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The Journal of Thoracic and Cardiovascular Surgery, Vol 71, 366-370, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Successful repair of double-outlet right ventricle with bilateral conus, 1-transposition of great arteries (S,D,L), and subpulmonary ventricular septal defect

M Yamaguchi, K Horikoshi, A Toriyama, K Kimura and H Mito

Surgical correction was carried out successfully in a severely cyanotic 3-year-old Japanese girl who had a very rare type of double-outlet right ventricle. The malformation was associated with bilateral conus, 1-transposition of the great arteries, and subpulmonary ventricular septal defect without significant pulmonary stenosis in situs solitus. A large amount of subaortic conal musculature which separated the aortic valve from the subpulmonary ventricular septal defect was removed, as was the anterior rim of the ventricular septal defect. A tunnel, constructed with a woven Teflon prosthesis, was inserted in such a manner as to direct blood from the left ventricle through the defect and out to the aorta. The pulmonary outflow tract was reconstructed with a Teflon patch lined with pericardium. The patient's postoperative recovery was uneventful, and she was doing well 3 months postoperatively. To our knowledge, no identical case with a similar type of surgical correction has previously been reported.


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 Ann. Thorac. Surg.Home page
Q. Wu, Q. Yu, and X. Yang
Modified Rastelli procedure for double outlet right ventricle with left-malposition of the great arteries: report of 9 cases
Ann. Thorac. Surg., January 1, 2003; 75(1): 138 - 142.
[Abstract] [Full Text] [PDF]


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Copyright © 1976 by The American Association for Thoracic Surgery.