By Constantine Mavroudis, Carl Lewis Backer, Rachid F. Idriss
The raison d’etre for a brand new atlas of congenital middle surgical procedure is predicated at the truth that the strong point has gone through a number of adjustments within the previous couple of years leading to enhanced strategies and new operations. The sheer variety of new techniques and the mandatory attendant technical talents to effectively whole an operation has develop into a problem to grasp, particularly for citizens who're pursuing a occupation in congenital middle surgical procedure. whereas the ideas that we're espousing are quite often our personal, there's a good deal of similarity among overseas facilities due to the impression of video displays, manuscript courses, and bankruptcy reports. We as a result think that the strategies which are illustrated during this atlas usually are just like the strategies which are taught world wide to citizens and fellows. The atlas is equipped as a rule by means of illnesses and techniques pertaining thereto. basic sections contain cannulation innovations and palliative approaches, respectively. a different part depicts tricky difficulties within the kind of scientific vignettes which can come up in the course of cardiopulmonary skip akin to: reduced venous go back, undiagnosed patent ductus arteriosus, and technical mistakes resulting in hemodynamic problems. The reader is prompt to use measures that would result in solution of those difficulties. we've selected strategies, which conceal the breadth of congenital middle surgical procedure. whereas possibly now not completely inclusive, the reader will locate the larger majority of congenital center strategies illustrated and defined during this text.
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Extra info for Atlas of Pediatric Cardiac Surgery
17). The suture line can be commenced proximally or distally, depending on the circumstances. 19 show the placement of the patch using running suture technique. Fig. 16 Fig. 18 Fig. 17 Fig. 2 Systemic-to-Pulmonary Artery Shunt (Modiﬁed Blalock-Taussig Shunt) Systemic-to-pulmonary artery shunts are used to palliate a number of congenital heart lesions with decreased pulmonary artery flow. The general principles are to provide enough pulmonary artery flow to relieve cyanosis but not to cause pulmonary over-circulation.
1007/978-1-4471-5319-1_2 19 20 C. Mavroudis Fig. 3 Fig. 2 2 Palliation Techniques 21 Fig. 6 Fig. 4 Fig. 7 Fig. 5 Fig. 8 22 C. 1 Pulmonary Artery Band Takedown and Repair Pulmonary artery banding takedown usually requires cardiopulmonary bypass, Teflon PAB removal, and repair by either direct anastomosis or patch technique. Each technique has its advantages and disadvantages and is illustrated. Fig. 11 shows the completed dissection of a patient with PAB in preparation for the excision and direct anastomosis technique.
L. Backer a b c d Fig. 1 4 Vascular Rings, Tracheoplasty, and Pulmonary Artery Sling 47 a b c d Fig. L. Backer Double Aortic Arch The standard approach to a double aortic arch is through a left thoracotomy, because most patients with a double aortic arch have a dominant right aortic arch and the surgeon will be intent on dividing the left aortic arch. The patient with a dominant left aortic arch is the exception; in this case, the best approach is through a right thoracotomy, and the surgeon will plan to divide the smaller, right aortic arch.
Atlas of Pediatric Cardiac Surgery by Constantine Mavroudis, Carl Lewis Backer, Rachid F. Idriss