Repair of double outlet right ventricle: Midterm outcomes

Oladunjoye, Olubunmi; Piekarski, Breanna; Baird, Christopher W.; Banka, Puja; Marx, Gerald R.; Nido, Pedro J. del; Emani, Sitaram M.

doi:10.1016/j.jtcvs.2019.06.120

Cited by 26 publications

(12 citation statements)

References 15 publications

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“…Regarding survival aspects, Oladunjoye et al reported that initial palliative surgery followed by total repair was associated with similar survival rates than primary corrective surgery. (9) In our case, because of the frequent hypoxic spells, the patient benefited in the first months of life from a palliative approach: a systemic-to-pulmonary shunt. This surgical approach was preferred due to the anatomical features (hypoplastic pulmonary branches).…”

Section: Discussionmentioning

confidence: 70%

Anatomical and Vascular Anomalies Complicating the Course of Double Outlet Right Ventricle in an Infant

Barmou¹,

Pop

Suciu

et al. 2020

Acta Medica Transilvanica

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Congenital heart diseases are an important cause of mortality and morbidity in pedatric patients. Fallot Type Double outlet right ventricle is a rare heterogenous congenital heart disease characterized by a complex group of lesions similar with Tetralogy of Fallot. Surgical approach depends on the anatomy of associated lesions, therefore in order to perform a successful correction, a careful review of the anatomy and a detailed diagnostic is needed due to complexity of intracardiac anomalies. The main diagnostic tool used nowadays for the diagnosis of double outlet right ventricle is echocardiography exam, a non-invasive examination that can provide information about anatomical features, but it will not allow the full description of the coronary anatomy. Therefore, preoperative assessment should include, extensive imaging assessment (echocardiography exam, angio-CT exam) for a correct management of surgical strategy prior to surgical correction.

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Section: Discussionmentioning

confidence: 70%

Anatomical and Vascular Anomalies Complicating the Course of Double Outlet Right Ventricle in an Infant

Barmou¹,

Pop

Suciu

et al. 2020

Acta Medica Transilvanica

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“…There are multiple surgical approaches to treat DORV, and surgical decision-making for primary or staged repair is highly influenced by patient’s subclassification and 3D anatomic arrangement. 31 The high rate of use of models for DORV may indicate that pediatric cardiologists find 3D models helpful to fully elucidate the intricate spatial relationship between the interventricular communication and great arteries. This technology helps facilitate communication of these critical relationships with cardiac surgeons.…”

Section: Discussionmentioning

confidence: 99%

Utility and Access to 3-Dimensional Printing in the Context of Congenital Heart Disease: An International Physician Survey Study

2020

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Background Three-dimensional (3D) printing is a new technology capable of producing patient-specific 3D cardiac models. Methods A cross-sectional survey of pediatric cardiologists was conducted. Members of the Canadian Pediatric Cardiology Association and Congenital Cardiac Interventional Study Consortium were invited to participate. A questionnaire was distributed using Research Electronic Data Capture between May and September 2019. Results were analyzed using descriptive statistics, Fisher exact test, and odds ratio. Results A total of 71 pediatric cardiologists responded. Some 85% (60/71) agreed that patient-specific 3D printed cardiac models are a beneficial tool in treating children with congenital heart disease (CHD); 80% of those (48/60) believe 3D models facilitate communication with colleagues; 49% (35/71) of respondents had access to 3D printing technology; and 77% (27/35) of those were using models for clinical care. Access differed according to geographic location ( P = 0.004). Of respondents, Americans were 5.5 times more likely (confidence interval, 1.6-19.2) than Canadians to have access to 3D printing technology. The primary reason for lack of access was financial barriers (50%, 18/36). In clinical practice, surgical planning is the primary use of models (96%, 26/27), followed by interventional catheterization planning (52%, 14/27). Double outlet right ventricle was the most commonly modelled lesion (70%, 19/27). Conclusion 3D printing is a new technology that is beneficial in the care of children with CHD. Access to 3D printing varies by geographic location. In pediatric cardiology, 3D models are primarily used for procedural planning for CHD lesions with complex 3D spatial relationships.

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“…bulk of patients in the staged cohort of Oladunjoye and colleagues. 2 The long-term morbidity of a complex biventricular ''repair'' in these patients is not insignificant. Approximately 50% of them required a surgical reintervention within 3 years, and almost 20% required a permanent pacemaker.…”

Section: Congmentioning

confidence: 91%

“…3 This study does not allow us to answer this question, because median followup for staged repair patients was only 12 months. 2 For us to answer this question, we will need studies with much longer follow-up and studies that address the long-term psychosocial burden of living with the disease, studies that have been conspicuously missing in our field. Despite its inherent limitations, this study 2 provides additional data to help us make decisions in managing this challenging subset of patients.…”

Section: Congmentioning

confidence: 99%