Interrupted Aortic Arch VSD, IAAVSD Neonatal Repair
Thank you to Dr. Golovenko for sharing the above link on Twitter…
Click to View Miami Children’s Hospital
Dr. Burke and his Team…
“This video shows the surgical technique for neonatal repair of Interrupted Aortic Arch and Ventricular Septal Defect.
This is a rare congenital heart birth defect. We performed a primary anastomosis of the descending thoracic aorta to the ascending aorta, and a native pericardial patch repair of the Ventricular Septal Defect.
The video shows the actual operative technique, and the day by day postoperative recovery, managed by dedicated pediatric cardiac anesthesia, nursing and intensive care teams.”
Comments on the Video directed to Dr. Redmond Burke.
Does this baby have a genetic condition that caused the CHD?
I haven’t watched the video yet, but I will. My concerns right now are about what my little granddaughter is going through since her surgery, and if it is ALL truly what they keep saying is “to be expected” or if it is just their way of avoiding a mass hysteria from the family! Little Hailey was born in march, a month early, and only weighed 2lbs, 10 oz. She’s had her surgery, but I am very concerned about ALL the complications. A new one every day! Where can I find out what is “normal” ?
I’m sorry about your granddaughter, sounds like you love her a lot, and are very worried about her, as I would be. Premature babies are a bit tougher to care for, but they can do very well. As a surgeon, I can tell you we don’t consider any complication to be normal. We strive to achieve complete repairs in the most complex lesions, in the most premature babies, with no complications. If you’re having numerous complications, you need to get some more opinions.
Dr Burke, was this baby thymectomized?
We routinely remove the body of the thymus to open the upper mediastium for arch repair. We leave enough thymic tissue to allow for thymic recovery and function.
Dr Burke, may I ask how many paediatric cardiac surgery you practice in a year?
And have you noticed a change in paediatric cardiac surgery with the premature births survival?
We perform between 250 and 300 open heart repairs each year. Many factors influence the volume of newborn surgery, including factors you have mentioned. As neonatal care improves, more premature babies can survive to heart surgery. As fetal diagnosis improves, we see a dual effect, some families choosing to terminate pregnancy, and others having the opportunity to search for the best team to care for their coming baby.
- thank you for you answer Dr Burke. If I may ask another question, is it more difficult to perform heart surgery on premature babies due to the immaturity of their organs in general (lungs and brain)? Or would you as a surgeon and surgical team, wait (when possible) for babies to be older, even if this implies more complex heart surgery and perhaps increasing associated physiological problems?
- nice, keep up the good work
Thanks for the encouragment, we’ll keep trying. Sincerely, Redmond Burke MD