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.
Video Author: Lawrence Greiten
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.
Minimal incision Partial Sternotomy ASD Repair
This video showcases a minimal incision, partial sternotomy exposure for complete ASD patch repair performed at Arkansas Children’s Hospital.
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
Pulmonary Valve Replacement
This video highlights a pulmonary valve replacement in a patient with Tetralogy of Fallot.
RV-PA Conduit Replacement in d-TGA
Replacement of a stenotic/irregular right ventricle to pulmonary artery Gore-Tex trileaflet graft with a novel KONECT RESILIA Aortic Valved Conduit. This is the only tissue valved conduit currently in use. This patient has d-transposition of the great arteries along with ASD, VSD, pulmonary stenosis, bovine left arch and aberrant right subclavian arteries.
His previous operations include MBTS 4mm Gore-Tex graft, urgent shunt revision secondary to thrombosis and subsequent conversion to a 4mm central shunt, right atrial thrombectomy secondary to indwelling right atrial catheter, takedown of central shunt, primary pledgeted closure of pulmonary valve, Gore-Tex patch closure of ASD/VSD, Rastelli procedure with 24mm Gore-Tex trileaflet with bulging sinuses graft.