Page 16 - Journal of Structural Heart Disease Volume 2, Issue 6

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Meeting Abstracts
cardiac catheterization nearly one year later demonstrated unob- structed flow from the RV-PA conduit to the LPA.
#0006
FIRST EXPERIENCE OF INTRODUCTION OF ENDOVASCULAR METHOD TREATMENT OF CONGENITAL HEART DISEASES AT INFANTS IN
THE FIRST YEAR OF BIRTH AT PEDIATRIC CARDIAC CENTER OF THE MINISTRY OF HEALTH OF AZERBAIJAN
Elnur Imanov1, Vasiliy Vasilyevich Lazorishinech2,
Igor Alexandrovich Ditkovskiy2, Elnur Hasanov2,
Faiq Mirzazada2, Shahmardan Danyalov2,
Suleymanzade Nigar2, Fuad Abdullayev2
1Health Ministry of Republic of Azerbaijan Scienti c Center of Surgery Named after M.A.Topcubashov, Baku Yasamal, Azerbaijan 2National Institute of Cardiovascular Surgery Named after
N.M. Amosov, Kiev, Ukraine
Objective: comparison of quality and quantity of the operated patients with critical congenital heart diseases by endovascular treat- ment method at newly opened cardio-surgical center and already famous and one of the leading centers of the world.
Methods: Endovascular treatment method of critical congenital heart diseases at infants.
Results: 32 patients under 1 year out of 209 patients with critical con- genital heart diseases have been operated by endovascular treatment method since the opening of the Pediatric Cardio-surgical Center of the Ministry of Health of Azerbaijan in 2011. They were patients with such diagnoses as: closed interatrial septum – 11 patients, balloon dilatation of the pulmonary artery – 80 patients, closed arterial duct – 75 patients, balloon dilatation of the coarctation aorta – 5 patients, balloon dilatation of the aortic valve – 12 patients, as well as such kind of complex congenital heart diseases as cosed arterial duct + balloon dilatation of the pulmonary artery – 15 patients, balloon dilatation of the pulmonary artery + closed interatrial septum – 10 patients, perforation of the pulmonary artery + Paltayif PBV, balloon atriosep- tostomy – 5 patients. Thus, lethality was 2.3 %. 438 patients out of 600 with critical congenital heart diseases have been operated by endovascular treatment method within 2007 – 2016 at the National Institute of Cardiovascular Surgery named after N.M.Amosov. They were with diagnoses as АoS+ 63; CoAo – 74; Sp – 58; Paltayif PBV ТОF – 12; Rashkind – 163; Stent PBA/MARCA – 17; closed arterial duct – 15. Positive result has been obtained at 95% cases and the patients were discharged in satisfactory condition. Thereby, mortality was 5%.
Conclusion: The World Pediatric cardio – surgery of critical congeni- tal heart diseases is based on the endovascular treatment methods; 70% of critical congenital heart diseases requires palliative or radical endovascular intervention; wider range of endovascular methods of treatment of critical congenital heart diseases is conducted in the leading cardio-surgical centers; endovascular treatment of con- genital heart diseases can be adopted quickly and e ciently in new medical centers supplied with relevant equipment and training of specialists in the leading cardiac clinics of the world.
#0007
SUCCESFUL TRANSCATETHER AORTO-RIGTH ATRIAL FISTULA CLOSSURE USING AMPLATZER VASCULAR PLUG II
Manfred Hermanni1, Federico Borges2, Fernando Prieto1, Ernesto Urbano3, Elka Maria Marcano1, Victor Julio Bellera1 1Centro Policlinico La Viña, Valencia - Carabobo, Venezuela 2Hospital De Niños Jm De Los Rios, Caracas, Venezuela 3Hospital Dr Raul Leoni, Puerto Ordaz, Venezuela
Aorto cameral stula are rare, usually found in right cavities, aquired stula are more common than congenital, there are few published cases. We report a 7 year old girl refered for cardiac murmur and his- tory of frequent respiratory disease, ecochardiogram evidenced color ow, turbulent, tortous between aorta and righ atrium, 6 mm diameter, sitolyc maximum gradient 92 mmhg, and mild right cav- ities dilation. Cardiac cath was performed: aortic root pig tail injec- tion revealed tortous stula originated in right coronary sinus next to right coronary ostium, 6 mm diameter, and ended in posterior right atrial wall. Normal coronarigraphy. A 4 fr jr catheter is advanced to the more distal segment of the stula and trough double guire maneuver the delivery sistem was placed, a vascular plug ii 12 mm, was acu- rately positioned, and realeased with mild residual shunt trough the device, no complications ocurred.
Discussion and Conclusions: Aortocameral stula clossure is recom- mended even in asympomatis patients, due to low rate procedure complications, the risk of ventricule volume overload, bacterial endo- carditis, pulmonary vascular disease, aneurysm formation and spon- tanoeus rupture due to constant permeability we report a succesful percutaneous aota right atrial congenital stula clossure.
Key words: Aorto cameral • stula • amplatzer vascular plug ii
#0008
RISK FACTORS FOR AN ELEVATED PRE-FONTAN VENTRICULAR END-DIASTOLIC PRESSURE IN PATIENTS WITH SINGLE VENTRICLE CONGENITAL HEART DISEASE
Matthew Schwartz, Michael Brock, David Nykanen, William DeCampli
Arnold Pamler Hospital, Orlando, USA
Introduction: Systemic ventricular end-diastolic pressure (SVEDP) is an important determinant of pulmonary artery pressure in those with Fontan circulation. Predictors of an elevated SVEDP have been incompletely identi ed in this population.
Methods: All patients who underwent Fontan operation at our center between 1/2009 and 12/2013 were retrospectively identi ed. SVEDP at pre-Fontan catheterization and other relevant patient variables were extracted. Analysis was performed to identify variables associ- ated with pre-Fontan SVEDP.
Results: We identi ed 61 patients with mean age at pre-Fontan catheterization of 3.9 ± 1.6 yrs and 36 (59%) had a systemic right ventricle (RV). Pre-Fontan SVEDP was positively associated with
Hijazi, Z
20th Annual PICS/AICS Meeting Abstracts