Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual
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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Jan 2009
Challenges and progress of the pediatric cardiac surgery in Shanghai Children's Medical Center: A 25-year solid collaboration with Project HOPE.
Congenital heart disease (CHD) is one of major categories of illness that, if treated, can restore health and improve quality of life. Unfortunately, in many developing countries, health professionals may not have the resources to replenish themselves with modern technology and/or surgery skills to treat a child with complex CHD. Until now, CHD remained a health challenge for many children and families. ⋯ Specifically, Project HOPE has played an important role in facilitating the collaboration between Shangahi Xin Hua Hospital, Shanghai Children's Medical Center, and many world-leading pediatric health care institutions. With contributions from Project HOPE in the last 25 years, cardiovascular surgeons at Shanghai Children's Medical Center have achieved tremendous progress. The landmark of the cardiac center and successful clinical data in treating children with cardiac illness symbolizes the successful collaboration among a state-owned hospital, a non-profit organization-Project HOPE, and multiple international corporations, which have provided valuable resources to facilitate the growth of the hospital into a state-of-the-art tertiary hospital to serve children and families.
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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Jan 2009
ReviewTransverse aortic arch obstruction: when to go from the front.
Transverse aortic arch hypoplasia involving some or all segments of the arch (tubular hypoplasia) may exist in association with intra-cardiac anomalies of varying severity. Surgical repair of the distal transverse aortic arch and isthmus are adequately managed by an extended end-to-end coarctation repair in most infants via a left thoracotomy. The surgical management and timing of proximal aortic arch obstruction is controversial but almost always requires an approach via sternotomy using cardiopulmonary bypass.
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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Jan 2009
Historical ArticleThe World Society for Pediatric and Congenital Heart Surgery: its mission and history.
The World Society for Pediatric and Congenital Heart Surgery (WSPCHS) was established in 2006 to assemble pediatric and congenital heart surgeons from all continents and regions of the world and their colleagues from related specialties dealing with pediatric and congenital heart disease. Since its birth, it has held a highly successful inaugural scientific meeting in 2007 in Washington, DC, and a World Summit on Pediatric and Congenital Heart Surgery Services, Education, and Cardiac Care for Children and Adults with Congenital Heart Disease in 2008 in Montreal. ⋯ Projects in the areas of research, training and education, patient care, and community service will allow the Society to reach its goals. By bringing together professionals from every region of the world, the WSPCHS should play a significant role in the improvement of care for children and adults with congenital heart disease around the world.
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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Jan 2009
Pediatric cardiac surgery: a challenge and outcome analysis of the Guatemala effort.
A large underserved population of children with congenital cardiac malformation (CCM) exists in many developing countries. In recent years, several strategies have been implemented to supplement this need. These strategies include transferring children to first-world countries for surgical care or the creation of local pediatric cardiovascular surgical programs. ⋯ We are not in favor of Medical-Surgical Safari efforts, unless these efforts include training of a local team and eventual unit independence. It helps if an experienced (+/- senior/retired!) surgeon leads this effort on a full-time, pro bono basis. Local and international fund raising is essential to complement vastly insufficient government subsidies.
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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Jan 2009
ReviewManagement of older single functioning ventricles with outlet obstruction due to a restricted "VSD" in double inlet left ventricle and in complex double outlet right ventricle.
The occurrence of a restriction of the bulbo-ventricular foramen (BVF) in older patient with double inlet left ventricle (DILV) or tricuspid atresia (TA) with ventriculo-arterial discordance is a well-known condition. Today, the surgical management is to perform a Damus-type operation at the time of the bi-directional Glenn or at the Fontan completion. The ventricular septal defect (VSD) enlargement, associated with muscular resection and a patch enlargement of the subaortic accessory ventricular chamber, is rarely performed but remains indicated in cases with pulmonary valve atresia or regurgitation. ⋯ Attempts at surgical VSD enlargement or catheter-based procedures have resulted in almost constant recurrence. This recently reported complication is in favor of also performing a VSD enlargement at the time of the Fontan completion in complex DORV. It justifies the biventricular repair in complex DORV with two viable ventricles.