scholarly journals Subaortic aneurysm after arterial switch operation for transposition type double outlet right ventricle

2020 ◽  
Vol 3 ◽  
pp. 290-293
Author(s):  
Hisayuki Hongu ◽  
Masaaki Yamagishi ◽  
Yoshinobu Maeda ◽  
Hitoshi Yaku
Keyword(s):  
Right Ventricle ◽  
Arterial Switch Operation ◽  
Double Outlet Right Ventricle ◽  
Arterial Switch ◽  
Switch Operation ◽  
Subaortic Aneurysm

Biventricular Repair of Double Outlet Right Ventricle: Preoperative Echocardiography and Surgical Outcomes

2017 ◽  
Vol 8 (3) ◽  
pp. 354-360 ◽  
Author(s):  
Hong Meng ◽  
Kun-Jing Pang ◽  
Shou-Jun Li ◽  
David Hsi ◽  
Jun Yan ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricle ◽  
Arterial Switch Operation ◽  
Double Outlet Right Ventricle ◽  
Double Root ◽  
Biventricular Repair ◽  
Arterial Switch ◽  
Switch Operation ◽  
Hospital Deaths ◽  
Selection Of

Objective: To discuss the key anatomic features of double outlet right ventricle (DORV) assessed by preoperative echocardiography among patients treated with different types of biventricular repair. Methods: Surgical and echocardiographic databases were queried to identify patients who had undergone biventricular repair for DORV and had adequate preoperative echocardiographic imaging. All patients underwent pre- and postoperative echocardiography and clinical evaluation following discharge. Results: Two hundred sixty-two patients with DORV met the inclusion criteria of the study. The patients were divided into two groups—intraventricular tunnel repair (IVR) to the aorta (194 [74%] patients) or to the pulmonary artery with either concomitant arterial switch operation or double-root translocation (68 [26%] patients). Among 68 patients undergoing IVR to the pulmonary artery, 50 patients with transposition of the great arteries (TGA) type of DORV and 7 patients with remote ventricular septal defect (VSD) type underwent IVR plus arterial switch operation and 6 patients with TGA type and 5 patients with remote VSD type underwent IVR plus double-root translocation. There were three hospital deaths and one late death (overall operative mortality: 1.5%). Conclusion: Preoperative echocardiography provided crucial data to estimate the feasibility of intraventricular tunnel creation to either the aorta or the pulmonary artery and to guide the selection of either arterial switch or double-root translocation. Biventricular repair could be achieved with favorable outcomes in most patients with DORV.

Primary Intracardiac Repair of Double Outlet Right Ventricle and Ventricular Septal Defect without Pulmonary Stenosis

1995 ◽  
Vol 3 (3-4) ◽  
pp. 103-108
Author(s):  
KG Jaya Prasanna ◽  
Krishna Subramony Iyer ◽  
Rajesh Sharma ◽  
Balram Airan ◽  
Ivatury Mrityonjaya Rao ◽  
...  
Keyword(s):  
Left Ventricle ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Septal Defect ◽  
Arterial Switch Operation ◽  
Pulmonary Stenosis ◽  
Double Outlet Right Ventricle ◽  
Arterial Switch ◽  
Intracardiac Repair ◽  
Switch Operation

From January 1991' to May 1994, 29 patients with double outlet right ventricle with ventricular septal defect, without pulmonary stenosis underwent primary intracardiac repair at the All India Institute of Medical Sciences, New Delhi. Patients were classified into 4 groups based on location of the ventricular septal defect. The ventricular septal defect was subaortic in 11, subpulmonary in 13, doubly committed subarterial in 1, and noncommitted in 4 patients. Surgical treatment consisted of intraventricular routing of the left ventricle to the aorta (17), and the left ventricle to the pulmonary artery followed by an arterial switch operation (12). There were 4 (13.9%) early deaths. Follow-up ranged from 3 months to 3 years (mean, 1.5 years). There was no late mortality. Three patients had residual ventricular septal defect, one of whom has undergone reoperation. One patient has a gradient of 25 mmHg across the left ventricular outflow tract. Double outlet right ventricle with subpulmonic ventricular septal defect was found to be a significant risk factor for early mortality (p = 0.03). The subgroup of double outlet right ventricle with subpulmonic ventricular septal defect who had a combination of single coronary artery and post arterial switch operation was particularly prone to pulmonary hypertensive crisis and hospital death (p = 0.002).

scholarly journals Clinical results of arterial switch operation for double-outlet right ventricle with subpulmonary VSD1

1999 ◽  
Vol 15 (3) ◽  
pp. 283-288 ◽  
Author(s):  
Munetaka Masuda ◽  
Hideaki Kado ◽  
Yuichi Shiokawa ◽  
Kouji Fukae ◽  
Yasuo Kanegae ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Arterial Switch Operation ◽  
Clinical Results ◽  
Double Outlet Right Ventricle ◽  
Arterial Switch ◽  
Switch Operation

Successful extensive enlargement of a non-committed ventricular septal defect in double outlet right ventricle

2005 ◽  
Vol 15 (4) ◽  
pp. 431-433
Author(s):  
Nobuyuki Ishibashi ◽  
Mitsuru Aoki ◽  
Tadashi Fujiwara
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Septal Defect ◽  
Arterial Switch Operation ◽  
Double Outlet Right Ventricle ◽  
Right Atrial ◽  
Arterial Switch ◽  
Switch Operation

We performed an arterial switch operation in a patient with double outlet right ventricle with non-committed ventricular septal defect, and abnormal insertion of the tension apparatus of the tricuspid valve which produced moderate tricuspid regurgitation. This required extensive enlargement of the ventricular septal defect between the attachments of the cords of the tricuspid valve so as to create the interventricular rerouting that made possible the arterial switch operation. Postoperatively, we produced a straight, unobstructed, left ventricular outflow tract, improved the extent of tricuspid regurgitation, and achieved low right atrial pressures. Enlargement of the interventricular communication can set the scene for biventricular repair in this particular subset of patients with both arterial trunks arising from the morphologically right ventricle.

Surgical management of transposition in the setting of obstruction within the aortic arch

2005 ◽  
Vol 15 (S1) ◽  
pp. 106-110
Author(s):  
Christo I. Tchervenkov
Keyword(s):  
Right Ventricle ◽  
Aortic Arch ◽  
Surgical Management ◽  
Surgical Approach ◽  
Cerebral Perfusion ◽  
Arterial Switch Operation ◽  
Circulatory Arrest ◽  
Double Outlet Right Ventricle ◽  
Switch Operation ◽  
Pulmonary Homograft

The presence of an obstructed aortic arch in patients with transposition, or the Taussig-Bing variant of double outlet right ventricle, presents a formidable surgical challenge. Over the years, there have been several controversies with respect to primary versus staged repair, the best technique for reconstruction of the aortic arch, and whether to use circulatory arrest or antegrade regional cerebral perfusion. In this review, I will address all these issues and describe my favoured surgical approach at The Montreal Children's Hospital, namely the single-stage arterial switch operation with concomitant repair of the aortic arch with a patch fashioned from a pulmonary homograft, all conducted using antegrade regional cerebral perfusion.

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