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.
Highlights
As surgical and catheter interventions advance, patients with congenital heart disease are offered alternative treatment options that cater to their individual needs
In 1993, the first reported hybrid stage I approach in hypoplastic left heart syndrome (HLHS) was described by Gibbs et al where through a median sternotomy the branch pulmonary arteries were banded, and the patent ductus arteriosus (PDA) was percutaneously stented [3]
In a recent review of reported studies from 2003 to 2013, the reported success rate of perventricular device complete closure of muscular ventricular septal defect (VSD) is 50–100% with no reported case of right ventricles (RVs) dysfunction, lower rates of arrhythmias when compared to surgical closure, and 80% closure rate at midterm follow-up [26]
Summary
Division of Pediatric Cardiology, Children’s Hospital of Georgia, Augusta University, Augusta, GA, USA. As surgical and catheter interventions advance, patients with congenital heart disease are offered alternative treatment options that cater to their individual needs. 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. University Hospitals Bristol NHS Foundation Trust, UK Karim Assaad Diab, Rush University, USA. Specialty section: This article was submitted to Heart Surgery, a section of the journal
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