1/ Shock is complex. But our tools are often simplistic. This paper proposes a new model: 🩸 Four circulatory interfaces that must stay coupled to maintain perfusion. Uncouple any one — and shock worsens. #Shock #MedX #FOAMcc Here’s the framework. 🔗 doi.org/10.3390/jpm150…

🫀 Stage 1 Palliation for Single Ventricle 🔧 Stage 1 palliation (eg. Norwood) Essentials: ① Enlarge ASD for atrial mixing ② Reconstruct aortic arch for systemic flow ③ Ensure pulmonary flow (BT shunt or RV–PA conduit) ⚖️ Key Point: Balance PBF and SBF → PBF steals from

🫀3 Stages of Single Ventricle Palliation 🔻Stage 1: Initial Single Ventricle Palliation (e.g., Norwood) ✅ Enlarge ASD → promote atrial mixing ✅ Reconstruct aortic arch → secure systemic flow ✅ Provide pulmonary flow via BT shunt or RV–PA conduit ⚠️ Pulmonary flow is

🫀 CoA with VSD CoA + VSD = dual stress on the LV: 🔸 Pressure load from CoA 🔸 Volume load from L→R shunt 🔬 Physiology: 🔹 VSD → ↑ pulmonary flow → CHF risk 🔹 CoA → ↓ systemic perfusion 🔹 PDA may temporarily support lower body flow 🔹 LV = hypertrophy + dilation 🧠

🫀Extended End-to-End Anastomosis on CPB Performed via sternotomy with CPB and selective cerebral perfusion (SCP) for CoA or arch hypoplasia (with intracardiac lesions). Complete resection and extended incisions enable wide reconstruction from the proximal arch to descending

🫀 Rethinking the RV: It’s the “Second Systemic Pump” More than a pulmonary pump, the RV drives forward flow to the LV and supports systemic circulation—crucial for maintaining hemodynamic stability. #CardiacPhysiology #RVFunction #Fontan

Digital specimen walkthrough! Double inlet left ventricle with a hypoplastic anterior, leftward right ventricle s/p lv to ao conduit. youtu.be/JC2K0NBNCc8?si… #pedsicu #anatomy #pathology #morphology #heart #cardiology Oung Savly MD FACC FESC FASE FAPSC 🇰🇭 NeoCardioLab - Gabriel Altit CARDIOSCAPE Alexander Mladenow MD

#EditorsChoice The Living Ross Procedure: A New Paradigm in Partial Heart Transplantation. #CaseReport from Sam Kesseli, Joseph W Turek, and coauthors👇 doi.org/10.1016/j.atho…

Recent article in press: Pediatric heart transplant in donation after circulatory death using normothermic regional perfusion. Read more from researchers at Duke Health by logging in to #JTCVS: doi.org/10.1016/j.jtcv…

Recent paper on "Novel Valve Sparing Aortic Root replacement Device: Between a David and a Yacoub." ✨For valve-sparing root replacement, a device pre-assembled of a coronet-shaped ring with a graft was developed and studied in ex-vivo models. Read more: ow.ly/H0sz50WHSsZ

RV volume overload 🆚 RV pressure overload #echofirst 🔻Volume overload 👉 enddiastolic D-sign 🔻Pressure overload 👉 endsystolic D-sign Credit: e-echocardiography.com

15 second video of a #heart specimen with an antero-superior #vsd! youtube.com/shorts/JX44RVJ…. #cardiology #anatomy #pathology #chd #pedsicu #pediatrics #neotwitter Swati Garekar Oung Savly MD FACC FESC FASE FAPSC 🇰🇭 Alexander Mladenow MD NeoCardioLab - Gabriel Altit Ritu Thamman MD Jorge Mario WithAScalpel