Subaortic stenosis in the spectrum of atrioventricular septal defects

Slides:

Advertisements

Similar presentations

Surgical treatment of subaortic stenosis after biventricular repair of double-outlet right ventricle Emre Belli, MD, Alain Serraf, MD, François Lacour-Gayet,

Advertisements

The left ventricular outflow tract in atrioventricular septal defect revisited: Surgical considerations regarding preservation of aortic valve integrity.

Tirone E. David, MD, James Kuo, MD, Susan Armstrong, MSc

N. Ad, MDa, E. Birk, MDb, J. Barak, MDa, S. Diamant, MDc, E

Sitaram M. Emani, MD, Pedro J. del Nido, MD

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

Late Assessment After Biventricular Repair for Isomerism Heart

George J. Reul, M. D. , Denton A. Cooley, M. D. , J. Michael Duncan, M

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

Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow.

John G. Coles, MDa, Ilya Yemets, MDa (by invitation), Hani K

Recurrent infective endocarditis one year after mitral repair in a woman addicted to drugs Jean-Jacques Monsuez, MDa, Daniel Vittecoq, MDa, Christophe.

The Norwood operation and subsequent Fontan operation in infants with complex congenital heart disease Paul W. Weldner, MDa(by invitation), John L. Myers,

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

Myectomy and mitral repair through the left atrium in hypertrophic obstructive cardiomyopathy: The preferred approach for contemporary surgical candidates?

Improved myocardial protection in minimally invasive aortic valve surgery with the assistance of port-access technology Shubjeet Kaur, MDa, Jorge Balaguer,

Tomoharu Akiba, MD*, Anton E. Becker, MD

Aortoplasty for aortic regurgitation with ventricular septal defect

Mobilization of the left and right fibrous trigones for relief of severe left ventricular outflow obstruction Magdi Yacoub, FRCS, FRCP, Obed Onuzo, MRCP,

One-stage repair of interrupted aortic arch, ventricular septal defect, and subaortic obstruction in the neonate: A novel approach Giovanni Battista.

Interventricular communication in complete atrioventricular septal defect Kiyoshi Suzuki, MD, PhD, Siew Yen Ho, PhD, Robert H Anderson, MD, Anton E Becker,

Jacques A. M. van Son, MD. (by invitation), Gordon K

Maura Steed, BS, Vitor Guerra, MD, PhD, Michael R

Transposition of the great arteries {S, D, L}

Atrioventricular valve repair in patients with functional single-ventricle physiology: Impact of ventricular and valve function and morphology on survival.

Results of allograft aortic valve replacement for complex endocarditis

Christopher W. Baird, MD, Christian Kreutzer, MD, Stephen P

Does the degree of cyanosis affect myocardial adenosine triphosphate levels and function in children undergoing surgical procedures for congenital heart.

Carl L. Backer, MD, Osama Eltayeb, MD, Michael C. Mongé, MD, John M

Atrioventricular discordance: Results of repair in 127 patients

Robot-assisted septal myectomy for hypertrophic cardiomyopathy with left ventricular outflow tract obstruction Zain Khalpey, MD, PhD, MRCS (Eng), Lev.

Is Restrictive Atrial Septal Defect a Risk in Partial Anomalous Pulmonary Venous Drainage Repair? Jiaquan Zhu, MD, PhD, Yasuhiro Kotani, MD, PhD, Devin.

Anatomy of the ventricular septal defect in outflow tract defects: Similarities and differences Meriem Mostefa-Kara, MD, Damien Bonnet, MD, PhD, Emre.

Support Your Specialty

A new concept for correction of systolic anterior motion and mitral valve regurgitation in patients with hypertrophic obstructive cardiomyopathy Joerg.

Anatomic correction of the syndrome of prolapsing right coronary aortic cusp, dilatation of the sinus of valsalva, and ventricular septal defect Magdi.

The morphologic nature of noncommitted ventricular septal defects in specimens with double-outlet right ventricle Rudolf P. Beekman, MD, PhDa, Margot.

Postinfarction ventricular septal rupture: Repair by endocardial patch with infarct exclusion Tirone E. David, MD, Laura Dale, RN (by invitation), Zhao.

Eyad K. El-Najdawi, MDa, David J. Driscoll, MDa, Francisco J

Pulmonary root translocation for biventricular repair of double-outlet left ventricle with absent subpulmonic conus Doff B. McElhinney, MS, V.Mohan Reddy,

Conotruncal Repair For Tetralogy Of Fallot: Midterm Results

Surgical management of complete atrioventricular septal defects

Transfer of the posterior tricuspid leaflet and chordae for mitral valve repair Ulrik Hvass, MDa, José Calliani, MDa, Isabelle Nataf, a, Jean Michel Julliard,

Bulging Subaortic Septum: An Important Risk Factor for Systolic Anterior Motion After Mitral Valve Repair Sameh M. Said, MD, Hartzell V. Schaff, MD,

Modified Rastelli procedure for double outlet right ventricle with left-malposition of the great arteries: report of 9 cases Qingyu Wu, MD, Qibin Yu,

Albert Starr, MD, Hagop Hovaguimian, MD

Surgical approaches for double-outlet right ventricle or transposition of the great arteries associated with straddling atrioventricular valves Alain.

Frederick L. Grover, MDa, b, David J

Morphologic spectrum of ebstein's malformation: Revisitation relative to surgical repair Christian Schreiber, MD, Andrew Cook, BSc, Siew Yen Ho, PhD,

Patient recovery after intermittent disc escape and spontaneous recession of a mechanical heart valve Francis Robicsek, MD, PhD, Joseph W. Cook, MD

Repair of Partial Atrioventricular Septal Defect: Age and Outcomes

AORTIC VALVE–PRESERVING PROCEDURE FOR ENLARGEMENT OF THE LEFT VENTRICULAR OUTFLOW TRACT AND MITRAL ANULUS Richard A. Jonas, MD, John F. Keane, MD, James.

Nikaidoh Procedure: How I Teach It

The relationship of the outlet septum to the aortic outflow tract in hearts with interruption of the aortic arch Hala M.F. Al-Marsafawy, MD*, Siew Yen.

Technique of Aortic Translocation for the Management of Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonary Stenosis Victor.

Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis Masaaki Yamagishi,

Damus-kaye-stansel procedure for left ventricular outflow tract obstruction late after modified fontan operation in patients with double-inlet left ventricle:

Reoperation for aneurysmal disease of the ascending aorta in patients with concomitant aortic valve incompetence Matthias Karck, MDa, Joachim Cremer,

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

Results of 102 cases of complete repair of congenital heart defects in patients weighing 700 to 2500 grams V.Mohan Reddy, MDa, Doff B. McElhinney, MDa,

Primary repair is superior to initial palliation in children with atrioventricular septal defect and tetralogy of fallot Hani K. Najm, MDa, Glen S. Van.

Long-Term Follow-Up of the Conal Flap Method for Tricuspid Malinsertion in Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary.

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

Thomas J. Kirby, MDa (by invitation), Michael J

Evaluating the best approach to treatment of aortic stenosis: The jury is still out Glen B. Taksler, PhD The Journal of Thoracic and Cardiovascular Surgery

The Rastelli Operation

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Filip Casselman, MD, PhD, FETCS, Hugo Vanermen, MD, FETCS

Augmentation of pulmonary blood flow with an axillary arteriovenous fistula after a cavopulmonary shunt Alan Magee, MD, Eugene Sim, MD, Lee N. Benson,

David A. Theodoro, MDa, Gordon K. Danielson, MDa, Robert H

Presentation transcript:

Subaortic stenosis in the spectrum of atrioventricular septal defects Glen S. Van Arsdell, MDa(by invitation), William G. Williams, MDa, Christine Boutin, MDb(by invitation), George A. Trusler, MDa, John G. Coles, MDa, Ivan M. Rebeyka, MDa(by invitation), Robert M. Freedom, MDb, c(by invitation) The Journal of Thoracic and Cardiovascular Surgery Volume 110, Issue 5, Pages 1534-1542 (November 1995) DOI: 10.1016/S0022-5223(95)70077-3 Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 1 Actuarial freedom from reoperation in patients with subaortic stenosis plus AVSD. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1534-1542DOI: (10.1016/S0022-5223(95)70077-3) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 2 Left, Wide angle between the plane of the outlet septum and the crest of the septum (outflow angle) in a normal heart. Right, Narrow angle in a heart with AVSD. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1534-1542DOI: (10.1016/S0022-5223(95)70077-3) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 3 Mild enlargement of the outflow angle with myectomy. The LVOT remains narrow and long. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1534-1542DOI: (10.1016/S0022-5223(95)70077-3) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 4 Left AV valve leaflet augmentation and lifting of the superior bridging leaflet. The superior bridging leaflet is detached from the anterior portion of the septal crest extending to the region just to the left of the LVOT. The increased mitral aortic separation is excised. A pericardial patch augments the leaflet andcloses the VSD (if present). The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1534-1542DOI: (10.1016/S0022-5223(95)70077-3) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 5 Addition of myectomy to leaflet augmentation widens the outflow angle to near normal. This effectively shortens and widens the LVOT. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1534-1542DOI: (10.1016/S0022-5223(95)70077-3) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 6 Creation of an infundibular VSD with a patch from the right ventricular side widens the outflow angle but does not alter the inlet anatomy. This leaves a long LVOT. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1534-1542DOI: (10.1016/S0022-5223(95)70077-3) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 7 The outflow angle is wide in Rastelli type Clesions, which may explain the low incidence of subaortic stenosis. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1534-1542DOI: (10.1016/S0022-5223(95)70077-3) Copyright © 1995 Mosby, Inc. Terms and Conditions