HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Hjortdal, V.E. Articles by Tsang, V.T. Search for Related Content PubMed PubMed Citation Articles by Hjortdal, V.E. Articles by Tsang, V.T. Related Collections Congenital - acyanotic Congenital - cyanotic

Eur J Cardiothorac Surg 2002;22:885-890
© 2002 Elsevier Science NL

Hybrid approaches to complex congenital cardiac surgery

Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, WC1N 3JH London, UK

Received 14 February 2002; received in revised form 4 September 2002; accepted 6 September 2002.

* Corresponding author. Tel.: +44-20-7813-8159; fax: +44-20-7430-1281
e-mail: tsangv{at}gosh.nhs.uk

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.

Key Words: Complex congenital heart defects • Hybrid • Catheterisation • Surgery

This article has been cited by other articles:

				R. Kozlik-Feldmann, N. Lang, R. Aumann, A. Lehner, D. Rassoulian, R. Sodian, C. Schmitz, M. Hinterseer, R. Hinkel, E. Thein, et al. Patch closure of muscular ventricular septal defects with a new hybrid therapy in a pig model. J. Am. Coll. Cardiol., April 22, 2008; 51(16): 1597 - 1603. [Abstract] [Full Text] [PDF]

				F. A. Mitropoulos, H. Laks, N. Kapadia, M. Gurvitz, D. Levi, R. Williams, and M. Plunkett Intraoperative Pulmonary Artery Stenting: An Alternative Technique for the Management of Pulmonary Artery Stenosis Ann. Thorac. Surg., October 1, 2007; 84(4): 1338 - 1342. [Abstract] [Full Text] [PDF]