Henrik Ø. Andersen, MD, PhD, Marc R. de Leval, MD, Victor T

Slides:

Advertisements

Similar presentations

Neonatal Flail Tricuspid Valve: Diagnosis and Management

Advertisements

Surgical management of the straddling mitral valve in the biventricular heart Ryo Aeba, MD, Toshiyuki Katogi, MD, Shigeyuki Takeuchi, MD, Shiaki Kawada,

The First Cardiac Operation Using Cardiopulmonary Bypass

Poor Left Ventricular Performance in a Child With Coronary Sinus Stenosis: Successful Surgical Repair Sergey V. Gorbachevsky, MD, PhD, Anton A. Shmaltz,

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,

Tetralogy of Fallot: surgical management individualized to the patient

Repair of Atrioventricular Septal Defect Associated With Tetralogy of Fallot or Double- Outlet Right Ventricle: 30 Years of Experience Jeremy Ong, BMedSci,

Transeptal Aortic Valve Replacement After Arterial Switch in a Patient With Taussig-Bing Anomaly Kwon Joong Na, MD, Woong-Han Kim, MD, PhD, Woo Sung.

Complete Atrioventricular Canal: Comparison of Modified Single-Patch Technique With Two-Patch Technique Carl L. Backer, MD, Robert D. Stewart, MD, Frédérique.

Long-Term Outcome of Patients With Complete Atrioventricular Septal Defect Combined With the Tetralogy of Fallot: Staged Repair Is Not Inferior to Primary Repair

C. Wesley Lindsey, MD, W. James Parks, MD, Brian E

Double-Orifice Left Atrioventricular Valve in Patients With Atrioventricular Septal Defects: Surgical Strategies and Outcome Vikas Sharma, MD, Harold.

Michael E. Halkos, MD, Patrick Kilgo, MS, Omar M

Closure of muscular ventricular septal defects guided by en face reconstruction and pictorial representation Kothandam Sivakumar, DM, Sivadasan Radha.

Successful Robot-Assisted Repair of Congenital Mitral Valve Regurgitation Vijayakumar Raju, MD, Harold M. Burkhart, MD, Frank Cetta, MD, Rakesh M. Suri,

Tricuspid Valve Repair With Artificial Chorda After Previous Ventricular Septal Defect Repair Toshiharu Sassa, MD, Ken Okamoto, MD, Hirokazu Tazume,

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

The conduction system in hearts with pulmonary atresia and intact ventricular septum Aneel Ansari, MBBS, Diane Goltz, MD, Karen Patricia McCarthy, BS,

K. Robert Shen, MD, Mark S. Allen, MD, Stephen D

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations Sinai C. Zyblewski, MD, Girish.

Jaishankar Raman, MMedBS, PhD, Lissa Sugeng, MD, MPH, David T. M

Hideki Uemura, MD, Iki Adachi, MD, Karen P

Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects Bahaaldin Alsoufi,

Philip W. Smith, MD, Hongkun Wang, PhD, Leo M. Gazoni, MD, K

28 Years' Experience With Transatrial-Transpulmonary Repair of Atrioventricular Septal Defect With Tetralogy of Fallot Gerard J.F. Hoohenkerk, MD, Paul.

Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy

Origins of the Cardiothoracic Surgery Network (CTSNet)

Vincent L. Gott, MD The Annals of Thoracic Surgery

Ali Dodge-Khatami, MD, Owen I. Miller, MD, Robert H

Current Spectrum of Surgical Procedures Performed for Ebstein's Malformation: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery.

Isolated Tricuspid Valve Repair After Metastatic Tumor Resection

The Ross Procedure: New Insights Into the Surgical Anatomy

Deterioration of Mitral Valve Competence After the Repair of Atrial Septal Defect in Adults Jeong-Jun Park, MD, Seung Chul Lee, MD, Joon Bum Kim, MD,

Marshall L. Jacobs, MD, Jeffrey P. Jacobs, MD, Kevin D

Maria Kalliopi Konstantinidou, MD, PhD, Neil Moat, MD, PhD

What is a ventricle? The Annals of Thoracic Surgery

Percutaneous Transcatheter Closure of the Aortic Valve

Conotruncal Repair For Tetralogy Of Fallot: Midterm Results

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Clarifying the Surgical Morphology of Inlet Ventricular Septal Defects

Surgical Treatment of Transposition of the Great Arteries With Bilateral Intramural Coronary Arteries Enrico Cetrano, MD, Adriano Carotti, MD The Annals.

Marcus T. R. Roofthooft, MD, Klasina A. Bergman, MD, Tjalling W

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Cardiac arrhythmia in patients undergoing surgical repair of Ebstein’s anomaly Sylvain M Chauvaud, MD, Gianluca Brancaccio, MD, Alain F Carpentier, MD,

Successful Neonatal Double Switch in Symptomatic Patients With Congenitally Corrected Transposition of the Great Arteries Victor Bautista-Hernandez,

Deterioration of a Tricuspid Bioprosthesis Due to Adhesion of the Native Valve Herbert Gutermann, MD, Willem Flameng, MD, PhD, Paul Herijgers, MD, PhD

Nikaidoh Procedure: How I Teach It

Sequential Design for Clinical Trials Evaluating a Prosthetic Heart Valve Cody Hamilton, PhD, Michael Lu, PhD, Steven Lewis, PhD, William Anderson, PhD

Surgical Strategy for Atrioventricular Septal Defect and Tetralogy of Fallot or Double- Outlet Right Ventricle Vijayakumar Raju, MD, Harold M. Burkhart,

Surgical Correction for a Neonate With Ebstein's Anomaly Associated With Tetralogy of Fallot Ling-Yi Wei, MD, Jin-Chung Shih, MD, PhD, En-Ting Wu, MD,

Correction of Tetralogy of Fallot and of Pulmonary Atresia with Ventricular Septal Defect in Adults Jürgen Hörer, MD, Julia Friebe, MD, Christian Schreiber,

Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever Sebastian Pagni, MD, Anthony Dempsey,

Penetrating trauma to the tricuspid valve and ventricular septum: delayed repair John R Doty, MD, Duke E Cameron, MD, Turkan Elmaci, MD, Neal W Salomon,

Ventricular Pacing Through Coronary Sinus in Patients With Tricuspid Prosthesis Caroline Grimard, MD, Nicolas Clémenty, MD, Laurent Fauchier, MD, PhD,

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

Tricuspid Valve Repair of Idiopathic Papillary Muscle Rupture

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

Use of Administrative Data for Surgical Site Infection Surveillance After Congenital Cardiac Surgery Results in Inaccurate Reporting of Surgical Site.

Takaaki Suzuki, MD, Edward L. Bove, MD, Eric J

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

The Annals of Thoracic Surgery

Adnan Cobanoglu, MD, Jess M Schultz, MD The Annals of Thoracic Surgery

Mark I. Block, MD The Annals of Thoracic Surgery

The Impact of New Technology on Cardiothoracic Surgical Practice

Ebstein’s Anomaly of the Tricuspid Valve in Combination of Tetralogy of Fallot: Total Correction in Infancy Chao-Han Lai, MD, Jing-Ming Wu, MD, Yu-Jen.

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

Absence of Posterior Mitral Leaflet With Secundum Atrial Septal Defect

Short Operation Time: An Important Element to Reduce Operative Invasiveness in Pediatric Cardiac Surgery Makoto Ando, MD, Yukihiro Takahashi, MD, Toshio.

Two-Strip Technique to Repair Common Atrioventricular Valve Regurgitation in Single- Ventricle Palliation Kasra Shaikhrezai, MRCS, Karen McLeod, MD, Brodie.

Further Anatomical Insights Regarding the Ross Procedure

Presentation transcript:

Is Complete Heart Block After Surgical Closure of Ventricular Septum Defects Still an Issue? Henrik Ø. Andersen, MD, PhD, Marc R. de Leval, MD, Victor T. Tsang, MD, MS, Martin J. Elliott, MD, Robert H. Anderson, MD, Andrew C. Cook, PhD The Annals of Thoracic Surgery Volume 82, Issue 3, Pages 948-956 (September 2006) DOI: 10.1016/j.athoracsur.2006.04.030 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The graph shows the numbers of patients undergoing surgery in each year at Great Ormond Street Hospital in the period from 1976 to 2001 for patients having isolated ventricular septal defect (open columns) and patients with tetralogy of Fallot (shaded columns). The Annals of Thoracic Surgery 2006 82, 948-956DOI: (10.1016/j.athoracsur.2006.04.030) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The graph shows the distribution of ages at the time of surgical closure of the patients with isolated ventricular septal defect (open columns) and patients with tetralogy of Fallot (shaded columns) operated on in the period from 1976 to 2001. (mth = months; yrs = years.) The Annals of Thoracic Surgery 2006 82, 948-956DOI: (10.1016/j.athoracsur.2006.04.030) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The drawing shows the known disposition of the conduction axis, as seen by the surgeon operating through the right atrium, when there is straddling and overriding of the tricuspid valve [38]. Note that the bundle does not originate from the regular atrioventricular node located at the apex of the triangle of Koch. The Annals of Thoracic Surgery 2006 82, 948-956DOI: (10.1016/j.athoracsur.2006.04.030) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The drawings show the known disposition of the conduction system when the atrioventricular conduction axis descends through a muscle bar separating perimembranous and muscular inlet defects [36]. In (a), the leaflets of the tricuspid valve are shown in-situ, whereas they are retracted in (b). (VSD = ventricular septal defect.) The Annals of Thoracic Surgery 2006 82, 948-956DOI: (10.1016/j.athoracsur.2006.04.030) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 The drawing shows the expected site of the conduction axis when a ventricular septal defect (VSD) is perimembranous [36], as it would be seen by the surgeon lifting up the septal leaflet of the tricuspid valve having approached the defect through the right atrium. The Annals of Thoracic Surgery 2006 82, 948-956DOI: (10.1016/j.athoracsur.2006.04.030) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 The drawing shows how the conduction axis penetrates through the central fibrous body at the apex of the triangle of Koch when a defect is perimembranous [36], and how this is more obvious to the surgeon when there is a deficiency of leaflet tissue at the zone of apposition between the septal and anterosuperior leaflets of the tricuspid valve. The Annals of Thoracic Surgery 2006 82, 948-956DOI: (10.1016/j.athoracsur.2006.04.030) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions