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Single ventricle and palliative procedures

April 18, 2024
This video illustrates how surgeons decide on the method, either ipsilateral or contralateral, for placing an extracardiac conduit in a patient with right isomerism, left-sided IVC, and apicocaval juxtaposition who required a Fontan operation.
December 19, 2023
CTSNet congenital editor Prof. Sameh Said spoke with Dr. Hani Najm, the Chair of Pediatric and Congenital Heart Surgery at Cleveland Clinic. They discussed Dr. Najm’s method for the ventricular switch operation and what his team has learned about the procedure as a concept, not just an operation.
December 12, 2023
This video demonstrates how to construct a trileaflet valve from sizes 5 mm to 38 mm that can be implanted into any conduit type.
August 17, 2023
This video shows the case of a ten-month-old infant who presented with cyanosis secondary to complex functional single ventricle in the setting of heterotaxy syndrome and underwent Kawashima procedure as stage I palliation.
August 11, 2023
This study reported long term outcomes of over three thousand single ventricle patients in the United Kingdom, with a median of 7.6 years. The most significant predictor of long-term survival was single ventricle subtype, with the worst outcomes observed among patients with hypoplastic left heart syndrome or unbalanced AVSD.
April 27, 2023
This video aims to provide a detailed demonstration on Dr. James Tweddell’s technique for palliation of patients with hypoplastic left heart syndrome.
July 15, 2022
The modified Blalock-Taussig-Thomas shunt is an important palliation for patients with insufficient pulmonary blood flow associated with congenital heart disease. This study found increased morbidity and mortality tied to smaller shunt size, smaller shunted pulmonary artery size, surgical approach, and site of proximal shunt anastomosis.
January 12, 2022
We present an operative technique video of the anatomic repair of congenitally corrected transposition (ccTGA) with ventricular septal defect (VSD), pulmonary atresia (PS), and mild right ventricular hypoplasia in a 2-year-old palliated with a 3.5mm rmBTS (and coronary artery fistula ligation) in the neonatal period, followed by a rmBTS takedown and bidirectional Glenn shunt at 4m/o.