septale

so, my mom’s best friend’s husband is a scanner like me (scanning hearts, arteries, & veins using ultrasound) & he let me scan patients at his clinic & it was so awesome, I saw a bubble study too (sometimes people have a shunt, aka hole in their heart, such as an atrial septal defect & these bubbles go into the right side of the heart & if you see it on the left side that means there’s a shunt) I learned v cool things & noticed what it is i need to review, so yay improving myself ♡

bbc.com
The Bolivian women who knit parts for hearts - BBC News
The Aymara women of Bolivia are using their centuries-old knitting and weaving skills to make parts to help children with holes in their hearts.

The indigenous Aymara women have centuries of experience of knitting and weaving distinctive woollen hats, sweaters and blankets.

Now, they are applying their expertise to a hi-tech medical product - which is used to seal up a “hole in the heart” which some babies are born with.

“We are very happy, we are doing something for someone so they can live,” says knitter Daniela Mendoza, who weaves the tiny device in a special “clean room”.

It takes her about two hours to make the Nit Occlud device which was designed by cardiologist Franz Freudenthal. He set up his clinic in La Paz to help children born with heart problems and so far he has saved hundreds of lives.

The device, known as an occluder, looks similar to a top hat and is used to block the hole in the patient’s heart.

Most standard occluders are made on an industrial scale - but Freduenthal’s version is so small and intricate that it’s technically tricky to mass produce.

So he enlisted an army of Bolivia’s traditional craft knitters to make them by hand.

In the early days he tested the first prototypes on sheep with heart problems. He’s since successfully used them on hundreds of children and now exports his new inventions all over the world.

“The most important thing is that we try to get really really simple solutions for complex problems,” Dr Freudenthal told the BBC.

i’m sick of your fucking poetry.
i don’t want another metaphor: hearts breaking
like the dawn. the next time you say “broken" 
it’s gonna be somebody’s fist and somebody’s teeth.
i’m trying to be serious and you’re thinking:
it tasted like lighting a match on my teeth,
it tasted like the meat of my own tongue.
i’m trying to explain congenital heart
disease, atrial septal defects,
and all you’re thinking is somewhere in my chest
sits an adder stone, you’re thinking
i’ve got a black hole the size of a fist
perched in my ribcage like a songbird.
talk to dirty to me, you say, tell me what it was
that fucked you up. i am sick
of you trying to catalogue these hurts,
to fit them into similes. if you love me
it’s the way audubon loves birds.
if you love me it’s the way poets
love poetry and i am sick
of being your poem. and there you go
again, complaining about the blood
under your nails when it doesn’t even belong
to you. so write me another sob story.
play the violin, play the victim.
but stop writing poems about poems.
stop pressing your hands to the wound.
"runoti” means both to speak and to cut,
you explain, but i’m not listening anymore:
there is a hole in my chest that you need
to stop trying to fill with metaphors.
there’s a hole in my chest but it’s mine, baby,
it’s all i got.
—  s.s., adder stone
2

The dawn of heart surgery.

Clarence Walton Lillehei was known as the “father of open heart surgery”. Indeed, hardly any other cardiac surgeon has introduced a greater number of innovative techniques and concepts.

During his career, Dr Lillehei focused his efforts on cardiac surgery, particularly the development of open heart operations. The difficulty of operating on a beating heart and the hypoperfusion of the vital organs were serious and frequent complications of heart surgery. In 1953, Dr John Gibbon of Philadelphia successfully closed an atrial septal defect using a complex screen oxygenator and roller pumps. However, the mortality of open heart surgery remained high, mainly because of oxygenator-related problems, and many surgeons despaired of ever being able to correct complex intracardiac defects. 

This situation was changed in March 1954 when Dr Lillehei and his associates—Morley Cohen, Herb Warden, and Richard Varco— used controlled cross-circulation to correct a ventricular septal defect in an 11-year-old boy. The boy’s anesthetized father served as the oxygenator. Blood flow was routed from the patient’s caval system to the father’s femoral vein and lungs, where it was oxygenated and then returned to the patient’s carotid artery. The cardiac defect was repaired with a total pump time of 19 minutes. Over the ensuing 15 months, Lillehei operated on 45 patients with otherwise irreparable complex interventricular defects; most of these patients were less than 2 years old. Although cross-circulation was a major advance, it was not adopted for widespread use because it posed a serious risk to the “donor”. Nevertheless, this method paved the way for the open heart surgery era.

That same year, Dr Richard A. DeWall and Dr Lillehei introduced the first clinically successful bubble oxygenator, which remained the standard for extracorporeal circulation until the late 1970s. Dr Lillehei also helped pioneer hemodilution and moderate hypothermia techniques for open heart surgery. 

Hey! Here is me! Today was the kickoff for CHD awareness week. This is important to me because I was born with a rare heart defect called Tricuspid Atresia with Ventricular Septal defect. I’ve had 3 open heart surgeries before the age of 4 that have been successful thus far. As I continue to age, things will get more complicated. But for now, I’m doing OKAY!

Double Outlet Right Ventricle

Double Outlet Right Ventricle (DORV) is a congenital cardiac anomaly in which both the pulmonary artery and aorta arise from the right ventricle. In a normal heart, only the pulmonary artery connects here while the aorta connects to the left ventricle.

DORV is typically associated with a ventricular septal defect (VSD, or a hole between the ventricles). Transposition of the Great Arteries (TGA, or when the pulmonary artery and aorta are in reverse locations), pulmonary stenosis/atresia (abnormalities with the pulmonary valve that prevent or decrease the flow of blood into the pulmonary artery), and corarctation of the aorta (a narrowing of the aorta) can also frequently occur with this defect.

The VSD allows oxygenated and de-oxygenated blood to mix. This mixed blood is what is carried out to the body. Because of this, you can expect a patient with this condition to have decreased oxygen saturations (usually in the mid-70s to 80s). 

Surgical repair is necessary, but the exact procedure can vary greatly between patients. The approach will depend on the location of the VSD, location of the great arteries, and how developed the ventricles are. Some patients will be able to have a two ventricle repair, while others will require a single ventricle repair.

Open heart surgery VIDEO

Heart surgery can be a simple or complex procedure. There are a variety different ways it can be done, for a plethora a reasons. You can receive open heart surgery or you can just have a catheter places up one of your groan area to be treated.

Today, is a video of a rare atrial septal aneurysm. It’s a bit artsy, but interesting to watch them go through all the steps.

Article by: Meddaily

List of Cardiac Defects and Their Associated Repairs

Please note: This is by no means a comprehensive list. There are other surgical procedures so please don’t treat this post like the Bible of cardiac defect repairs. Every child is different, every anatomy is different, and many patients will require nontraditional repairs. I did not mention certain procedures (such as the hemi-Fontan or Sano modification, etc) because that’s just too much information. One day I may make a surgical repair post for each defect (and at that time would detail modified, Hybrid, non-traditional approaches, etc), but until then: keep in mind that these are not the ONLY options.

Atrial Septal Defect/Ventral Septal Defect - Self-resolving, simple suture or patch repair.

Coarctation of the Aorta - End-to-end anastomosis, subclavian flap angioplasty

Double Inlet Left Ventricle - Damus-Kaye-Stansel procedure, single ventricle palliation

Double Outlet Right Ventricle - Rastelli procedure, RV to PA conduit

Ebstein’s Anomaly of the Tricuspid Valve - Blalock-Taussing shunt, Carpentier’s procedure, Tricuspid valve repair, Starnes procedure

Hypoplastic Left Heart Syndrome - Norwood procedure, Bidirectional Glenn procedure, Fontan procedure

Pulmonary Atresia with Intact Ventricular Septum - Balloon atrial septostomy, pulmonary valvotomy, PDA stent

Pulmonary Atresia with Ventricular Septal Defect - RV to PA conduit and VSD repair

Transposition of the Great Arteries - Arterial switch operation

Through The Ghost |Open to the Tucks|

@miles-tuck @angus-tuck @mostbeautifulday (tagging you two so you can find it easier)

Jesse Tuck sat in the hospital room, tears pouring silently down her face. Her doctor had just left the room to fetch her family from the lobby so they could discuss the options. 

Discuss the options. The teen was so sick of hearing that phrase. For all the times they’d discussed the options, what had it done for her? Sent her under the knife more times than she could count. Put her on a cocktail of drugs to try and ease the pressure on her heart. All these options, only to have every single one fail. 

Jess had come in for a check up after the Septal myectomy surgery. The family had been hoping to hear that removing some of the thickened tissue had been the miracle they’d all prayed for. Sure that the news would be good and the visit short, Jesse had gone into the room alone. As such, she’d received the news alone. 

The surgery had failed. The doctors were out of ideas, out of their so called options. Jesse was dying, and at this point the only thing that might save her was a heart transplant. Blinking her eyes, the girl felt a sense of numbness wash over her. She should have known. The disease had already taken her sister. Now it was going to take her too. 

Abigail… Jesse never even knew her. She’d died before she got the chance. Sure, the death certificate said her cause of death was because of their shared heart condition. But deep down, Jess always knew it was her fault. She’d been born to help Abigail, to save her. And she had failed. Failed because she had the same condition. Because her heart was not healthy and could not be donated to her older sister. Abigail had died because of her. 

Looking down at her hands, footsteps told her that a family member had come. But she didn’t have the energy to look them in the eye. She couldn’t bear the disappointment and the guilt anymore. Ma, Pa, and Miles had never said they blamed her for Abigail’s death. But they didn’t have to. Jesse felt it. 

“The surgery didn’t work.” She stated. No emotion, no more tears. No fear or anger. Just cold, hard fact.

“I’m dying now too.”