The RV-PA conduit or Sano modification, has recently been reintroduced into the Norwood armamentarium. Many centers, however, have been experiencing conduit obstruction with the Sano. This video demonstrates a modification of the technique used for the RV-PA conduit that has reduced the incidence of conduit obstruction at our institution. There has recently been a published report of the use of the ringed conduit for for the reduction in conduit obstruction.
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Congenital
September 28, 2009
Double aortic arch is the most common of the complete vascular rings, causing tracheo-esophageal compression. This is a case report of a double aortic arch with balanced aortic arches, presenting with extrinsic tracheobronchial obstruction.
September 9, 2009
This video was filmed from the perspective of a medical student investigating a career in cardiothoracic surgery.
July 28, 2009
Even the most talented musical virtuoso would not play a piece in public without practicing. Yet we ask residents to perform the operative equivalent of a virtuoso performance only after essentially a brief glance at the sheet music.
July 15, 2009
"If given the option when choosing a cardiothoracic residency, should one choose a two-year program or a three-year
program?"
July 15, 2009
Cardiothoracic surgery is undergoing a period of sweeping change. Our specialty was born out of the surgical treatment of tuberculosis and reached a "tipping point" near the half-way mark of last century.
June 18, 2009
A case of a 6-month-old female with stridor, dysphagia and bronchiolitis. Subsequent transthoracic echocardiography confirmed a double aortic with complete vascular ring with a dominant right arch, smaller anterior left and a Kommerell’s diverticulum connected to a ductal remnant. This video shows division of the ring through a left thoracotomy with a successful outcome.
June 14, 2009
A premature baby girl was admitted to the Children’s Heart Centre Slovakia with signs of congestive heart failure and failure to thrive. On echo a common arterial trunk type A1-A2 (Van Praagh) associated with a patent foramen ovale with near confluent pulmonary arteries was diagnosed. The patient was referred for complete repair.
May 6, 2009
It was a clear, cool fall morning of my first year in medical school. I had remembered that we were scheduled to have a special guest for our 8 AM lecture that morning, but little did I know how much that lecture would change my life.