Ductal stenting retrains the left ventricle in transposition of great arteries with intact ventricular septum Kothandam Sivakumar, MD, DM, Edwin Francis,

Slides:

Advertisements

Similar presentations

Not Necessarily a Myocardial Infarction: New Left Bundle Branch Block

Advertisements

Lindsay S. Rogers, MD, Amy L. Peterson, MD, J

T.K. Susheel Kumar, MD, Christopher J. Knott-Craig, MD

Translocation of a single coronary artery from the nonfacing sinus in the arterial switch operation: Long-term patency of the interposition graft Igor.

The hybrid procedure for hypoplastic left heart syndrome: A procedure still looking for its place Carlos M. Mery, MD, MPH The Journal of Thoracic and.

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

Fixed versus dynamic subaortic stenosis: Hemodynamics and resulting differences in Doppler echocardiography and aortic pressure contour Joon Hwa Hong,

Novel mechanism of mitral regurgitation after lung transplantation in a patient with scleroderma and pulmonary hypertension Christian A. Bermudez, MD,

Coronary artery-to-left ventricular fistula

Ventricular and pulmonary vascular remodeling induced by pulmonary overflow in a chronic model of pretricuspid shunt Daniele Linardi, MD, Alessio Rungatscher,

Christopher W. Baird, MD, Joseph M. Forbess, MD

Aortico-Left Ventricular Tunnel: Diagnosis Based on Two-Dimensional Echocardiography, Color Flow Doppler Imaging, and Magnetic Resonance Imaging RICHARD.

Prevalence and clinical significance of acquired left coronary artery fistulas after surgical myectomy in patients with hypertrophic cardiomyopathy Aurelio.

Ultrasound, endoscopy, and the recurrent nerve

Aortic root translocation with atrial switch: Another surgical option for congenitally corrected transposition of the great arteries with isolated pulmonary.

Turning to the truth: Is mechanical aortic valve orientation important in transthoracic echocardiographic detection of prosthetic dysfunction and paravalvular.

Orientation of bileaflet mechanical aortic valve prostheses for optimal evaluation by transthoracic echocardiography Alberto Bouzas-Mosquera, MD, PhD,

Aorta–right atrial tunnel: Clinical presentation, diagnostic criteria, and surgical options Trushar Gajjar, DNB, Choudary Voleti, MD, Rekha Matta, MCh,

Ruptured sinus of Valsalva aneurysm: Transaortic repair may cause sinus of Valsalva distortion and aortic regurgitation Sung-Ho Jung, MD, Tae-Jin Yun,

Tomohiro Mizuno, MD, Richard D. Weisel, MD, Ren-Ke Li, MD, PhD

Bailout After Failed Biventricular Management of Critical Aortic Stenosis: Another Application of the Hybrid Approach Christian Pizarro, MD, Majeed A.

William M. DeCampli, MD, PhD, Craig E. Fleishman, MD, David G

Circular shunt in bidirectional cavopulmonary anastomosis

Left ventricular inflow obstruction associated with persistent left superior vena cava and dilated coronary sinus Daniel J DiBardino, MD, Charles D Fraser,

Intra-atrial rerouting by the posterior left atrial wall flap for total anomalous pulmonary venous return drainage into the coronary sinus in neonates

Right ventricular architecture responsible for mechanical performance: Unifying role of ventricular septum Gerald Buckberg, MD, Julien I.E. Hoffman,

Transapical off-pump removal of the native aortic valve: A proof-of-concept animal study Stefano Salizzoni, MD, Pietro Bajona, MD, Kenton J. Zehr, MD,

Zohair Al Halees, MD, Mahmoud M. Awad, MD, Frans Pieters, MD, Maie S

Tomaso Bottio, MD, PhD, Gino Gerosa, MD

Ex-utero intrapartum treatment as a novel bridging strategy to surgery in hypoplastic left heart syndrome with intact atrial septum—cross-circulation.

Notice of Correction The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 4, (October 2010) DOI: /j.jtcvs Copyright.

Myriad manifestations of myxoma

Right ventricular outflow tract resection for treatment of refractory ventricular tachycardia in a 2-year-old child S. Kanaan, MD, K. Shamsuddin, MD,

Ritu Sachdeva, MD, Richard T. Fiser, MD, William R

Hemoptysis as a rare presentation of cor triatriatum sinister

A hidden culprit for ventricular dysfunction in aortopulmonary window repair: Anomalous origin of left coronary artery. Case report and review of literature

Anomalous left coronary artery from the pulmonary artery with an intramural course within the aortic wall: Report of 3 surgical cases Steven P. Goldberg,

Transection with pseudoaneurysm formation of the pulmonary trunk after placement of an adjustable pulmonary artery banding device (FloWatch-PAB) in a.

A novel surgical approach to close an acute ventricular septal defect using an occluder device Chanaka Rajakaruna, MRCS, Jonathan Hill, MA, MRCP, Eleanor.

Anomalous pulmonary artery from the aorta via a patent ductus arteriosus: repair in a premature infant Khaled J Salaymeh, MD, Thomas R Kimball, MD, Peter.

Management of right coronary artery fistula caused by nail gun trauma

Acute myocardial infarction and limb ischemia as manifestation of nonbacterial thrombotic endocarditis Naoko Nagano, MD, Jean-François Morin, MD, FRCS,

Sixty Years After Tetralogy of Fallot Correction

Persistent fifth aortic arch

Mitral valve replacement for inflow obstruction of left ventricular assist device in a child with restrictive cardiomyopathy Hari Tunuguntla, MD, Susan.

Anna Marciniak, PhD, Georgios T

Compassionate aortic valve implantation for severe aortic regurgitation Gregory Ducrocq, MD, Dominique Himbert, MD, Ulrik Hvass, MD, Alec Vahanian, MD

Igor E. Konstantinov, MD, PhD, Peter Pohlner, MB, BS, FRACS

Concomitant stenting of the patent ductus arteriosus and radiofrequency valvotomy in pulmonary atresia with intact ventricular septum and intermediate.

Leora B. Balsam, MD, Abe DeAnda, MD

Right ventricular failure from severe pulmonary hypertension after surgery for shone complex: Back to fetal physiology with reducting, atrioseptectomy,

A fate worse than death Jennifer S. Lawton, MD

Pre-dicting post-ligation syndrome

Successful removal of migrated acupuncture needles in a patient with cardiac tamponade by means of intraoperative transesophageal echocardiographic assistance

Successful myocardial volume reduction in a 9-month-old infant

Norwood Stage 1 With Surgical Ventricular Reconstruction and Mitral Valve Repair for Neonatal Idiopathic Left Ventricular Dilated Cardiomyopathy Patrick.

Preserving the V-engine shape of the left ventricle with Melody mitral valve replacement in small children Patrick O. Myers, MD The Journal of Thoracic.

Isolated pulmonary artery arising from a duct: A single-center review of diagnostic and therapeutic strategies Sarosh P. Batlivala, MD, Doff B. McElhinney,

Nonsurgical management of traumatic cardiac pseudoaneurysms

Discussion The Journal of Thoracic and Cardiovascular Surgery

Mechanical left ventricular unloading to prevent recurrent myocardial rupture Stephen Westaby, MS, PhD, Vipin Mehta, MD, Fidelma Flynn, MD, Neil Wilson,

Complete cavopulmonary shunt completion after in utero balloon atrial septoplasty for hypoplastic left heart syndrome Nicholas H. Von Bergen, MD, Harold.

Aneurysmal right coronary with fistula to the coronary sinus combined with severe stenosis of the left anterior descending artery: A snake on the heart

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

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

Lipomatous septal hypertrophy

Dynamic right ventricular outflow tract obstruction in cardiac surgery

Giant right coronary artery aneurysm with a huge intramural thrombus

Echo-free perfused spaces: A current postoperative finding after homograft replacement of the aortic valve T. Carrel, MD, M. Pasic, MD, E. Oechslin,

Sophie C. Hofferberth, MBBS, Mark E. Alexander, MD, Douglas Y

Presentation transcript:

Ductal stenting retrains the left ventricle in transposition of great arteries with intact ventricular septum Kothandam Sivakumar, MD, DM, Edwin Francis, MD, DM, Prasad Krishnan, MS, MCh, Jagdish Shahani, MD The Journal of Thoracic and Cardiovascular Surgery Volume 132, Issue 5, Pages 1081-1086 (November 2006) DOI: 10.1016/j.jtcvs.2006.07.014 Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Lateral view aortogram shows ductal ampulla as a hump from the anterior wall of the aorta. Inset shows a guidewire advanced through the ductal ampulla into the pulmonary artery by recanalizing the closed ductus arteriosus and a short coronary stent positioned at the ductal level. On the right, after ductal stenting with a 4-mm balloon, aortic injection shows a good filling of the pulmonary arteries. Ao, Aorta; PA, pulmonary artery; PDA, patent ductus arteriosus. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 1081-1086DOI: (10.1016/j.jtcvs.2006.07.014) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Apical 4-chamber echocardiographic view before and after ductal stenting. Before ductal stenting shown on the left, the regressed left ventricle has a banana shape, the interventricular septum bows into the left ventricle, and the left ventricular volumes are smaller than in the postductal stenting picture on the right. LA, Left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle; PDA, patent ductus arteriosus. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 1081-1086DOI: (10.1016/j.jtcvs.2006.07.014) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Parasternal short-axis echocardiographic view before ductal stenting on left shows that the left ventricular cavity has a crescent-shaped squashed appearance due to shifting of the interventriuclar septum to the left; after ductal stenting, shown on right, the left ventricle regains its normal shape. Increase of the left ventricular free wall thickness and mass after ductal stenting are also shown in the values. LV, Left ventricle; RV, right ventricle. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 1081-1086DOI: (10.1016/j.jtcvs.2006.07.014) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Parasternal long-axis echocardiogram shows improvement in left ventricular volumes and left ventricular free-wall thickness after ductal stenting (right) compared with before stenting (left). Ao, Aorta; LA, left atrium; LV, left ventricle; PA, pulmonary artery; RV, right ventricle; PDA, patent ductus arteriosus. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 1081-1086DOI: (10.1016/j.jtcvs.2006.07.014) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Pulse wave Doppler tracing across the stented duct shows low-velocity continuous flows from aorta to pulmonary artery, indicating that the pulmonary artery pressures are almost similar to aortic pressures. This proves that the ductal stent offers significant pressure overload to the left ventricle, to result in left ventricular retraining. PDA, Patent ductus arteriosus; ECG, electrocardiogram. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 1081-1086DOI: (10.1016/j.jtcvs.2006.07.014) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions