Congenital - CHD Repairs Flashcards
Used to occlude larger ASDs/VSDs that are not close to a valve
Amplatzer
Used to close ASDs/VSDs that are too large or too close to a valve
Septal patch
Residual leaks, endocarditis, thrombus
Risks of septal patches/amplatzer
Switching the Ao and PA to their normal positions, moving CAs to new Ao
Jatene/arterial switch
Scarring at suture lines on Ao or PA, WMA, regurgitation/stenosis
Risks of Jatene
Switching the atria using baffles/conduits to line up with the correct ventricle. Not as common anymore
Senning/Mustard AKA atrial switch
Baffle complications, valvular insufficiency/stenosis, systemic (RV) dysfunction
Risks of Senning/mustard (atrial switch) procedure
Divert the systemic venous return into the PA without passing through the RV for single-ventricle physiology (hypoplastic LT heart, double inlet ventricle, tricuspid atresia)
The fontan procedure, bypass RV
Close VSD, connect PA to the anatomic RV
Rastelli procedure
Indications for Rastelli procedure
D-TGA with VSD
ToF
Truncus arteriosus
Stage one of a ToF repair
-Modified Blalock-Taussig shunt
Increases blood flow to lungs by creating an arterial shunt (SubC or Innominate to RT PA)
Resection + end to end anastomoses, subclavian flap aortoplasty, prosthetic patch aortoplasty, percutaneous balloon angioplasty
Coarctation repair
Indications: MVP, congenital MS, cleft MV, parachute MV
Mitral commissurotomy
Tricuspid atresia repair
Blalock-Tausig shunt, Fontan operation
Pulmonary atresia repair
Rastelli procedure or atrial septostomy
