🫀 PedCardSurg
LSU Health Shreveport · Pediatric Cardiology Rotation

Congenital Heart Surgery
Visual Education Module

See the lesion. Follow the rerouting. Predict the postoperative physiology. This module is built for residents who need to understand what the operation changes—not memorize a surgeon's technical manual.

9Primary atlas diagrams
55PTED visual topics
35Board-style questions
26Decoded eponyms
How to use it: Study the nine-image CHD Atlas → use PTED for external animation → finish the 35-question assessment. Passing threshold is 80% with unlimited retries.
2026 evidence guardrail: PTED/Cove Point is an unusually useful illustrated congenital-heart archive, but many individual pages were last updated in 2020–2021. In this module, PTED links are used for visual anatomy and historical procedural orientation, not as the source of truth for current drug therapy, candidacy thresholds, postoperative management, or prognosis.
Primary image collection

Congenital Heart Disease Surgical Atlas

Nine high-resolution operative illustrations paired with an explicit flow transformation and resident-level interpretation checkpoint. Select an operation to load its primary image.

Interpretation boundary: These illustrations teach anatomy and routing concepts. They are not operative manuals and do not encode patient-specific anatomy, cannulation, patch geometry, surgical approach, or institutional technique.
External visual archive

PTED Library 55 of 55

Exactly 55 catalogued PTED treatment/procedure entries: four catheter interventions plus 51 treatment/surgical-repair topics. Several catalog entries intentionally point to the same lesion page because PTED groups multiple operations within one illustrated tutorial.

Use PTED visually, not prescriptively. Some legacy pages contain outdated medication, device, endocarditis, anticoagulation, exercise, timing, or outcome language. The animation/anatomic transformation can still be excellent while the surrounding prose is no longer current.

Open the complete PTED topic index ↗

Translation layer

26 eponyms decoded

Eponyms are compressed routing instructions. Learn the blood-flow transformation first; the name then becomes useful shorthand rather than trivia.

History

From palliation to anatomic repair

Use the timeline to understand why older adults with CHD may have operations that residents rarely see performed today.

1944 — systemic-to-pulmonary shunt era

The original Blalock–Taussig operation, enabled by Vivien Thomas's experimental and technical work, established surgical palliation as a viable strategy for cyanotic CHD.

Late 1950s — cavopulmonary and atrial-redirection concepts

Glenn-type cavopulmonary connections and Senning's atrial switch showed that circulation could be rerouted rather than simply decompressed.

1960s — Mustard and Rastelli pathways

Atrial baffles and intracardiac ventricular rerouting expanded options for transposition and complex outflow anatomy, but created recognizable late systemic-RV, baffle, rhythm, and conduit problems.

1968 operation / 1971 publication — Fontan

Fontan and Baudet's concept ultimately evolved into modern total cavopulmonary connection for single-ventricle palliation.

1975 — successful Jatene arterial switch

Anatomic repair of d-TGA moved the LV back to systemic work and required reliable coronary transfer; it progressively displaced atrial-switch strategies for suitable neonates.

Early 1980s — Norwood strategy for HLHS

Staged reconstruction made survival possible for anatomy that previously had few surgical options, at the cost of a lifelong single-ventricle circulation.

1987 onward — Yasui and increasingly anatomy-specific reconstruction

Complex LVOT/arch obstruction with two usable ventricles could sometimes be treated with a biventricular LVOT-bypass strategy rather than defaulting to single-ventricle palliation.

Modern era — preserve valves, protect coronaries, plan lifetime reintervention

Current congenital surgery increasingly emphasizes valve preservation, growth potential, catheter-surgical hybrid pathways, lower reintervention burden, and lifetime physiology rather than survival of the index operation alone.

Assessment foundations

Concepts taught before the quiz

Use these short teaching summaries with the Atlas, PTED animations, and eponym guide before testing yourself.

Teaching scope: These summaries teach anatomy, circulation, and operative concepts. They do not substitute for patient-specific clinical decision-making or operative supervision.
Assessment

35-question mastery test

Review the assessment foundations, then reason from anatomy and physiology. Immediate explanations are deliberate retrieval practice, not merely a score screen.

Provenance

Sources, scope, and limitations

What this module intentionally does not do

It is not an operative manual, a substitute for a congenital cardiac surgeon, a dosing guide, or a patient-specific risk calculator. Surgical timing and technique vary with detailed anatomy, institutional strategy, era, and patient condition. The primary Atlas images encode routing concepts rather than patient-specific operative views.

Version: CHD Atlas image integration and clinical mapping reviewed August 13, 2026; evidence and external-link review performed August 12, 2026.