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Review
. 2017 Mar 6:4:9.
doi: 10.3389/fsurg.2017.00009. eCollection 2017.

Popular Hybrid Congenital Heart Procedures without Cardiopulmonary Bypass

Aamisha Gupta  1 , Zahid Amin  1
Affiliations
Review

Popular Hybrid Congenital Heart Procedures without Cardiopulmonary Bypass

Aamisha Gupta et al. Front Surg. .

Abstract

As surgical and catheter interventions advance, patients with congenital heart disease are now offered alternative treatment options that cater to their individual needs. Furthermore, collaboration between interventional cardiologists and cardiac surgeons have led to the development of hybrid procedures, using the best techniques of each respective field to treat these complex cardiac entities from initial treatment in the pediatric patient to repeat intervention in the adult. We present a review of the increased popularity and trend in hybrid procedures in congenital heart disease without the use of cardiopulmonary bypass.

Keywords: hybrid; perventricular; pulmonary valve; stent.

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Figures

Figure 1
Figure 1
Hybrid stage I palliation: angiography of branch pulmonary arteries after bilateral pulmonary artery banding in a right anterior oblique view (A) and left anterior oblique view (B). Fluoroscopic image of stent implantation within the patent ductus arteriosus (C).
Figure 2
Figure 2
Hybrid muscular ventricular septal defect closure. Schematic diagram illustrating the steps involved in deployment of the device through the right ventricular free wall. RV, right ventricle; LV, left ventricle; MPA, main pulmonary artery; Ao, aorta; SVC, superior vena cava; TV, tricuspid valve; RA, right atrium; IVC, inferior vena cava. Reprinted with permission from publisher: Elsevier (24).
Figure 3
Figure 3
Transesophageal echocardiographic images of steps involved in perventricular ventricular septal defect (VSD) closure. (A,B) 4-chamber view without (A) and with (B) color Doppler showing the mid muscular VSD. (C) Wire through the right ventricular free wall and across the defect. (D) Delivery sheath in the left ventricle (LV) cavity. (E) Left disk deployed in the LV. (F) Left disk aligned with the ventricular septum. (G) Device waist and part of the right disk have been deployed. (H) Complete deployment of the right disk with optimal device position. Reprinted with permission from publisher: John Wiley and Sons (29).
Figure 4
Figure 4
Right ventricle (RV) angiogram. Angiographic catheter advanced antegrade via femoral sheath and into RV and demonstrates Melody valve in proper position.
Figure 5
Figure 5
Subxiphoid access for perventricular Melody valve implantation. (A) The size and location of the surgical incision. (B) The 22-Fr Melody valve delivery sheath being inserted through the incision. (C) Final appearance of the chest wall after closure. Reprinted with permission from publisher: John Wiley and Sons (44).
See this image and copyright information in PMC

References

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