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Eur J Cardiothorac Surg 2004;26:S74-S75
© 2004 Elsevier Science NL

Working Group Report

Integration of catheter-based techniques in cardiac surgery

Klinik fur Herzchirurgie, Herzzentrum Universitaet Leipzig, Strumpellstrasse 39, Leipzig 04289, Germany

^* Tel.: +49 341 865 1421; fax: +49 341 865 1452. (Email: mohrf@medizin.uni-leipzig.de).

The first 300 words of the full text of this article appear below.

The open discussion following the ‘Integration of catheter-based techniques in cardiac surgery’ workshop went on as follows.

Appendix

Conference discussion

Dr T. Aberg (Umea, Sweden): Are all in agreement with these points or is there anybody who disagrees?

Dr L. Bockeria (Moscow, Russia): Could I ask to say a few words in more detail about congenital points of interest?

Dr Mohr : I don't recall the name of the presenters, I think they came from Turkey, but they presented at a past EACTS meeting a transventricular approach to close VSDs in the OR echo-guided through a sternotomy. So like deep muscular defects, they just took a catheter, punctured the ventricle, this is catheter-based, and they just put a kind of umbrella in. You should know more about it. I just happened to listen to it.

Mr J. Monro (Southampton, UK): If I could just elaborate on that, I think people have done exactly what you described, but I am sure the cardiologists will close more VSDs, both muscular and perimembranous, but the particular ones that might be useful in the operating room are the apical ones. There are other things that can be done with cardiologists in the operating room, particularly putting stents in more peripheral pulmonary arteries. If you are doing an operation but you don't really want to go right down into the hilum of the lung, stenting can be very useful. In a few situations where you have big collateral arteries, for instance with pulmonary atresia and VSD, you don't really want to occlude the collaterals before correction as the child may become very cyanosed. If you don't, the collaterals will cause flooding during the operation. So to occlude the collaterals at the same time as surgical correction would be optimal.

Dr . . . [Full Text of this Article]