Document Detail

Technical aspects of the Rastelli and atrial switch procedure for congenitally corrected transposition of the great arteries with ventricular septal defect and pulmonary stenosis or atresia: results of therapy.
MedLine Citation:
PMID:  12740766     Owner:  NLM     Status:  MEDLINE    
In conventional surgery for the associated lesions of congenitally corrected transposition of the great arteries, the right ventricle remains in the systemic circulation. In this situation, the right ventricle and tricuspid valve fail in an unpredictable manner. The double switch procedure was introduced to restore the morphologic left ventricle to the systemic circulation and considerable success has been seen over the last 10 years with this approach. The Rastelli and atrial switch procedure can be applied to patients with congenitally corrected transposition of the great arteries and pulmonary stenosis or atresia and a suitably placed ventricular septal defect in the outlet septum of the ventricle beneath the aortic valve. Thus, the left ventricle can be restored to the systemic circulation. The Rastelli-atrial switch is a complex operative procedure, but the operative risk and long-term results are good without evidence in the mid-term of ventricular failure as has been associated with the conventional repair. A disadvantage is that these patients require valved conduit changes over the years.
William J Brawn; D J Barron
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual     Volume:  6     ISSN:  1092-9126     ISO Abbreviation:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Publication Date:  2003  
Date Detail:
Created Date:  2003-05-12     Completed Date:  2003-10-15     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9815944     Medline TA:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Country:  United States    
Other Details:
Languages:  eng     Pagination:  4-8     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Elsevier, Inc. All rights reserved.
Birmingham's Children's Hospital NHS Trust, Diana, Princess of Wales Children's Hospital, Birmingham, UK.
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MeSH Terms
Abnormalities, Multiple / diagnosis,  surgery
Cardiac Surgical Procedures / methods*
Cardiovascular Abnormalities / diagnosis,  surgery
Heart Septal Defects, Ventricular / complications,  diagnosis,  surgery*
Patient Selection
Postoperative Care
Pulmonary Atresia / complications,  diagnosis,  surgery*
Pulmonary Valve Stenosis / complications,  diagnosis,  surgery*
Risk Assessment
Technology, Medical
Transposition of Great Vessels / complications,  diagnosis,  surgery*
Treatment Outcome
Vascular Surgical Procedures / methods

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

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