Double-chambered right ventricle repair for an adolescent male who presented with a subaortic perimembranous ventricular septal defect, a subaortic membrane with associated left ventricular outflow tract obstruction, and a double-chambered right ventricle. This video highlights a VSD patch closure and the surgical resection of the subaortic membrane and RVOT muscle bundles.
Video Author: Lawrence Greiten
Ebstein’s Anomaly Annuloplasty
This video provides an overview of Ebstein’s Anomaly, detailing its classification and the indications for surgical intervention. It features a case study an Ebstein Abnomaly Annuloplasty repair for an adolescent female who has an apically displaced tricuspid valve with severe regurgitation and a central coaptation defect. It also offers an overview of the patient’s post-operative course.
Interatrial Baffle Augmentation of Persistent Left Superior Vena Cava to Right Atrium
Surgical correction with a one-patch interatrial baffle for a patient with a persistent left superior vena cava and a secundum atrial septal defect.
Mitral Valve Annuloplasty Surgical Repair
Mitral valve annuloplasty repair for an adolescent female that has mitral valve regurgitation, an A2/A3 prolapse, and a dilated left atrium and ventricle.
Epicardial Lead Extraction after Sudden Cardiac Arrest
Institution: University of Arkansas for Medical Sciences
Authors:
Monroe McKay vtn9wd@uvahealth.org
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.
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.