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A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position

The Ross operation for aortic valve disease has regained new interest due to its outstanding long-term results. Nonetheless, when employed as freestanding ...

University of Padua

Extracardiac Fontan is a preferred treatment strategy in many centers treating patients with single ventricle physiology, and many of these centers regularly include a fenestration between the extracardiac conduit and the common atrium. Spontaneous closure of the fenestration is a common complication of this technique and is independently associated with increased morbidity and mortality. Recently, we introduced a novel technique for fenestration of the extracardiac conduit wherein a pericardial patch is utilized at the fenestration point with excellent outcomes in the midterm fenestration patency rates, thus reducing the risk of acute post-Fontan complications.

Modified extracardiac Fontan with a fenestrated pericardial patch.

Three-dimensional printing of the fetal heart with complete atrioventricular septal defect based on ultrasound data.

Changes in minimally invasive congenital cardiac surgery. Moving away from the midline.

Adults with congenital heart disease (ACHD) represent a growing population. To evaluate frequency, type and outcomes of cardiac surgery in ACHD, we gathered data from the European Congenital Heart Surgeons Association Database of 20,602 adult patients (≥18 years) with a diagnosis of congenital heart disease who underwent cardiac surgery, between January 1997 and December 2017. We demonstrated that overall surgical workload (as absolute frequencies of surgical procedures per year) for this specific subset of patients increased steadily during the study period. The most common procedural groups included septal defects repair ( = 5740, 28%), right-heart lesions repair ( = 5542, 27%) and left-heart lesions repair ( = 4566, 22%); almost one-third of the procedures were re-operations ( = 5509, 27%). When considering the year-by-year relative frequencies of the main procedural groups, we observed a variation of the surgical scenario during the last two decades, characterized by a significant increase over time for right and left-heart lesions repair ( < 0.0001, both); while a significant decrease was seen for septal defects repair ( < 0.0001) and transplant ( = 0.03). Overall hospital mortality was 3% ( = 622/20,602 patients) and was stable over time. An inverse relationship between mortality and the number of patients operated in each center ( < 0.0001) was observed.

Surgery for Adult Patients with Congenital Heart Disease: Results from the European Database.

3D ultrasound-based fetal heart reconstruction: a pilot protocol in prenatal counselling.

We sought to determine the surgical outcomes of patients with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) enrolled in the European Congenital Heart Surgeons Association (ECHSA) database.

Claudia Cattapan

Pediatric and Congenital Cardiac Surgery Unit,
Department of Cardiac,
Thoracic and Vascular Sciences and Public Health,
Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health

University of Padua

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position