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| http://dx.doi.org/10.14503/THIJ-13-4014 | DOI Listing |
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Complete percutaneous repair of Tetralogy of Fallot in adult: a case report.
J Cardiothorac Surg
December 2024
Department of Cardiology, IPGMER and SSKM Hospital, Flat B1, GB 43, Narayantala West, D. B. Nagar, Kolkata, 700059, India.
Tetralogy of Fallot (TOF) is the most common congenital cyanotic heart disease and is characterized by an antero-superior deviation of the infundibular septum with a consequent large malaligned ventricular septal defect (VSD) and a pulmonary and sub-pulmonary (infundibular) stenosis. Surgical repair has been the cornerstone of treatment that is electively performed early in their lives between 3 and 6 months of age. With advancements in transcatheter interventions, the complete percutaneous repair of TOF, a complex disease with multiple treatable lesions, is becoming a conceivable possibility.
View Article and Find Full Text PDFVentricular septation for double inlet ventricle: Avoiding conduction injury.
J Thorac Cardiovasc Surg
September 2024
Department of Cardiac Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Mass. Electronic address:
Objectives: Although conduction location can be reliably predicted in double inlet ventricle, ventricular septation continues to carry a significant risk of complete heart block. This study describes our experience using intraoperative conduction mapping during ventricular septation.
Methods: Patients undergoing ventricular septation from 2017 to 2023 were identified.
The Surgical Significance of Phenotypic Variability in the Setting of Tetralogy of Fallot.
World J Pediatr Congenit Heart Surg
January 2025
Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India.
Article Synopsis
- - The phenotypic feature of tetralogy of Fallot involves a specific heart structure deviation and has variations in each case, making it unique.
- - Surgical treatment outcomes for this condition have greatly improved over time, leading to a focus on reducing complications and fatalities in patients, even in developing countries.
- - A study examined the impact of morphological variations on surgical outcomes in over 1,000 patients, finding certain heart structure configurations linked to higher risks of postoperative death and rhythm issues.
Advances in Diagnostic and Interventional Catheterization in Adults with Fontan Circulation.
J Clin Med
August 2024
Adult Congenital Heart Disease Unit, Cardiology Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.
Over the past five decades, the Fontan procedure has been developed to improve the life expectancy of patients with congenital heart defects characterized by a functionally single ventricle. The Fontan circulation aims at redirecting systemic venous return to the pulmonary circulation in the absence of an impelling subpulmonary ventricle, which makes this physiology quite fragile and leads to several long-term complications. Despite the importance of hemodynamic assessment through cardiac catheterization in the management and follow-up of these patients, a thorough understanding of the ultimate functioning of this type of circulation is lacking, and the interpretation of the hemodynamic data is often complex.
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