Aortic Valve Replacement after Arterial Switch

The following video depicts a five-year-old with transposition of the great arteries, who had bicuspid aortic and pulmonary valves. Patient was not a candidate for a Ross procedure, requiring an aortic valve replacement. This video demonstrates a rare aortic valve replacement after an arterial switch operation.

Epicardial Lead Extraction after Sudden Cardiac Arrest

Institution: University of Arkansas for Medical Sciences


Monroe McKay

Ashley Wilson

Christian Eisenring

Brian Reemtsen

Lawrence Greiten

Jump Graft Repair of Coarctation of the Aorta

This is a video showcasing a jump-graft repair for Coarctation of the aorta.

Coarctation of the aorta is one of the most well-known and documented congenital heart defects. Innovations in the field have led to a several options for surgical repair. However, patients with coarctation of the aorta remain at high risk for a number of morbidities including recoarctation aortic aneurysms and dilations, and sudden death. Our video showcases a jump graft repair, which is an underutilized approach for coarctation repair. Our goal is to educate others in the field on the proper technique and utility of this operation.

Tetralogy of Fallot Repair

Complete repair of Tetralogy of Fallot with a transannular patch. The patient is placed on cardiopulmonary bypass in the standard fashion. An incision in made into the free wall of the right ventricle and the septal defect  is exposed. A non-autologous CorMatrix patch is placed with prolene suture in a running fashion to repair the septal defect. An additional patch is used to repair the right ventricular outflow tract with a similar running suture. The patient was removed from cardiopulmonary bypass and extubated in the operating room.

Surgical insertion of a chest tube

Insertion of a chest tube is a common procedure. Indications count pneumo- and hemothorax among others; and in acute situations, a chest tube can be lifesaving. This video illustrates the surgical insertion of a chest tube in a patient suffering from hydro-pneumothorax. The video shows the identification of the anatomical structures that create the safe triangle, and a safe insertion of a chest tube into the pleural cavity.
Chest tube insertion is a basic surgical procedure, often conducted by residential surgeons. It is important to know the guidelines for inserting a chest tube, in order to reduce the risk of damaging organs or neurovascular structures.

Aortic Valve Replacement via the Ross Procedure

A brief patient history is provided, followed by preoperative imaging, intraoperative repair, and postoperative imaging.

Sinus Venosus ASD Repair

This video demonstrates a sinus venosus ASD repair with the two patch repair technique.

Authors: Emily Goodman; Brian Reemtsen, MD; Markus Renno, MD; Christian Eisenring, ACNP-BC; Lawrence Greiten, MD University of Arkansas for  Medical Sciences College of Medicine, Little Rock, AR Arkansas Children’s Hospital, Little Rock, AR

Complete Repair of Total Anomalous Venous Return

Complete repair of a total anomalous pulmonary venous return. Also shown is a primary closure of a patent foramen ovale and patent ductus arteriosus. The patient is placed on cardiopulmonary bypass (CPB) in the standard fashion. The patient is then crash cooled to 20 degrees celsius with ice placed on the head and administration of steroids. Antegrade cardioplegia is then administered. The large confluent vein (vertical vein) is dissected and an arteriotomy is made, a subsequent atriotomy is made in the left atrial appendage. A side to side anastomosis using polypropylene suture in a continuous running fashion. The right atrium is then opened and the patent foramen ovale is closed. The patient was warmed to a satisfactory temperature and once adequate hemostasis was achieved the vertical vein is ligated at its insertion into the innominate vein.

Repair of a Non-coronary Sinus of Valsalva Aneurysm Rupture

A brief patient history is given, followed by preoperative imaging, intraoperative repair, and postoperative imaging.

Pulmonary Valve Replacement

This video highlights a pulmonary valve replacement in a patient with Tetralogy of Fallot.

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