Electrolytically detachable coils for closure of a modified baffle fenestration in patients with hypoplastic left heart syndrome (HLHS).

Today total cavopulmonary connection (TCPC) is the treatment of choice for long term palliation of patients with hypoplastic left heart syndrome (HLHS). We report a new, relatively simple and effective method to occlude a modified baffle (TCPC) fenestration via the left hepatic vein in two patients with HLHS with the use of electrolytically detachable platinum microcoils after a failed tourniquet closure.

Aortic valvuloplasty in pediatric patients substantially postpones the need for aortic valve surgery: a single-center experience of 188 patients after up to 17.5 years of follow-up.

Background: Aortic valvuloplasty (AoVP) is an established procedure regarded as a valid alternative for surgical management of congenital aortic valve stenosis. However, its long-term efficacy in preventing or postponing aortic valve surgery remains uncertain for the individual patient. Therefore, the aim of this study was to study the long-term results of AoVP in pediatric patients and its efficacy in preventing or postponing aortic valve surgery.

Stenting of stenosed shunts in patients after a Norwood-Sano operation.

Early shunt stenosis may occur after a Norwood-Sano operation. We report our experience with three patients who were treated successfully by stent implantation into the Sano shunt. Hence, a surgical shunt revision could be avoided.

The fate of systemic blood pressure in patients after effectively stented coarctation.

Aims: The current study was designed to assess midterm results of stent implantation into the aorta for native and recurrent coarctation (CoA) in children and young adults.

Methods And Results: Forty-three patients (native CoA, 8; female, 12) were treated with stent implantation at a median age of 16.8 years (range 7.

Site of coronary sinus drainage does not significantly affect coronary flow reserve in patients long term after Fontan operation.

This study was designed to investigate the impact of postoperative coronary sinus drainage pressure on coronary flow reserve (CFR) assessed by Doppler guidewire in patients long term after Fontan operation. Twenty-nine patients (median age, 17.4 years female, 11) at a median of 10.