Document Detail


Intraventricular repair of double-outlet right ventricle with noncommitted ventricular septal defect: advantages of multiple patches.
MedLine Citation:
PMID:  10595979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this paper is to report our experience with biventricular repair of double-outlet right ventricle with noncommitted ventricular septal defect by means of multiple patches that simplify and render feasible the intraventricular correction of this complex anomaly. METHODS: From April 1987 to April 1999, in 18 patients with double-outlet right ventricle and noncommitted ventricular septal defect, a technical modification that used multiple patches of bovine pericardium was used to construct an intraventricular tunnel connecting the left ventricle to the aorta. Ages ranged from 2 months to 13 years (mean age 4.73 +/- 3.41 years). RESULTS: The early mortality was of 11.1% (2 patients). Surviving patients were followed up for a mean of 2.65 years. Three late deaths (16.6%) occurred: 5 months, 7 months, and 7 months after the operation. All but 1 patient are in New York Heart Association class I. CONCLUSION: The use of multiple patches for biventricular correction of this anomaly simplifies and renders feasible the intraventricular repair in cases in which the 1-patch technique was deemed impossible.
Authors:
M Barbero-Marcial; C Tanamati; E Atik; M Ebaid
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  118     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1999 Dec 
Date Detail:
Created Date:  1999-12-23     Completed Date:  1999-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1056-67     Citation Subset:  AIM; IM    
Affiliation:
Pediatric Cardiac Surgery Department, University of São Paulo Medical School, São Paulo, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Animals
Aorta / surgery
Cattle
Child
Child, Preschool
Double Outlet Right Ventricle / surgery*
Feasibility Studies
Female
Follow-Up Studies
Heart Defects, Congenital / complications
Heart Septal Defects, Ventricular / surgery*
Heart Ventricles / surgery
Humans
Male
Pericardium / transplantation*
Postoperative Complications
Pulmonary Artery / surgery
Retrospective Studies
Survival Rate
Transplantation, Heterologous
Tricuspid Valve / surgery

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


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