The following is a collection of
featured congenital cardiac articles in press from the
Journal of Thoracic and Cardiovascular Surgery (JTCVS).
To read the latest issue, browse the feature video
library and other journal highlights please visit www.jtcvs.org
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palliation or primary transplantation for aortic valve
Kathryn A. Stackhouse, MD, MS,
Brian W. McCrindle, MD, Eugene H. Blackstone, MD,
Jeevanantham Rajeswaran, PhD, James K. Kirklin, MD,
Leonard L. Bailey, MD, Marshall L. Jacobs, MD, Christo
I. Tchervenkov, MD, Jeffrey P. Jacobs, MD, Gösta B.
Pettersson, MD, PhD
the limited availability of donor hearts, primary
transplantation may be considered for aortic atresia
with risk factors predictive of exceptionally poor
survival after surgical palliation.
Unicorns and leprechauns
E. Mascio, MD
The best initial therapy for
hypoplastic left heart syndrome remains
controversial. There is no clear winner between
transplantation and palliation. A paradigm-shifting
breakthrough is needed.
No justification for transplantation in place of
standard surgical palliation
E. Mitchell, MD
Primary transplantation in high-risk
cases of aortic atresia may be justified, but
choosing transplantation over standard-risk
palliation risks harm to both patient and society
in the current era.
TETRALOGY OF FALLOT
treatment of tetralogy of Fallot in symptomatic neonates
and young infants
Bobae Jeon, MD, Dong-Hee Kim, MD,
Bo Sang Kwon, MD, Eun Seok Choi, MD, Chun Soo Park, MD,
PhD, Tae-Jin Yun, MD, PhD
symptomatic neonates and young infants with ToF,
primary repair can be attempted in patients with a
sizable PVA, but staged repair may be a better option
in patients with a marginally small PVA.
Precision surgery for cyanotic neonatal patients with
Individualized initial treatment for
cyanotic neonates with tetralogy of Fallot results
in high rates of annulus preservation.
Tetralogy of Fallot: Will time tell?
S. Mosca, MD
After nearly 75 years, we lack
consensus on the care of symptomatic neonates with
tetralogy of Fallot. Treatment strategies yield
similar early results. Long-term, well-designed
studies are needed.
Video Legend: Emergency surgical
intervention for ToF was performed for a 23-day-old
girl with repeated episodes of cyanotic spell.
lateral tunnel is associated with improved survival
compared with extracardiac conduit
Viktoria H.M. Weixler, MD, David
Zurakowski, PhD, MS, John Kheir, MD, Alvise Guariento,
MD, A.K. Kaza, MD, Christopher W. Baird, MD, Pedro J.
del Nido, MD, Sitaram M. Emani, MD
has better early and midterm survival with similar
pacemaker rates compared with ECC Fontan. Early
fenestration closure is an independent risk factor for
failure and death.
I don't like change
B. Huddleston, MD
The preferred technique for the
Fontan procedure remains controversial.
Video Legend: Lateral tunnel
MECHANICAL CIRCULARTORY SUPPORT
potential of the HeartWare Ventricular Assist Device in
Marcus Granegger, PhD, Bente
Thamsen, PhD, Thomas Schlöglhofer, MSc, Selina Lach,
Andreas Escher, MSc, Thorsten Haas, MD, Mirko Meboldt,
PhD, Martin Schweiger, MD, Michael Hübler, MD, Daniel
(Medtronic, Minneapolis, Minn) pump used in pediatric
patients causes increased blood trauma compared with
typical adult operating conditions.
The tortoise and the hare: Does speed matter in
pediatric VAD therapy?
Villa, MD, David L.S. Morales, MD
Modified operating conditions of
continuous-flow ventricular assist devices in
children may have clinical implications.
Not safe at any flow: The challenges of low-flow
pediatric operation of adult continuous-flow
ventricular assist devices
Outcomes with the use of adult pumps
are likely to be different under pediatric
operating conditions than under standard adult