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.
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Single ventricle and palliative procedures
Anatomic Repair of Congenitally Corrected Transposition: 1.5V Repair with Hemi-Mustard and Rastelli Procedures
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.
October 11, 2021
This video demonstrates the da Silva cone procedure for a patient who previously had undergone an urgent neonatal Starnes procedure for Ebstein's Anomaly with pulmonary atresia and a Glenn shunt at 4 months of age.
September 8, 2021
Sustained total all-region (STAR) perfusion during Norwood reconstruction may improve post-operative recovery by utilizing only mild hypothermia and eliminating ischemic time in all vascular beds.
Biventricular Conversion After Left Ventricular Recruitment Procedure for Hypoplastic Left Heart Variant and VSD
July 26, 2021
We present a video case report of the course and operations for a patient with hypoplastic left heart variant and a ventricular septal defect.
Modified Norwood/Sano Stage I Palliation for Hypoplastic Left Heart Syndrome Without Circulatory Arrest
June 10, 2021
This video shows the technique of modified Norwood/Sano Stage I palliation of hypoplastic left heart syndrome without the use of circulatory arrest.
April 15, 2021
Off pump extra-cardiac non-fenestrated Fontan in a 6-year old child with pulmonary atresia and intact ventricular septum.
Posterolateral Tunnel Fontan, Bilateral Classic Glenn Centralization, and Right Upper Pulmonary Vein Translocation
September 11, 2020
This video demonstrates a posterolateral tunnel Fontan, bilateral classic Glenn centralization, and right upper pulmonary vein translocation in a patient with hypoplastic left heart syndrome.
April 20, 2020
This video provides the clinical background, intraoperative technique, and postoperative result of a 16-month-old patient with Shone's complex (aortic valve, mitral valve, left ventricular, and aortic arch hypoplasia) and VSD who previously underwent a single ventricle pathway through the Glenn procedure stage, but then underwent a staged left ventricular recruitment operation to promote left ventricular growth for future consideration for biventricular conversion.
In Situ Expansion, Differentiation and Electromechanical Coupling of Human Cardiac Muscle in a 3D Bioprinted, Chambered Organoid
April 2, 2020
Quite refreshing well-written experimental paper leaving promises of artificial organoids.