Closure of muscular ventricular septal defects guided by en face reconstruction and pictorial representation

Sivakumar, Kothandam; Anil, Sivadasan Radha; Rao, Sumathi; Shivaprakash, Krishnanaik; Kumar, Raman

doi:10.1016/s0003-4975(03)00336-9

Cited by 26 publications

(29 citation statements)

References 12 publications

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“…Numerous examples exist. Some of the obvious ones include two ventricle repairs in complex situations such as double outlet right ventricle (DORV) with a remote ventricular septal defect (VSD), multiple muscular VSDs,[3] post operative assessment and valve repairs. Most surgeons today constantly seek subtle refinement in technique to improve immediate and long-term outcomes.…”

Section: Evolution Of Team Approachmentioning

confidence: 99%

Teamwork in pediatric heart care

Kumar

2009

Ann Pediatr Card

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Pediatric cardiac specialties, pediatric cardiology (pediatric cardiac surgery and pediatric cardiac anesthesiology and intensive care) are only now being recognized as distinct specialties in most parts of the world. There has been a tremendous growth in knowledge in these specialties in the last 30-40 years with dramatic improvements in outcome.Pediatric cardiac care thrives on team work. The cohesiveness of the team of caregivers has a direct impact on the patient outcomes and efficiency of the system. The development of hybrid heart procedures in pediatric heart care represents an important benchmark in a team-based approach to patient care where a group of specialists with specific skills work closely together for ensuring the best possible patient outcome. Establishment of a cohesive team requires organization of group of team members with diverse skills to come together through good mutual understanding, under a leadership that actively promotes team harmony. Excellent communication among team members is a core requirement. The barriers for development and sustenance of a successful team must be recognized and overcome. They include egos of key team members as a source of conflict, time for interactions, disproportionate rewards and recognition for members of the team and traditional hierarchical arrangements. Special attention must be paid to motivating non-physician staff.

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Section: Evolution Of Team Approachmentioning

confidence: 99%

Teamwork in pediatric heart care

Kumar

2009

Ann Pediatr Card

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“…15,35,44,45 Chen et al 46 compared real-time 3DE and 2DE with surgical findings in 38 patients. They demonstrated that real-time 3DE produced novel views of VSDs and improved quantification of the size of the defect.…”

Section: Challenges Of 3de Relevant To Vsd Closurementioning

confidence: 99%

Insights Gained From Three-Dimensional Imaging Modalities for Closure of Ventricular Septal Defects

Charakida

Pushparajah

Anderson

et al. 2014

Circ: Cardiovascular Imaging

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“…Several classifications of VSD have been proposed. Recently, Sivakumar et al 44 proposed a pictorial reconstruction of the location and dimensions of muscular VSD based on en face reconstructions of single and multiple VSD. Orthogonal 2D echocardiographic views guided pictorial reconstruction of the VSD, defining its spatial relationships with major muscle bands on the right ventricular septal surface and the tricuspid valve cordo-papillary apparatus.…”

Section: Transcatheter Closure Of Atrial Septal Defects and Patent Fomentioning

confidence: 99%

“…Several right ventricular septal landmarks were used to define the location of the septal defects: tricuspid annulus at septal leaflet attachment, posterior margin of the ventricular septum, apex of the right ventricular sinus, septal band, apex of the right ventricular infundibulum, anterior margin of the ventricular septum, outflow septum, and membranous septum ( Figure 9). 44 In addition, the perimembranous VSD has been classified in different categories to properly select the closure device. In a series of 412 patients with perimembranous VSD, the defect was classified according to the shape of the defect on ventriculography: infundibular, aneurysmal, tubular, and window-like ( Figure 9).…”

Section: Transcatheter Closure Of Atrial Septal Defects and Patent Fomentioning

confidence: 99%

Optimal imaging for planning and guiding interventions in structural heart disease: a multi-modality imaging approach

Delgado

Kley

Schalij

et al. 2010

European Heart Journal Supplements

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Recent advances in catheter-based interventions have provided effective alternative treatments to surgery for several structural heart diseases such as atrial or ventricular septal defects. Particularly, the advent of transcatheter valve implantation/repair techniques constitutes one of the main breakthroughs of the last decades offering an effective alternative to patients with symptomatic valvular heart disease and high mortality operative risk. In addition, the role of novel catheter-based interventions has been explored in several clinical conditions that convey an increased risk of cerebrovascular stroke such as patent foramen ovale or atrial fibrillation. Specific devices have been developed to treat all these clinical conditions. To improve the procedural success rate and minimize the frequency of complications, multimodality cardiac imaging plays a central role providing an accurate selection of patients and invaluable assistance during the procedure. Technological advances in the equipments and image post-processing softwares have provided improved accuracy of the image quality and analysis leading to an increasing implementation of these imaging techniques in the clinical practice. The present state-of-the-art article reviews the role of multimodality imaging for planning and guiding interventions in structural heart disease.

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Closure of muscular ventricular septal defects guided by en face reconstruction and pictorial representation

Cited by 26 publications

References 12 publications

Teamwork in pediatric heart care

Teamwork in pediatric heart care

Insights Gained From Three-Dimensional Imaging Modalities for Closure of Ventricular Septal Defects

Optimal imaging for planning and guiding interventions in structural heart disease: a multi-modality imaging approach

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