TSDA Congenital Curricula for the Week of July 21, 2014 Week 2 of 32 To ensure you continue to receive timely TSDA news, or to provide another e-mail address for the TSDA Congenital Curricula, please forward contact information to [email protected]. Forward this message to a colleague. To assist TSDA in tracking this message, please right click to download pictures when viewing this message. The Congenital Curricula is based on a 32-week lesson plan, and you can expect to receive e-mail messages every Thursday for the upcoming week, with the exception of holiday weekends. The weekly assignments are a supplement to your program curriculum and include basic readings for congenital fellows, faculty, and others interested in congenital heart surgery. TSDA hopes the Congenital Curricula expands your current knowledge base and enhances your learning experience. Topic: Ventricular Septal Defect I. Morphology a. VSD Morphology i. Supracristal VSD ii. Perimembranous VSD iii. Inlet VSD iv. Muscular VSD v. Multiple VSDs/Swiss Cheese Septum b. Conduction system c. Associated Lesions i. Double Chamber Right Ventricle ii. Aortic Insufficiency II. Pathophysiology/Natural History a. Left-to-right shunt b. Pulmonary Vascular Disease c. Eisenmenger’s syndrome d. Diagnosis/Determination of operability i. Echocardiogram ii. Cardiac Catheterization 1. Qp:Qs calculation 2. PVR calculation 3. Pulmonary vasoreactivity III. Surgical repair a. Indications/Timing b. Conduct of Operation ( Including Cannulation, CPB, Myocardial Protection, Approach) i. Patch Closure VSD ii. Primary Closure VSD iii. Transaortic VSD Closure with Aortic Valve Resuspension iv. Pulmonary Artery Banding c. Post-operative management d. Outcomes IV. Controversies a. Percutaneous Device Closure b. Perventricular Device Closure c. Management of Multiple VSDs/Swiss Cheese Septum Talk: Anatomy of Atrial & Ventricular Septal Defects - Richard Van Praagh (Children’s Hospital Boston) Readings:        Ventricular Septal Defect, Chap 17, pp 311-341, Pediatric Cardiac Surgery, 4th Edition, Mavroudis and Backer (ed), c2013. Congenital Heart Surgery Nomenclature and Database Project: ventricular septal defect. Jacobs JP et al. The Annals of Thoracic Surgery 2000; 69:S25-S35. Predictive value of intraoperative diagnosis of residual VSD by transesophageal echocardiogram. Hanna BM, El-Hewala AA, Gruber PJ, Gaynor JW, Spray TL, Seliem MA. The Annals of Thoracic Surgery. 2010 Apr;89(4):1233-7. Contemporary outcomes of surgical ventricular septal defect closure. Anderson BR, et al. The Journal of Thoracic and Cardiovascular Surgery. 2013;145:641-7. Treatment of isolated ventricular septal defects in children: Amplatzer versus surgical closure. Oses P et al. The Annals of Thoracic Surgery. 2010 90:1593-8. Outcomes of radial incision of the tricuspid valve for ventricular septal defect closure. Hyde M, et al. The Annals of Thoracic Surgery. 2011;92:685-90. Techniques and results in the management of multiple ventricular septal defects. Kitagawa T, et al. The Journal of Thoracic and Cardiovascular Surgery. 1998;115:848-56. ADDITIONAL TSDA RESOURCES    Visit TSRA Resources for Residents to view resources written by residents for residents, including TSRA Review of Cardiothoracic Surgery; TSRA Primer of Cardiothoracic Surgery; TSRA Clinical Scenarios; and TSRA Journal Club. The McGraw-Hill Companies, Inc., publishers of The Johns Hopkins Manual of Cardiothoracic Surgery, has graciously made available sections of this important textbook to TSDA Weekly Curricula subscribers. TSDA will post three chapters for a three month period over the course of one year. Check back frequently for new postings. The Johns Hopkins Manual of Cardiothoracic Surgery can be ordered at Amazon.com. Attention program directors, faculty, residents, and fellows: If you know of a congenital curriculum topic for which you would like to create a talk, the TSDA Curriculum Committee encourages such contributions. Instructions for creating a talk can be found on TSDA.org. NEWS & INFORMATION  Contact TSDA at [email protected] if you have comments or suggestions for the TSDA Congenital Curricula. The next message will be sent on July 24 for the week of July 28. Thoracic Surgery Directors Association ● 633 North St. Clair Street ● 23rd Floor ● Chicago, IL 60611 Phone: 312.202.5854 | Fax: 773.289.0871 | [email protected] | www.tsda.org Unsubscribe here.