Hybrid Balloon Valvuloplasty for the Treatment of Severe Congenital Aortic Valve Stenosis in Infants Wen-Bin Ou-Yang, MD, Shou-Jun Li, MM, Yong-Quan.

Slides:

Advertisements

Similar presentations

Aorto–Left Atrial Fistula With Bicuspid Aortic Valve and Coronary Artery Origin Anomaly Mehmet Şah Topcuoğlu, Orhan Kemal Sali̇h, Mustafa Şan, Cem Kayhan,

Advertisements

An unusual case of severe aortic valve stenosis in an adult caused by aortic valve inflammatory myofibroblastic tumor Dong Zhao, MD, Chunsheng Wang,

Progressive Mitral Stenosis After MitraClip Implantation in a Patient With Systemic Inflammatory Disease Mike Saji, MD, Gorav Ailawadi, MD, Dale E. Fowler,

Successful Management of Cardiac Arrest Due to Pulmonary Embolus Using Extracorporeal Membrane Oxygenation and Ultrasound-Accelerated Catheter-Directed.

Left Ventricular Bronchogenic Cyst

Corey Adams, MD, Linrui Ray Guo, MD, Philip M

Left Posterolateral Thoracotomy: An Alternative Approach for Pulmonary Valve Replacement François Roubertie, MD, Roland Henaine, MD, Xavier Roques, MD,

Michael A. Long, MMed The Annals of Thoracic Surgery

Yasui Conversion for Repair After Left Ventricular Outflow Tract Obstruction Satoshi Fujita, MD, PhD, Toshihide Nakano, MD, PhD, Shinichiro Oda, MD, PhD,

Giant Left Ventricular Myxoma With Obstruction of the Left Ventricular Outflow Tract Jian Liu, MD, Hui-Ming Guo, MD, Bin Xie, MD, Hai-Jiang Guo, MD, Ji-Mei.

Unidirectional Monovalve Homologous Aortic Patch for Repair of Ventricular Septal Defect With Pulmonary Hypertension Bo Zhang, MD, Shuming Wu, MD, Jiali.

Risk Factors Associated With Reoperation and Mortality in 252 Patients After Aortic Valve Replacement for Congenitally Bicuspid Aortic Valve Disease

Changes in the Hemostatic System of Patients With Acute Aortic Dissection Undergoing Aortic Arch Surgery Xin Liang Guan, MD, Xiao Long Wang, MD, Yu Yong.

Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis Justin G. Reeves,

Heart Failure Due to Severe Supravalvular Aortic Stenosis in Painless Type A Aortic Dissection Hiroaki Sakamoto, MD, PhD, Yasunori Watanabe, MD, PhD,

Shangyi Ji, MD, Jianan Yang, MD, Xiaoqing Ye, MD, Xiaolei Wang, MD

Stented Elephant Trunk Technique for Retrograde Type A Aortic Dissection After Endovascular Stent Graft Repair Bin Li, MD, Xu-Dong Pan, MD, Wei-Guo Ma,

Treating Aortic Dissection and Penetrating Aortic Ulcer with Stent Graft: Thirty Cases Shang Dong Xu, MD, Zhi Zhong Li, MD, Fang Jiong Huang, MD, Jin.

Acute Aortic Regurgitation Caused by Spontaneous Aortic Valve Rupture

Total Arch Replacement With Stented Elephant Trunk Technique for Acute Type B Aortic Dissection Involving the Aortic Arch Hai-Peng Zhao, MD, Jun-Ming.

Hybrid procedure for the neonatal management of pulmonary atresia with intact ventricular septum Hao Zhang, MD, PhD, Shou-jun Li, MD, Yong-qing Li, MD,

Transcatheter Closure of Congenital Perimembranous Ventricular Septal Defect in Children Using Symmetric Occluders: An 8-Year Multiinstitutional Experience

Selective Left Subclavian Ligation in Total Aortic Arch Replacement

Coexistent Pulmonary Inflammatory Pseudotumor and Carcinoma in One Patient: Does Positron Emission Tomography/Computed Tomography Help Zhi Zheng, MD,

Norwood Procedure Combined With the Starnes Procedure

Leonard Girardi, MD, O.Wayne Isom, MD The Annals of Thoracic Surgery

Reply The Annals of Thoracic Surgery

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

Giant Left Atrial Appendage: A Rare Anomaly

Rapidly Progressive Bioprosthetic Aortic Valve Stenosis Due to Bartonella Species Endocarditis Kathy Schnitzer, MD, Zafrir Or, MD, Shtiwi Sawaed, MD,

Jeffrey E. Keenan, MD, John P. Vavalle, MD, Asvin M

Stent Implantation Into Vertical Arterial Duct in Adult Patient With Cyanotic Congenital Heart Disease Kenji Suda, MD, Masahiko Matsumura, MD, Masahiko.

Transcatheter Valve-in-Valve: A Cautionary Tale

Nihan Kayalar, MD, Hartzell V. Schaff, MD, Richard C

Minimally Invasive Peratrial Device Closure of Perimembranous Ventricular Septal Defect Through a Right Infraaxillary Route: Clinical Experience and Preliminary.

Freddy Vermeulen, MD, Ben Swinkels, MD, Wim Jan van Boven, MD

Sixty Years After Tetralogy of Fallot Correction

Percutaneous Transcatheter Closure of the Aortic Valve

Peratrial Device Closure of Perimembranous Ventricular Septal Defects Through a Right Parasternal Approach Li Hongxin, MD, Nan Zhang, MD, Guo Wenbin,

Efficient Removal of Retained Intracardiac Air Utilizing Buoyancy

Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve Guy Jensen, MD, Thomas Smith, MD, Mona Flores,

Haiming Li, MD, Chengxiong Gu, MD The Annals of Thoracic Surgery

Aorto-Left Ventricular Tunnel: An Alternative Surgical Approach

Redo Aortic Valve Replacement in Children

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Double-Outlet Right Atrium: Anatomic and Clinical Considerations

Unusual Cause of Femorofemoral Cardiopulmonary Bypass Failure

Editorial Board, January 2010

Aortic Translocation for the Management of Double-Outlet Right Ventricle and Pulmonary Stenosis With Dextrocardia: Technique to Avoid Coronary Insufficiency

Mustafa Houmsse, Asia McDavid, MS, Ahmet Kilic, MD

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

Percutaneous Perventricular Device Closure of Ventricular Septal Defect: From Incision to Pinhole Changping Gan, MD, Ling Peng, MD, Zhonglei Liang, MD,

Double-Root Translocation for Double-Outlet Right Ventricle With Noncommitted Ventricular Septal Defect or Double-Outlet Right Ventricle With Subpulmonary.

A Novel Technique of Supra-Annular Mitral Valve Replacement

Joseph Galea, MD, FRCS, Alexander Manché, MPhil, FRCS

A New Minimally Invasive Technique to Occlude Ventricular Septal Defect Using an Occluder Device Feng Li, MD, Ming Chen, MD, ZhaoKun Qiu, MD, Jing Lu,

Ascending Aortic Pseudoaneurysm as an Unusual Cause of Superior Vena Cava Syndrome Zhiqi Zhang, MD, Kanhua Yin, MD, Yongxin Sun, MD, PhD, Chunsheng Wang,

Modified Edge-to-Edge Technique for Correction of Congenital Mitral Regurgitation in Infants and Children Gang Zhang, MD, Fusheng Zhang, MD, Mei Zhu,

Aortic Translocation in the Management of Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Results and Follow-Up

Hypoplastic Left Heart Syndrome With Anomalous Origin of the Right Coronary Artery Julie Cleuziou, MD, Felix Haas, MD, Christian Schreiber, MD, Hans-Jörg.

Neo-Left Atrium Construction on the Beating Heart After Extirpation of a Huge Mediastinal Tumor Invading Heart and Lung Miralem Pasic, MD, PhD, Evgenij.

Perforation of a Tricuspid Pouch Caused by Infective Endocarditis

Do Patients With Complete Transposition of the Great Arteries and Severe Pulmonary Hypertension Benefit From an Arterial Switch Operation? Hongguang.

Early Prognosis of Reduction Ascending Aortoplasty in Patients With Aortic Valve Disease: A Single Center’s Experience Shen Liu, MD, Yi Shi, MD, Ruofan.

Farirai F. Takawira, FCPaed(SA), Jayneel A. Joshi, FCPaed(SA), Dirk J

Cyrus J. Parsa, MD, Carmelo A. Milano, MD, Alan D. Proia, MD, PhD, G

The Annals of Thoracic Surgery

Bicuspid Aortic Valves and Dilatation of the Ascending Aorta: Reply

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.

Divided Left Atrium (Cor Triatriatum) in the Setting of Common Atrium

Presentation transcript:

Hybrid Balloon Valvuloplasty for the Treatment of Severe Congenital Aortic Valve Stenosis in Infants Wen-Bin Ou-Yang, MD, Shou-Jun Li, MM, Yong-Quan Xie, MD, Sheng-Shou Hu, MD, Shou-Zheng Wang, MD, Feng-Wen Zhang, MM, Gai-Li Guo, MM, Yao Liu, MD, Kun-Jing Pang, MM, Xiang-Bin Pan, MD The Annals of Thoracic Surgery Volume 105, Issue 1, Pages 175-180 (January 2018) DOI: 10.1016/j.athoracsur.2017.05.069 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Appearance of (A) percutaneous and (B) new arterial sheath. The new sheath has a 120-degree-angle elbow in the head end, 2 holders, an adapter, a dilator, and a vent for exhaust. (C) In animal experiments, the percutaneous arterial sheath is almost perpendicular to the ascending aorta (black arrow), which will lead the guidewire to the aortic wall and the wire, then turning to the direction of aortic valve. (D) In contrast to the case with the percutaneous sheath, the elbow of the new sheath allows the operator to directly and quickly lead the guidewire to the aortic valve orifice (black arrow), thereby reducing operation time and damage to the aortic wall. The Annals of Thoracic Surgery 2018 105, 175-180DOI: (10.1016/j.athoracsur.2017.05.069) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Main process of hybrid balloon valvuloplasty performed under transesophageal echocardiography guidance in an ordinary operating room with the new sheath. (A) Aortic valve annulus diameter and valve anatomy were evaluated by echocardiography. (B) Peak aortic valve gradient was measured by Doppler preoperatively. (C) The guidewire (arrow) was inserted into left ventricle (LV) under echocardiography guidance. (D) The balloon catheter (arrow) was held by hand, and a pacemaker was used at a rate of 180 impulses/min during dilation. (E) The balloon (arrow) was dilated over the aortic valve. (F) The peak aortic valve gradient was measured by Doppler after dilation. (AA = ascending aorta; LA = left atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2018 105, 175-180DOI: (10.1016/j.athoracsur.2017.05.069) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions