Pediatric Open Heart Cases
For review: This is a picture of the fetal circulation. Some of the terms I use to describe the defects we repaired can be found here
This little boy had a ventricular septal defect. He is pictured on post-op day 1.
This little girl had a mitral valve atresia and a ventricular septal defect. She is pictured pre-op as we were preparing to start the operation to repair these malformations. The rectangular dressing on her chest looks like a post-op bandage but it is actually placed there the night before surgery. It has been impregnated with antibiotic gel and kills bacteria on the skin. Postoperatively, a similar dressing will be applied over her incision. Two chest tubes will emerge from the caudal end.
This little girl had total anomalous pulmonary venous return, a patent foramen ovale and a patent ductus arteriosus, the latter two keeping her alive. We repaired the TAPVR by sewing a gortex graft over the four pulmonary venous openings (in her superior vena cava) and routed the graft through the patent foramen ovale. This brought oxygenated blood into the left atrium. Then we closed the patent ductus arteriosus. In the first picture, I am comforting her before surgery. In the second, we are putting her on cardiopulmonary bypass so we can stop the heart while working. The third picture is on post op day one.