 The
Pediatric Cardiac Catheterization Laboratory at the Medical College of Virginia has
been performing interventional catheterization procedures since 1984. A state of
the art biplane catheterization laboratory dedicated to pediatric use and staffed
by pediatric interventional cardiologists and nursing staff, permits neonates, infants,
children, and adults to undergo “surgical” therapy for
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Floyd - Subaortic membrane resection and
patent ductus ligation
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congenital heart disease without actual open chest, open heart surgery. Indeed,
most of these procedures are performed under local anesthetic without general anesthesia
and as an outpatient. Therefore, an ICU is not utilized, blood products are usually
unnecessary, and the patient recovers for several hours following the procedure on
the regular floor and is discharged later the same day. Standard procedures include:
balloon valvulo/arterioplasty for aortic and pulmonary valve stenosis as well as
critical stenosis in the newborn period, coarctation of the aorta (recurrent and
in selective cases of native coarctation), and pulmonary artery branch stenosis.
Stenting of branch pulmonary arteries is becoming more widely utilized. For the last
two years the majority of children with patent ductus arteriosus at MCV have undergone
closure of the ductus not in the operating room but in the Cardiac Catheterization
Laboratory by coil occlusion of the ductus as an outpatient procedure. MCV was the
sole regional center involved in the prospective multi-center international study
of PDA coil occlusion. Other abnormal blood vessels (lung fistula, coronary fistula)
have similarly been occluded in the Cath Lab. Working in concert with Dr. Richard
Embrey, our pediatric cardiothoracic surgeon, difficult cases of complex congenital
heart defects undergo combined interventional procedures and cutting edge surgical
procedures to optimize patient outcome and long term excellence in quality of life. |
