Tags Archives: CTS

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Pediatric aortic valve neocuspidization

Treatment of pediatric aortic valve disease is controversial. In this regard, interest is growing in the neocuspidization of the aortic valve according to Ozaki. In this video tutorial, we illustrate..

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Resection of Left Ventricular Rhabdomyoma in a Neonate

This video features a one-day-old, 3kg neonate with a prenatal diagnosis of a cardiac mass. The postnatal transthoracic echocardiogram shows a large left ventricular mass occupying the majority of the..

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Single arterial access ECMELLA: A new concept and step-by-step procedure

Therapy for cardiogenic shock using temporary mechanical circulatory support has improved significantly in the last decades, providing patients with new technologies for both acute phase stabilization and bridging to long-term..

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One-Stage Neonatal Arterial Switch With Mee Procedure and Repair of Aortic Arch Hypoplasia

An eleven-day-old female neonate, 4.3kg, presented with cyanosis and had a postnatal diagnosis of transposition of the great arteries (d-TGA), ventricular septal defect (VSD), and aortic arch hypoplasia with coarctation...

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Aortic arch reconstruction in neonates using an autologous pericardial patch

This video tutorial illustrates the surgical correction of aortic coarctation associated with severe hypoplastic aortic arch and a large subaortic ventricular septal defect using a fresh autologous pericardial patch for..

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Unroofing of Anomalous Right Coronary Artery

A sixty-year-old woman with angina. A coronary angiography showed an anomalous origin of the right coronary artery from the left coronary cusp. This was confirmed on s gated coronary CT,..

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Fourth Sternotomy with Reinforced Ross Procedure

A twenty-year-old woman presented with a severe left ventricular outflow tract (LVOT) obstruction secondary to prosthetic aortic valve dysfunction. She was born with a bicuspid aortic valve and had undergone..

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Modified Barbero-Marcial repair for type I truncus arteriosus in a 2.7-kg neonate

The basics of truncus arteriosus (TA) repair include separating the pulmonary and systemic circulations with closure of the ventricular septal defect (VSD) via a right ventriculotomy and establishing right ventricular..

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Left heart bypass for repair of aortic coarctation in children: Technical tips and pitfalls

Spinal cord injury secondary to coarctation repair in children is a serious, though relatively uncommon, complication. Several measures have been proposed to minimize this risk, which seems to affect more..

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Repair of Aortopulmonary Window in a Newborn

A two-week-old, 3.5 kg newborn presented with tachypnea and a heart murmur. An echocardiogram showed a type I aortopulmonary window and patent foramen ovale. A computed tomography scan confirmed the..

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Reconstruction of Complex Proximal Aortic Dissections with Aortic Insufficiency Using Aortic Ring Annuloplasty

Perez-Tamayo A, Baker JN, Gerdisch MW, et al.. Reconstruction of Complex Proximal Aortic Dissections with Aortic Insufficiency Using Aortic Ring Annuloplasty. January 2022. The information and views presented on CTSNet.org..

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Aorto-Mitral Curtain Reconstruction with Multiple Bovine Pericardial Patches: A Case of Multiple Valve Infective Endocarditis

Invasive infective endocarditis (IE) with abscess formation involving the intervalvular fibrous body (IFB) between the aortic and mitral valves or aorto-mitral curtain (AMC) can make surgical repair and reconstruction a..

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Modified Starnes procedure as a bridge to 2-ventricle repair in neonatal Ebstein’s anomaly: A paradigm shift

Severe tricuspid valve regurgitation secondary to Ebstein’s anomaly represents several challenges in neonates. It can result in significant respiratory and/or hemodynamic compromise that mandates urgent interventions. When conservative management fails,..

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Papillary Muscle Cross-Control Technique to Overcome Excessive Leaflet Tethering in Complex Tricuspid Valve Repair

Longstanding tricuspid valve regurgitation (TR), either of functional or organic origin, might lead to severe right ventricular (RV) dilatation and/or dysfunction. The chordal shortening caused by papillary muscle displacement secondary..

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Fast-Track Arterial Switch Operation

This is the case of a 3. 3 kg, male neonate who was born with a prenatal diagnosis of dextro-transposition of the great arteries (d-TGA) and an intact ventricular septum...

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Da Silva Cone Operation After Starnes Procedure for Ebstein's Anomaly

Severe neonatal Ebstein's Anomaly can present a surgical challenge, and the advent of the Starnes procedure has improved survival in these critically ill neonates. Importantly, however; this does not commit..

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Ischemic VSD Repair With Transapical Mitral Valve Replacement

The development of ischemic ventricular septal rupture is an uncommon but frequently fatal complication. Mortality with medical treatment only is extremely high. Septal rupture results in a left-to-right shunt, with..

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Alternative Strategies for Challenges in Veno-Arterial ECMO Cannulation

Extracorporeal membrane oxygenation (ECMO) for cardiac failure is on the rise worldwide. Some challenges, such as limb ischemia and thrombotic or hemorrhagic events, are well-recognized. Newer data suggests that ventricle..

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