Popular Hybrid Congenital Heart Procedures without Cardiopulmonary Bypass

Abstract

As surgical and catheter interventions advance, patients with congenital heart disease are now offered alternative treatment options that cater to their individual needs. Furthermore, collaboration between interventional cardiologists and cardiac surgeons have led to the development of hybrid procedures, using the best techniques of each respective field to treat these complex cardiac entities from initial treatment in the pediatric patient to repeat intervention in the adult. We present a review of the increased popularity and trend in hybrid procedures in congenital heart disease without the use of cardiopulmonary bypass.

Hybrid Transthoracic Periventricular Device Closure of Ventricular Septal Defects: SingleCenter Experience

“…The pericardium was reapproximated, and a drainage tube was placed. The incision was closed in layers, as described in detail in the literature [ 4 , 8 ] .…”

Tratamiento de la Comunicación Interventricular (CIV) congénita con dispositivos de inserción percutánea y perventricular

“…La técnica de cierre perventricular comparte similitudes con la técnica de cierre transcatéter, salvo el acceso directo que se hace al defecto del tabique interventircular. La intervención mediante anestesia general, precisa de la realización de una esternotomía media (hay localizaciones que precisan de una vía de entrada diferente como, por ejemplo, esternotomía parcial media modificada o la incisión paraesternal anterior izquierda 27 ) con apertura del pericardio y exposición del corazón. Guiado mediante ETE o ETT, con ayuda de una aguja del calibre adecuado, se aborda la cara anterior del VD, de manera perpendicular al septo y se inserta una guía a través de la CIV, hasta el VI.…”