Hybrid Interventions in Congenital Heart Disease: A Review of Current Practice and Rationale for Use

BACKGROUND Hybrid interventions have become a common option in the management for a variety of patients with congenital heart disease. In this review we will discuss the data that has driven decision making about hybrid interventions to date. METHODS The existing literature on various hybrid approaches was reviewed and summarized. In addition, the key tenants to creating a successful hybrid program within a congenital heart center are elucidated. RESULTS Hybrid strategies for single ventricle patients, pulmonary atresia with intact ventricular septum, branch pulmonary artery stenosis, and muscular ventricular septal defect closure have important benefits and limitations compared to traditional approaches. CONCLUSIONS There is a growing body of evidence which supports the use of hybrid interventions in congenital heart disease. But important questions remain regarding improved survival and other long-term outcomes like neurocognition that might impact widespread adoption as a primary treatment strategy.