| HLHS | Pre-Norwood | Norwood | Bidirectional Glenn | Fontan |
|---|---|---|---|---|
|
PDA
What is the structure properly supporting oxygenated blood in a HLHS patient?
|
Hybrid procedure
What is the course of action if the baby isn't doing to hot and can't make it to day of Norwood...what may we do to intervene? (looking for name of procedure)
|
Neo-aorta
What is the name of the arch reconstruction?
|
Homograph
What is the implant used, if any?
|
2 to 3 years old
What is the typical age range of patient surgery is done?
|
|
Immediate surgery or ECMO
What is the course of action if the PDA/ASD close in a HLHS baby?
|
Wearing Lead!
What is the worst part of a Hybrid procedure?
|
Gortex shunt (pediatric and a ringed if doing Sano), Homograph
What are the implants used?
|
6 months old
What is the average age of patient when the surgery is done?
|
Gortex graft (16-22)
What is the implant used for a fontan?
|
|
Norwood, Bidirection Glenn, Fontan, Transplant
What are the course of actions to correct this congenital defect? (typical patient/text book)
|
Direct MPA access to measure pressures and cath get pictures, Bilaterial PA Banding
What is a Hybrid procedure?
|
PD Cath, A-wires, Intracardiac line, 2 chest tubes
What is your post OP access?
|
Fibrillate or Cross clamp
What is the strategy if there is a Sano shunt ?
|
Fenestration
What is the added bonus a patient with pulmonary hypertension may receive during surgery?
|
|
Increased respiratory rate, Cyanotic, faint/no pulse in extremities
What are the characteristics of the baby you will find in your patient assessment when they arrive?
|
Gortex Shunt (3.5, have 3 available), Ruler, 7.0 Prolene, Marker, Clips, Rib spreader
What are things you absolutely need for a Hybrid? (scrub outlook)
|
Shunt on annominate artery for arterial, RA cannulation, IF doing BT Shunt will re-cannunulate Neo-aorta
What is the bypass strategy?
|
Low
What is the pressure type in the newly created shunt?
|
Pulmonary-Vascular Resistance
What is the reason we waited so long to get to the last step of re-routing the blood flow?
|
|
Hypoplasia or atresia of mitral valve, Hypoplasia of LV, Aortic stenosis or atresia, Hypoplasia of ascending aorta, Coarctation of the aorta
What are 3 characteristics of HLHS?
|
High pulmonary-vascular Resistance
What is the reason we can't immediately do a Norwood after birth?
|
Close PDA, Atrial septectomy, oversew MPA @ PA's, Create Neo-aorta, Shunt (BT or Sano)
What is the surgical intervention plan?
|
Ligate shunt (close RV if Sano), disconnect SVC from RA, Oversew RA, Connect SVC to PA's
What is the surgical intervention plan?
|
Disconnect IVC from RA, Oversew RA, Connect IVC to PA with gortex graft
What is the surgical intervention plan?
|
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