallot VSD…Ventricular septal defect NGT…Nasal gastric tube Abd uss/


ANAESTHESIA FOR BEATING HEART SURGERY

cutting the breastbone, as well as open-chest, beating-heart bypass) Surgery for atrial fibrillation Treatment of some congenital heart defects, such as closure of atrial septal defect Valve repair (mitral, pulmonary, or tricuspid) Valve replacement (mitral or /> 18 mmHg at rest -recent MI & UA - post MI complications like VSD, LV aneurysm,MR, CCF - emergency surgery -combined procedure - reoperation BIS for awareness monitoring.( <60 indicates adequate depth) How to Avoid hypothermia :- warm blanket covers /


YOUR LOGO Case Presentation Thoracic and Cardiovascular surgery department, SMC 2007313075 Son Eui Young.

shunt  left ventricular outflow tract obstruction(Congenital valvar or subvalvar aortic stenosis): 4%  large atrial septal defects (ASDs), right ventricular outflow tract obstruction, vascular ring, and persistent left superior vena cava. YOUR LOGO Pathophysiology  Shunt Direction/ -AV deformity -PG > 20-30 mm Hg YOUR LOGO Treatment of VSD : Indications  Approximately 30% of infants -surgery within the first year of life  Significant shunt -Medically uncontrolled CHF -PA pressure > 1/2 of systemic artery pressure /


C ONGENITAL H EART D EFECTS By: Victoria Lund. W HAT ARE CONGENITAL H EART DEFECTS ? They are problems with the heart that are present at birth. They.

to life threatening TYPES Holes in the heart (septal defects) Atrial Septal Defect Little to no symptoms Heals on it’s own, or with a catheter Ventricular Septal Defect Small VSD’s have no problems and heal on their own Larger VSD’s can cause the left ventricle to work too hard and may result in heart failure. Open heart surgery is used to repair. TYPES Narrowed Valves/


Lecturer Of Anesthesia

Negligible-risk category - Physiologic, or functional heart murmurs - Surgical repair without residua beyond 6 months : ASD, PDA,VSD - Cardiac pacemaker or - implanted defibrillator - Isolated secundum atrial septal defect - Mitral valve prolapse without reg. - Previous coronary artery bypass surgery - Previous rheumatic heart disease without valvular dysfunction High-risk category - Complex cyanotic congenital heart disease : Transposition of the great vessels Tetralogy of Fallot - Surgically created/


Catheter Ablation in the Treatment of Atrial Fibrillation

Recent updates Patients with mitral and/or aortic metallic prosthetic valves are not excluded Previous repair of atrial septal defects is not an absolute contraindication Frequently Asked Question AF ablation for asymptomatic individuals? Asymptomatic Patients To date/asymptomatic patients should not be offered curative ablation of AF, except in the case of those patients undergoing cardiac surgery who may benefit from surgical ablation of their AF as an adjunctive procedure. There is also evidence that /


Pathophysiology of atrial fibrillation and associated stroke Module 2 Developed and funded by DBG1780 | June 2013.

Atrial septal defect Coronary artery disease Diabetes mellitus COPD Sleep apnoea Chronic renal disease ESC Guidelines for the management of atrial fibrillation 2010. Accessed June 2013 DBG1780 | June 2013 Causes of atrial fibrillation DBG1780 | June 2013 Causes of AF: atrial/, insulin resistance and the metabolic syndrome –Myocardial infarction –Congestive heart failure –Valvular disease and heart surgery Excessive alcohol intake Family history of AF Male gender Kannel WB & Benjamin EJ. Med Clin North/


Birth Defects Taryn Ballmann. Cleft Lip & Cleft Palate O The tissue that forms the lips or roof of the mouth do not join completely before birth O Can.

chromosome changes O Diabetes or obesity O Smoking O Medications O Mother’s health O Depends on type and severity O May need one or more surgeries O Cardiac catheterization O Sometimes heart defect cannot be fully repaired Types of heart defects O Atrial Septal Defect O Coarctation of the Aorta* O Ebstein anomaly* O Single ventricle* O Tetralogy of Fallot* O Truncus Arteriosus* O Ventricular/


Neurodevelopmental and Oral Feeding Outcomes for Infants born with Single Ventricle Physiology requiring Surgery Sharon Sables-Baus, PhD, RN, MPA, PCNS-BC.

narrow, blocked or not formed at all The Aorta is often small (Hypoplastic) And there is a hole (Atrial Septal Defect) between the two collecting chambers www.lhm.org.uk HLHS The deoxygenated blood flows into the Right Atrium, through /atresia, Ebsteins, PA/IVS, DILV 2)Single RV – (N=30)HLHS, DORV Medical variables included: gestational age, age at surgery, weight at surgery, cross clamp, DHCA and cerebral perfusion time, length of stay and days on ventilator Feeding variables included: consultation to OT, /


Carly Sproule BE 2352 Sec 2 29 November 2011.  Background  Traditional Heart Surgery  Advancements  Off Pump Coronary Artery Bypass  Benefits  Disadvantages.

Bypass  Benefits  Disadvantages  Conclusion  Patent ductus arteriosus (PDA) ligation  Coarctation of the aorta repair  Atrial septal defect (ASD) repair  Ventricular septal defect (VSD) repair  Coronary Artery Bypass Figure 1  Heart-lung machine  Heart doesn’t pump for 30-90 minutes  Easier to operate on heart Figure 2 Figure 6  Closed Heart Surgery ◦ Thoracotomy Incision ◦ Sternotomy Incision  Off-pump coronary artery bypass (OPCAB) Figure 3 Figure 4/


Presented by: Dr/ Gamal Adel.. For non cardiac surgery TETRALOGY OF Fallot.

without residua beyond 6 months : ASD, PDA,VSD Cardiac pacemaker orCardiac pacemaker or implanted defibrillatorimplanted defibrillator Isolated secundum atrial septal defectIsolated secundum atrial septal defect Mitral valve prolapse without reg.Mitral valve prolapse without reg. Previous coronary artery bypass surgeryPrevious coronary artery bypass surgery Previous rheumatic heart disease without valvular dysfunctionPrevious rheumatic heart disease without valvular dysfunction AHA guideline for antibiotic/


Aortic Atresia or Hypoplastic Left Heart Physiology Seoul National University Hospital Department of Thoracic & Cardiovascular Surgery.

; RPA-ascending aorta, bilateral PA bands in 1977 Norwood : Neonatal reconstructive surgery of HLHS in 1980 Bailey : Allograft heart transplantation in 1985 Hypoplastic Left /aortic valve, mitral valve level, left ventricular myocardial level, or atrial septal level could all in theory lead ultimately to hypoplasia of the / deaths Not insignificant recently and reflects the delicately balanced nature of circulation Residual defects  Risk factors for deaths 1. Abnormal coronary flow patterns 2. Diminished /


™ Perioperative Care of the Cardiac Surgery Patient Lars Hegnell, MD Michael Hutchens, MD, MA Matthew Griffee, MD Cardiac, Thoracic, and Surgical ICU,

Aortic Valve Replacement. Salient facts include prominent LVH, including septal hypertrophy and MR. There is systolic anterior motion of the/trigger Hct Treating coagulopathy based on labs and targeting specific hemostatic defect, when possible Limiting phlebotomy and using pediatric test tubes Uniform dosing/of atrial fibrillation. Chest 2009; 135: 849-859. 6. Society of Thoracic Surgeons Blood Conservation Guideline Task Force. Perioperative blood transfusion and blood conservation in cardiac surgery. Ann/


Background and Significance C. B. C. A. B. Population Pharmacokinetics of Dexmedetomidine in Infants Following Open Heart Surgery Felice Su MD, Susan C.

in DEX PK Study Design Patient population 36 evaluable infants post-operative from open heart surgery Inclusion Criteria ­Age: ≥1 month and < 24 months ­Isolated heart surgery ­Post-operative tracheal intubation ­Normal renal function ­Normal hepatic function ­Informed consent ­/5.1-11.2) 7.0 Gender Female Male 5757 6666 5757 16 20 Surgical procedure Two ventricle physiology Atrial septal defect repair CAVC 1 repair RV – PA 2 conduit revision Subaortic membrane resection PAPVR 3 repair Rastelli Ross-Kono /


Total Anomalous Pulmonary Venous Connection Seoul National University Hospital Department of Thoracic & Cardiovascular Surgery.

Surgery Total Anomalous Pulmonary Venous Connection Seoul National University Hospital Department of Thoracic & Cardiovascular Surgery/ mixing. Oxygenated blood reaches the left heart via an inter-atrial connection (i.e.,ASD, PFO). Mechanical or functional obstruction /, or long narrow connect vein. Functional obstruction (restrictive PFO) 2. Chamber & septal anatomy. LA & LV : small. ASD or PFO : small in 1/2/features Occur in about 0.4% of congenital heart defects and one or multiple veins may be affected. /


Open Heart Surgery “The Nigerian Experience” Dr Michael Sanusi, FACS FWACS Cardiovascular Surgeon TriState Cardiovascular Institute.

or closure of an intracardiac defect. The definition is however expanded to any surgery in which the great vessels of the heart are cannulated for cardiopulmonary bypass support e.g coronary artery bypass surgery, cavopulmonary shunts or ascending or/at UNTH up to the 90’s Mitral Valve surgery40 Ventricular septal defect16 Tetralogy of Fallot13 Atrial Septal Defect12 Aortic Aneurysms7 Others15 Total102 Eze J C Ezemba N: Open heart surgery in Nigeria: Indications and challenges. Tex Heart institute Journal /


Infective endocarditis and surgery C.A.Mestres for the HC Endocarditis Study GroupESCMID – Santander - 2006 Carlos-A. Mestres, MD, PhD, FETCS Consultant.

97%) Infective endocarditis and surgery C.A.Mestres for the HC Endocarditis Study GroupESCMID – Santander - 2006 Patients with vegetations Mean maximal veg. size (mm) Vegetations > 10 mm Patients with abscess Mean maximal abscess diameter Abscess > 10 mm Ventricular septal defect Mean EF (%) Mean /on a morphologically normal aortic valve. Full root subaortic abscess extending towards the left atrial roof Aortic cross-clamp 73 min – CPB 189 min Left ventricular failure and myocardial edema after CPB./


Heart Failure in Pregnancy

Heart Failure in Pregnancy Ramon M. Gonzalez, MD Professor UST Medicine and Surgery AB a 22y/o married, bank teller Visited for the 1st time an obstetrician 5 months PTC she had a (+) pregnancy test Felt /<0.001 Stillbirth 4% vs 0% p 0.5 Birth weight 2845g vs 3372g p 0.02 Offspring risk for congenital heart defects Defect Mother affected Father affected (%) (%) Aortic stenosis 13–18 3 Atrial septal defect 4–4.5 1.5 Atrioventricular canal 14 1 Coarctation of the aorta 4 2 Patent ductus arteriosus 3.5–4 2.5 /


Cryoballoon ablation for atrial fibrillation

surgery or severe comorbidity. Method Local anaesthesia and sedation. EP catheters placed in the CS and SVC via the femoral vein and a trans-septal /3 Pleuritic CP persisting beyond procedure 1 Oesophageal ulceration 1 Transient visual field defect (TIA) 2 Vasovagals requiring medical Tx <2% uncomplicated haematomas 1 / clinical effects of cryoballoon pulmonary vein isolation in patients with symptomatic paroxysmal and persistent atrial fibrillation. Europace (2008) 10, 1277–1280. 14. Packer DL, Irwin JM/


Congenital Heart Defects and the Need for Transitional Services Brandon Howell Christine Haltiwanger Introduction to Health Promotion and Wellness 13 April.

’s syndrome has extra 18 th chromosome Maternal risks – Toxins or poisons – Existing medical conditions – Medications Medical advances increase survival Medications for mild conditions Catheters can be used to repair – Atrial septal defect (ASD) – Ventricular septal defect (VSD) – Other defects Open heart surgery for complex cases Heart transplants for very severe conditions Survival Present Children have a 90% chance of surviving to adulthood even with a severe/


Birth Defects Taryn Ballmann. Cleft Lip & Cleft Palate O The tissue that forms the ____or _____ of the mouth do not ____ ___________before birth O Can.

Genetic or chromosome changes O Diabetes or obesity O ___________ O Medications O ________ ________ O Depends on ____and ________ O May need _____ or _____ surgeries O Cardiac catheterization O Sometimes heart defect __________ be fully repaired Types of heart defects O Atrial Septal Defect O Coarctation of the Aorta* O Ebstein anomaly* O Single ventricle* O Tetralogy of Fallot* O Truncus Arteriosus* O Ventricular/


Esophageal Atresia and Tracheoesophageal Fistula Pediatric Surgery Clinic.

Esophageal Atresia and Tracheoesophageal Fistula Pediatric Surgery Clinic Successive stages in the development of the tracheoesophageal septum during embryologic development. (A)/, syndactyly, rib malformations, scoliosis, lower limb defects Imperforate anus, duodenal atresia, malrotation, intestinal malformations, Meckels diverticulum, annular pancreas Ventricular septal defect, patent ductus arteriosus, tetralogy of Fallot, atrial septal defect, single umbilical artery, right-sided aortic arch Renal/


Anaesthesia in Scoliosis Surgery Dr WMHW Hisham, Dr MR Mamat et al.

atrial septal defects, patent ductus arteriosus, tetralogy of Fallot. Neurologic system A detailed neurologic evaluation and documentation is important because of medicolegal issues. patients who have preexisting neurologic deficits are at an increased risk of developing spinal cord injury during scoliosis surgery/ function. Urban et al found significantly reduced blood loss in major spine surgeries where aprotinin infusion was used intraoperatively. Autologous Blood Transfusion Autologous blood can be/


Robot Assisted Cardiac Surgery Course: Cardiovascular Imaging Submitted by: Alper Yaman Instructor: Assoc. Prof. Dr. Cengizhan Öztürk.

1998 [5] Current Operations with daVinci Atrial septal defect closure Internal thoracic artery take-down Endoscopic coronary bypass LV bipolar pacing lead placement Mitral valve repairment and replacement Ablation of atrial fibrillation [5] Current Operations with daVinci/Research, 2005. (accepted).Haptic Virtual Fixtures for Robot-Assisted Manipulation 5. W. R. Chitwood. Robotic Cardiac Surgery. 90th Annual Clinical Congress, American College of Surgeons, New Orleans, 2004. 6. Cleveland Clinic Heart Center /


COMMON LEARNING ISSUES PBL TEST 1 2012. ALPHA FETOPROTEIN  USED AS A SCREENING MARKER INDICATING INCREASED RISK FOR BIRTH DEFECTS (NEURAL TUBE, BODY.

Septal defects, perfusion, valvular heart disease, prolapse, stenosis, subaortic stenosis, tumors, aneurysm  Perflutren (definity or optison) provides enhancement of borders OXIMETRY  >95% is normal  Monitors arterial oxygen saturation in patients at risk for hypoxemia. Surgery/5 second  INR: 0.8-1.4  Higher with mechanical heart valves or history of thromboembolitic disease or atrial fibrillation  INR is now the standard measure reported CAUSES OF POSITIVE VALUES ON UA  Bilirubin: Jaundice, hepatitis/


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