Congenital Heart Disease: Technological Innovations in Cardiac Surgery and Interventional Therapy

Special Issue Editor


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Guest Editor
1. Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children’s Hospital Zurich, 8032 Zurich, Switzerland
2. Children’s Research Center, University Children’s Hospital Zurich, 8032 Zurich, Switzerland
Interests: congenital cardiac surgery; heart transplantation; tissue engineering; assist devices; congenital pediatric heart surgery

Special Issue Information

Dear Colleagues,

By investing in technological innovations in cardiac surgery and intervntional therapy we can improve the quality of life for patient suffering from CHD. The objectives of this Special Issue are to review the current landscape of technological innovations in cardiac surgery and cardiac interventions in pediatric and adult CHD patients. By analyzing the current state we will identify gaps and areas where further innovation is needed. This will help us to focus on developing solutions that adress the unmet needs of patients with CHD. 

We aim to drive forward these innovations and contribute to a better outcome for individuals living with CHD.

Prof. Dr. Martin Schweiger
Guest Editor

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Keywords

  • minimal invasive procedures in pediatric cardiac surgery
  • 3D printing
  • advanced imaging modalities
  • bioresorbable devices
  • artificial intelligence
  • tissue engineering
  • growth

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Published Papers (2 papers)

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Research

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11 pages, 1297 KiB  
Article
BeGraft Aortic Stents: A European Multi-Centre Experience Reporting Acute Safety and Efficacy Outcomes for the Treatment of Vessel Stenosis in Congenital Heart Diseases
by Micol Rebonato, Mara Pilati, Sophie Malekzadeh Milani, Damien Bonnet, Emma Pascall, Matthew Jones, Pedro Betrian, Lisa Bianco, Hugues Lucron, Sebastien Hascoet, Alban-Elouen Baruteau, Luca Giugno and Gianfranco Butera
J. Cardiovasc. Dev. Dis. 2024, 11(7), 192; https://doi.org/10.3390/jcdd11070192 - 25 Jun 2024
Viewed by 1236
Abstract
Background: Stent implantation has become the preferred method of treatment for treating vessel stenosis in congenital heart diseases. The availability of covered stents may decrease complications and have an important role in the management of patients with complex anatomy. Aim: This study aims [...] Read more.
Background: Stent implantation has become the preferred method of treatment for treating vessel stenosis in congenital heart diseases. The availability of covered stents may decrease complications and have an important role in the management of patients with complex anatomy. Aim: This study aims to evaluate the feasibility and safety of the pre-mounted cobalt–chromium stent-graft-covered ePTFE Aortic BeGraft in a broad spectrum of vascular lesions. Methods: This is a multicenter retrospective results analysis of 107 implanted BeGraft stents between 2016 and 2022 in six different European centers. Results: One hundred and four patients with a mean age of thirteen years (range 1–70 years) and with the body weight of 56.5 kg (range 11–115 kg) underwent the BeGraft stent implantation. Stents were implanted in the following conditions: aortic coarctation (74 patients), RVOT dysfunction (12 patients), Fontan circulation (7 patients), and miscellaneous (11 subjects with complex CHD). All the stents were implanted successfully. The median stent diameter was 16 mm (range 7–24 mm), and the median length was 39 mm (range 19–49 mm). Major complications occurred in five subjects (4.7%). During a median follow-up of fourteen (1–70) months, stents’ re-dilatation was performed in five patients. Conclusions: The BeGraft stent can be used safely and effectively in a wide spectrum of congenital heart diseases. Whether these good results will be stable in the longer term still needs to be investigated in a follow-up given its recent introduction into clinical practice, in particular regarding stent fracture or neointimal proliferation. Full article
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6 pages, 755 KiB  
Case Report
Paediatric HeartMate 3™, the Uneventful 22-Month Journey to Transplantation of a 14-Year-Old-Patient—Time for Prolonged LVAD Support in Children?
by Clemens Haselmann, Sonja Budäus, Michael Zellner, Robert Cesnjevar and Martin Schweiger
J. Cardiovasc. Dev. Dis. 2024, 11(9), 288; https://doi.org/10.3390/jcdd11090288 - 18 Sep 2024
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Abstract
We report on a 14-year-old patient who was supported for nearly two years with an ic-LVAD and managed to complete his journey to transplantation without a single complication. Although mechanical assist device support is available for children up to 20 kg in body [...] Read more.
We report on a 14-year-old patient who was supported for nearly two years with an ic-LVAD and managed to complete his journey to transplantation without a single complication. Although mechanical assist device support is available for children up to 20 kg in body weight, availability is limited to paracorporeal devices. Intracorporal (ic) left ventricular assist devices (LVADs) for infants in the suitable weight class are a viable option as a bridge-to-transplant, where they make up more than 50% of transplant candidates in their category. A teenager with 59 kg body weight was newly diagnosed with DCM and listed for heart transplantation. After initially being on VA-ECMO, an Abbott HeartMate 3 LVAD with postoperative temporary RVAD support was initialised. RV-support was maintained for 10 days. The further postoperative course was uneventful, and he was discharged on day 98. He was seen regularly in the outpatient department and integrated into school routine again, following the extensive training of his classmates and the responsible school staff. After a total of 672 days on support, he was successfully transplanted. There were no unplanned admissions, thrombotic nor bleeding events, as well as no driveline infection, even though the patient participated in sport classes at school. Full article
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