Hybrid procedures can reduce the risk of congenital cardiovascular surgery

Combined Surgical and Interventional Approaches for Treating Patients with Congenital Heart Disease

“…Sixty‐six patients underwent 136 surgical procedures including pulmonary valve plasty (consisting of pulmonary valve commissurotomy, leaflet's delamination, augmentation, and resuspension) (n = 45), repair of tetralogy of Fallot (n = 40), main pulmonary artery “de‐banding” (n = 12), ostium secundum atrial septal defect closure (n = 9), ventricular septal defect closure (n = 8), ligation of patent ductus arteriosus (n = 6), bidirectional cavopulmonary anastomosis, arterial switch operation (n = 2), double outlet right ventricle repair (n = 2), complete atrioventricular septal defects repair (n = 2), subaortic fibromuscular resection (n = 2), coronary artery plasty (n = 1), Fontan operation (n = 1), PA‐IVS repair (PV commissurotomy + RVOT muscle band resection) (n = 1), and mitral valve plasty (n = 1).…”

“…The development of these new treatment strategies allowed us to reduce interventional complications and achieve good clinical early and mid‐term functional results. Furthermore it allowed us to widen the spectrum of treatable CHDs by enabling new treatment options, particularly in patients with complex CHDs or complex vascular situations …”

“…In addition, hybrid cardiac surgery, defined as combined catheter‐based and surgical interventions in either one setting or in a planned sequential fashion (within 24 hours), has developed during the last decade, widening the spectrum of therapeutic options for patients with CHDs. For such procedures, the use of fluoroscopy is often necessary in the catheterization laboratory or in more sophisticated hybrid surgical operating rooms . During the last decade, following the technological advancements and the development of new surgical therapeutic options, the cooperation between surgeons and cardiologists has further expanded, by combining surgical and interventional techniques which are performed in the operating room without the use of fluoroscopy.…”

Hybrid stenting of aortic coarctation in very low birth weight premature infant

“…Percutaneous and hybrid interventions with stenting of the aortic coarctation have been proven to be safe alternatives . A balloon dilation of the coarctation can be performed through a 3 Fr sheath but has a high incidence of early re‐ or residual coarctation .…”

Sutureless rescue of a severely hypoplastic pulmonary artery

“…Alternative techniques and hybrid procedures have to be considered and new strategies developed [3][4][5][6][7].…”