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Rise in defibrillation threshold after postoperative cardiac remodeling in a patient with severe Ebstein's anomaly

Tan, Reina Bianca; Love, Charles; Halpern, Dan; Cecchin, Frank
PMID: 28649502
ISSN: 2214-0271
CID: 2609622

Complexity of ranolazine and phenytoin use in an infant with long QT syndrome type 3

Tan, Reina Bianca; Chakravarti, Sujata; Busovsky-McNeal, Melissa; Walsh, Abigail; Cecchin, Frank
PMID: 28491780
ISSN: 2214-0271
CID: 2549092


Chakravarti, Sujata; Tan, Reina; Bhatla, Puneet
ISSN: 0090-3493
CID: 3319682

A novel technique of single patch repair of right partial anomalous pulmonary venous return to the superior vena cava by right atrial edge rotation

Reyes, Karl G; Tan, Reina Bianca M; Reyes, Karen G
In patients with partial anomalous pulmonary venous return of the right superior pulmonary veins to the superior vena cava, surgical repair generally consists of either intraatrial baffle with or without caval enlargement, or superior caval transection and cavoatrial anastomosis to the right atrial appendage. We discuss here a novel technique of superior caval enlargement without need for patch material or reimplantation.
PMID: 24792287
ISSN: 1552-6259
CID: 3319672

A rare anatomic variant: partial anomalous pulmonary venous connection of the right pulmonary veins to an aneurysmal left vertical vein [Case Report]

Tan, Reina Bianca M; Cuaso, Charles C; Hiyao, Carlo; Reyes, Karl G
PMID: 24580935
ISSN: 1552-6259
CID: 3319662

Double-barrel right ventricular outflow: tetralogy of Fallot annulus preservation technique

Reyes, Karl G; Cuaso, Charles C; Tan, Reina Bianca M
In patients with tetralogy of Fallot (TOF) repair and a borderline pulmonary valve annulus (PVA) size, surgical repair often necessitates a transannular incision and subsequent placement of a patch with or without a monocusp or, alternatively, a right ventricle-to-pulmonary artery conduit. We discuss here a technique in which the pulmonary valve annulus can be safely preserved, with infrequent postoperative issues as well as the potential for less incidence of right ventricular outflow intervention in the long term.
PMID: 22916765
ISSN: 1552-6259
CID: 3319652

Update on the Amplatzer duct occluder: a 10-year experience in Asia

Cuaso, Charles C; Tan, Reina Bianca M; Del Rosario, Jonas D; Cheng, Dexter D; Reyes, Karl G
Few data exist regarding the efficacy and safety of the Amplatzer ductal occluder (ADO) type 1 device in the Asian region. This retrospective study, conducted between August 2001 and April 2011, attempted device placement for 231 patients (165 females and 66 males) with a median age of 7.4 years (range, 3 months to 64 years) and an average weight of 19.4 kg (range, 4.1-81.0 kg). Among the patients in this study, 66 (28.6%) had pulmonary hypertension, ten (4.3%) had trisomy 21, and eight (3.5%) had other congenital cardiac anomalies. The mean narrowest patent ductus arteriosus (PDA) diameter was 4.2 mm (range, 1.3-10 mm), and the ampulla size was 9.6 mm (range, 4-20 mm). Successful implantation was achieved for 229 patients (99.1%). Complete angiographic occlusion was achieved for 201 patients (87.8%) at the end the procedure. Follow-up data were available for 129 patients (66%). At the follow-up assessment, complete echocardiographic occlusion was seen in 128 patients (99.2%) after 1 month and in 100% of the patients after 6 months. The significant morbidities involved one device embolization and one dislodgment, for which surgical retrieval was performed. No mortalities occurred during the study period, and no late clinical adverse events occurred during the follow-up period. Occlusion of the PDA using ADO is safe, effective, and applicable for a wide range of PDA sizes including large PDAs in small symptomatic infants and in adults. Good outcomes can be attributed to experience of the operators, proper patient selection, and appropriate device size selection.
PMID: 22105493
ISSN: 1432-1971
CID: 3319642