TY - JOUR

T1 - Hybrid approaches to complex congenital cardiac surgery

AU - Hjortdal, V E

AU - Redington, A N

AU - de Leval, M R

AU - Tsang, V T

PY - 2002/12

Y1 - 2002/12

N2 - OBJECTIVES: A hybrid operation is a joint procedure involving the interventional cardiologist and the cardiac surgeon concomitantly to optimise surgical management. The aim of our study was to demonstrate the conceptual development and the feasibility of a hybrid approach to complex congenital cardiac surgery.METHODS: Descriptive study of two different indications for concomitant intervention by the cardiologist and the cardiac surgeon. Seven patients with complex congenital heart defects requiring high risk operative interventions were included in the study. The indications were: (1) intraoperative stenting of a pulmonary artery stenosis with concomitant additional surgical procedures (n=4). (2) Balloon occlusion of Blalock-Taussig shunts or major aorto-pulmonary collateral artery to control pulmonary blood flow during surgical repair (n=3).RESULTS: All patients had successful hybrid procedures. There were no important complications related to the temporal proximity of the interventional procedure and cardiac surgery, the latter being significantly facilitated by the former.CONCLUSIONS: Intraoperative stenting of pulmonary artery stenosis with additional surgical repair and balloon occlusion on cardiopulmonary bypass can be performed safely and may be complementary in patients with complex lesions by providing a better result in combination than either alone can offer.

AB - OBJECTIVES: A hybrid operation is a joint procedure involving the interventional cardiologist and the cardiac surgeon concomitantly to optimise surgical management. The aim of our study was to demonstrate the conceptual development and the feasibility of a hybrid approach to complex congenital cardiac surgery.METHODS: Descriptive study of two different indications for concomitant intervention by the cardiologist and the cardiac surgeon. Seven patients with complex congenital heart defects requiring high risk operative interventions were included in the study. The indications were: (1) intraoperative stenting of a pulmonary artery stenosis with concomitant additional surgical procedures (n=4). (2) Balloon occlusion of Blalock-Taussig shunts or major aorto-pulmonary collateral artery to control pulmonary blood flow during surgical repair (n=3).RESULTS: All patients had successful hybrid procedures. There were no important complications related to the temporal proximity of the interventional procedure and cardiac surgery, the latter being significantly facilitated by the former.CONCLUSIONS: Intraoperative stenting of pulmonary artery stenosis with additional surgical repair and balloon occlusion on cardiopulmonary bypass can be performed safely and may be complementary in patients with complex lesions by providing a better result in combination than either alone can offer.

KW - Adolescent

KW - Adult

KW - Balloon Occlusion/methods

KW - Cardiac Surgical Procedures/methods

KW - Cardiopulmonary Bypass

KW - Catheterization/methods

KW - Child

KW - Child, Preschool

KW - Combined Modality Therapy

KW - Feasibility Studies

KW - Female

KW - Heart Defects, Congenital/surgery

KW - Humans

KW - Intraoperative Care/methods

KW - Male

KW - Pulmonary Valve Stenosis/therapy

KW - Reoperation/methods

KW - Stents

U2 - 10.1016/s1010-7940(02)00586-9

DO - 10.1016/s1010-7940(02)00586-9

M3 - Journal article

C2 - 12467809

VL - 22

SP - 885

EP - 890

JO - European Journal of Cardio-thoracic Surgery

JF - European Journal of Cardio-thoracic Surgery

SN - 1010-7940

IS - 6

ER -