Document Detail


Aortic translocation for the management of double-outlet right ventricle and pulmonary stenosis with dextrocardia: technique to avoid coronary insufficiency.
MedLine Citation:
PMID:  20103367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of D-loop transposition of the great arteries with left ventricular outflow tract obstruction and related forms of double-outlet right ventricle is challenging. Association with right ventricular and tricuspid valve hypoplasia and dextrocardia represents a major obstacle to achieve a biventricular repair. The most commonly used technique to deal with this condition, which is the Rastelli operation, further reduces the potentially compromised right ventricular volume due to the left ventricle-to-aorta baffle. Because the Rastelli operation risks later development of left ventricular outflow tract obstruction, aortic translocation can be considered for these patients. We report a case of double-outlet right ventricle with left ventricular outflow tract obstruction in the setting of dextrocardia, left juxtaposition of the atrial appendages, and a small tricuspid valve, which was successfully managed with a biventricular repair by means of an aortic translocation technique.
Authors:
Victor Bautista-Hernandez; Daniel E Nento; Steven D Colan; Tal Geva; Frank A Pigula
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  633-5     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Cardiac Surgery, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Aorta / transplantation
Aorta, Thoracic / surgery*
Aortic Valve / surgery
Atrial Appendage / abnormalities
Dextrocardia / diagnosis,  surgery*
Double Outlet Right Ventricle / diagnosis,  surgery*
Echocardiography
Heart Failure / prevention & control*
Heart Septal Defects, Ventricular / diagnosis,  surgery
Heart Ventricles / surgery
Humans
Infant
Male
Postoperative Complications / prevention & control*
Pulmonary Valve / abnormalities,  surgery
Pulmonary Valve Stenosis / diagnosis,  surgery*
Transplantation, Homologous
Transposition of Great Vessels / diagnosis,  surgery*
Tricuspid Valve / abnormalities,  surgery
Ventricular Outflow Obstruction / diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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