Contents:

Cannulation Techniques 1

Palliation Techniques 19

Patent Ductus Arteriosus Ligation 35

Vascular Rings Tracheoplasty and Pulmonary Artery Sling 45

Coarctation of the Aorta 73

Interrupted Aortic Arch Repair 83

Atrial Septal Defect 88

Ventricular Septal Defect 99

Fontan Conversion and Arrhythmia Surgery 235

Arrhythmia Surgery and Pacemaker Placement Not Associated with Fontan Conversion 255

Left Ventricular Outflow Tract Obstruction 272

Norwood OperationDamusStanselKaye 297

AorticoLeft Ventricular Tunnel 304

Mitral Valve Repairs 311

Total Anomalous Pulmonary Venous Return 325

Anomalous Systemic Venous Return 339

Atrioventricular Septal Defects Atrioventricular Canal 117

Truncus Arteriosus 130

Aortopulmonary Window 145

Tetralogy of Fallot 153

Transposition of the Great Arteries 164

DoubleOutlet Ventricles with Two Adequate Ventricles 199

Congenitally Corrected Transposition of the Great Arteries 211

Fontan Operation and 1½ Ventricular Repair 225

Sinus of Valsalva Aneurysm 354

Coronary Artery Anomalies 359

Pectus Excavatum Repair 387

Cardiac Transplantation 393

Complications Associated with the Initiation of Cardiopulmonary Bypass 401

Index 406

The raison d’etre for a new atlas of congenital heart surgery is based on the reality that the specialty has undergone numerous changes in the last few years resulting in improved techniques and new operations. The sheer number of new procedures and the required attendant technical skills to successfully complete an operation has become a challenge to master, especially for residents who are pursuing a career in congenital heart surgery. While the techniques that we are espousing are mostly our own, there is a great deal of similarity amongst international centers owing to the influence of video presentations, manuscript publications, and chapter reviews. We therefore believe that the techniques that are illustrated in this atlas are likely to be similar to the techniques that are taught worldwide to residents and fellows. The atlas is organized generally by diseases and procedures pertaining thereto. Two general sections involve cannulation techniques and palliative procedures, respectively. A special section depicts difficult problems in the form of clinical vignettes that may arise during cardiopulmonary bypass such as: decreased venous return, undiagnosed patent ductus arteriosus, and technical errors leading to hemodynamic complications. The reader is instructed to apply measures that will lead to resolution of these problems. We have chosen procedures, which cover the breadth of congenital heart surgery. While perhaps not totally inclusive, the reader will find the greater majority of congenital heart procedures illustrated and explained in this text.​