following is a collection of featured congenital
articles from the Journal of Thoracic and Cardiovascular
Surgery (JTCVS). To read the latest issue, or
browse the feature video library and other journal
highlights, please visit www.jtcvs.org.
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aortic origin of coronary artery biomechanical modeling:
Toward clinical application
Rito, MD, Rodrigo Maximiliano Romarowski, Eng PhD,
Antonio Rosato, Eng, Silvia Pica, MD, Francesco Secchi,
MD, PhD, Alessandro Giamberti, MD, Ferdinando
Auricchio, Eng PhD, Alessandro Frigiola, MD, Michele
Conti, Eng PhD
Computational simulations show that
coronary lumen of anomalous aortic origin lack
appropriate expansion during effort.
Modeling anomalous coronaries: Hard to predict the
predictability of prediction
Ronald K. Woods, MD, PhD
creative model to predict the behavior of anomalous
coronaries may enhance prediction of clinical
behavior, but predictability remains to be
Are we there yet?
Camille L. Hancock Friesen, MD,
Tarique Hussain, MD, PhD
medicine is coming closer to reality in congenital
cardiac surgery as a result of computational
Anomalous coronary arteries and car crash testing
Jacob R. Miller, MD, Pirooz Eghtesady,
finite element analysis allows for the dynamic
evaluation of an anomalous coronary arteries. It
may, eventually, help determine if surgical
intervention is necessary.
specific simulation of aortic root with anomalous
coronary artery parameter variation and aortic root
CORONARY ARTERY: INVITED EXPERT TECHNICAL REVIEW
surgical management of anomalous aortic origin of a
Buratto, MBBS, PhD, Igor E. Konstantinov, MD, PhD,
Surgery for anomalous aortic coronary
artery carries a low risk of mortality. However, there
is a risk of aortic regurgitation and new ischemia,
which must be considered when counseling patients.
prosthesis choice in mitral valve replacement in
children: Durable alternatives to traditional
Choi, BA, Lynn A. Sleeper, ScD, Minmin Lu, MS, Patrick
Upchurch, MD, Christopher Baird, MD, Sitaram M. Emani,
Use of mechanical or stented bovine
jugular vein valve for mitral valve replacement in
children yields longer durability compared with
fixed-diameter bioprosthetic alternatives.
Taking innovation to heart in pediatric mitral valve
Matteo Trezzi, MD
recent years, adaptation of the Melody valve for
pediatric MVR has been introduced and results are
promising when compared with currently available
And the winner is…
Carl L. Backer, MD
large series of infants and children undergoing
mitral valve replacement, the best performance of
an implanted valve was achieved by mechanical
valves and stented bovine jugular vein valves.
Mitral valve prosthesis in children: Is it the time to
change our beliefs and practice?
Mauro Lo Rito, MD, Alessandro
Frigiola, MD, Alessandro Giamberti, MD
valve replacement in children carries a high burden
of reoperation, death, and adverse events. The
perfect prosthesis currently does not exist, but
valid alternative solutions are available.
arteriosus repair: A 40-year multicenter perspective
Naimo, MD, Douglas Bell, MBBS, MS, Tyson A. Fricke,
MBBS, Yves d'Udekem, MD, PhD, FRACS, Christian P.
Brizard, MD, Nelson Alphonso, MBBS, MS, FRACS, Igor E.
Konstantinov, MD, PhD, FRACS
Neonates and coronary anomalies pose
significant challenges to truncus arteriosus repair.
Survival beyond the first year is associated with
Outcomes of truncus arteriosus repair: Insights from
time and numbers
Christoph P. Hornik, MD, PhD, MPH
patient cohorts with complete long-term follow-up
provide invaluable information to inform congenital
cardiac care. Novel strategies to scale up complete
long-term follow-up should be pursued.
Truncus among us
Christopher E. Mascio, MD
has been repaired successfully in the neonate for
30 years. Advances in imaging, operative
techniques, and perioperative care have contributed
to improving morbidity and mortality.
VALVE: INVITED EXPERT REVIEW
surgery in children
Aortic valve repair in infants is the
best option, whereas it gives similar outcomes to the
Ross operation in older children.
evaluation of a pediatric airway stent for
Mondal, PhD, Junhyoung Ha, PhD, Vickie Y. Jo, MD,
Fei-Yi Wu, MD, Aditya K. Kaza, MD, Pierre E. Dupont,
Preclinical testing of a new airway
stent system that minimizes foreign body reaction,
promotes mucus flow, and enables atraumatic removal.
Malacia got you down? Unwind with a helical stent
Douglas M. Overbey, MD, Joseph W.
Turek, MD, PhD, Nicholas D. Andersen, MD
authors describe preclinical testing of a novel
pediatric airway stent with a helical design that
allows for minimal surface contact with the
tracheal wall and atraumatic removal.
Toward a more ideal pediatric airway stent for
Roosevelt Bryant III, MD
helical Niti-S airway stent shows promise as a more
ideal prosthesis for the management of