Page 28 - Journal of Structural Heart Disease Volume 5, Issue 4

Meeting Abstracts
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Conclusion: So my research can be used in clinical practice.
28. CLOSURE OF ANACQUIRED IATROGENICLEFT VENTRICULAR-RIGHT ATRIUM COMMUNICATION WITH AMPLATZER VASCULAR PLUG II DEVICE. CASE REPORT.
Roberto Mijangos Vázquez, Rogelio Hernández Reyes, José Ramiro López Jiménez
Pediatric Specialties Hospital, Tuxtla Gutiérrez, Mexico
Gerbode defect is defined as an abnormal left ventri- cle-right atrium shunting which may have congenital or acquired origin, representing 0.08% of intracardiac shunts and <1% of the congenital heartdiseases.It is classified depending on its position with respect to the tricuspid valve in supravalvular, infravalvular or intermediate. We report a rare case of a iatrogenic and acquired Gerbode defect in a patient following surgical correction of a partial anomalous pulmonary venous return of the right pulmo- nary veins to the right atrium. The defect was successfully closed percutaneously with an Ampltazer Vascular Plug II (AVP II) device.
29. CURRENT STATUS OF THE INFRASTRUCTURE OF CARDIAC CATHETERIZATION LABORATORIES IN LOW- AND MIDDLE-INCOME COUNTRIES: DATA FROM THE INTERNATIONAL QUALITY IMPROVEMENT COLLABORATIVE FOR CONGENITAL HEART DISEASE Nikhil Thatte1, Isaac Wamala2, Lisa Bergersen1, Mehmet Saluvan1, Kimberlee Gauvreau1, Babar Hasan3, Raman Krishna Kumar4, Miguel Ronderos5, Kathy Jenkins1
1Boston Children's Hospital, Boston, USA. 2German Heart Center Berlin, Berlin, Germany. 3Aga Khan University, Karachi, Pakistan. 4Amrita Institute of Medical Sciences, Cochin, India. 5Institute for Congenital Heart Disease, Fundación Cardioinfantil-Instituto de Cardiología, Bogota, Colombia
Background: Lack of benchmarking data is one of many challenges faced by healthcare professionals in low- and middle-income countries (LMICs) delivering care for chil- dren with congenital heart disease (CHD). The International Quality Improvement Collaborative for Congenital Heart Disease (IQIC) has been collecting data for outcomes after surgery for CHD in LMICs since 2007. Attention has not yet been paid towards cardiac catheterization laboratories (CCLs) in LMICs. IQIC has collected data on CCL infrastruc- ture at its participating sites.
Methods: An online survey was administered to all sites participating in IQIC in 2015. Data collection was completed in May 2017. The survey contained dichotomous ques- tions, multiple choice questions, numerical responses and
open-ended free text responses. Sites provided responses about their CCLs regarding general program characteris- tics including case volumes and type, laboratory space and fixed equipment, image acquisition, storage and retrieval, disposable supplies, manpower and staffing patterns, cost of care as well as perceived limitations faced by the cathe- terization programs.
Results: 37 out of 42 sites enrolled in IQIC in 2015 responded to the survey. Sites were spread across the Americas (13), Eastern Europe (6) and Asia (18). Median annual case vol- ume was 250 cases [interquartile range 105-328]. 27 sites (73%) used CCLs that they shared with adult acquired catheterization or vascular catheterization teams. Only 9 sites (24%) used biplane fluoroscopy. Re-sterilization and re-use of disposable supplies is common. Although cost of care was a fraction of that in developed countries, finan- cial constraints remained the major hurdle faced by most programs.
Conclusions: Cardiac catheterization for CHD is growing in volume in LMICs. Due to differences in infrastructure availability, improvisations are needed to allow cases to be performed. Benchmarking outcomes data are needed to study CCLs in LMICs systematically, which can then guide quality improvement initiatives addressing needs specific and unique to these settings.
30. GIANT CORONARY ARTERY FISTULA: PRENATAL DIAGNOSIS, NEWBORN MANIFESTATION, PERCUTANEUS TREATMENT AND ONE YEAR FOLLOW UP
José Luis Alonso1,2,3, Alberto Miguel Sciegata1, José Luis Pibernus1, Francisco Comas1, Tony David Sancan Moran1 1Garrahan Hospital, caba, Argentina. 2J:D:Peron Hospital, Formosa, Argentina. 3Madariaga Hospital, Posadas, Argentina
Coronary artery fistulas (CAF) may originate from left, right or both coronary arteries and may drain into any heart chamber.
These are rare forms of congenital heart disease with an incidence of one in 50000 live births. It is postulated that the connection between the coronary system, and a car- diac chamber would be due to the persistence of inter- trabecular spaces , embryonic sinusoids or sometimes coronary artery stenosis. Spontaneous remission rarely occurs (7 to 15%).
A case of a large CAF is presented.
Journal of Structural Heart Disease, August 2019
Volume 5, Issue 4:75-205