Geometrical Correlation Between The Right And Left Ventricular Outflow Tract In Young Bav Vs. Tav Patients: Implications For The Ross Procedure

2019 ◽  
Vol 3 (sup1) ◽  
pp. 10-10
Author(s):  
Shiho Naito ◽  
Hermann Reichenspurner ◽  
Evaldas Girdauskas
Author(s):  
Habib Jabagi ◽  
Letizia Gardin ◽  
Gyaandeo Maharajh

We report the case of a presumed coronary-cameral fistula arising directly below the commissures of the noncoronary cusp (NCC) and left coronary cusp (LCC) of the pulmonary autograft, leading to left ventricular outflow tract pseudoaneurysm and late tamponade post Ross procedure.


2020 ◽  
Vol 23 (6) ◽  
pp. E770-E773
Author(s):  
Alsayed Salem

Surgery for D-transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction has continuously evolved to achieve optimal hemodynamic performance across the right and left ventricular outflow tracts, include predominantly native tissues, and preserve pulmonary valve function. Classically, three types of repair are applied: Rastelli, REV, and translocation procedures. The concept of translocation remains more radical and exposed to many modifications. Its extensive reconstructive nature extends its application to similar lesions with discordant ventriculo-arterial connection. We tried to compare the values and limitations of these surgical options, emphasizing how a more anatomical repair could impact the functional outcome.


2011 ◽  
Vol 21 (6) ◽  
pp. 703-706 ◽  
Author(s):  
Murat Ugurlucan ◽  
Omer A. Sayin ◽  
Emin Tireli

AbstractThe Rastelli operation has been the most common procedure for the repair of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction. A relatively recent approach is the Nikaidoh procedure. Despite the fact that it seems promising, the operation lacks long-term follow-up data. It has been postulated that patients with anomalous coronary arteries are high-risk candidates for the Nikaidoh procedure and its modifications. In this report, we present the case of a patient with transposition of the great arteries with remote restrictive ventricular septal defect and left ventricular outflow tract obstruction with coronary anomaly – with the right coronary artery originating from the left anterior descending coronary artery and crossing the right ventricular outflow tract – who underwent successful modified Nikaidoh operation.


2018 ◽  
Vol 7 (3) ◽  
pp. 35
Author(s):  
Lucio Careddu ◽  
Francesco Dimitri Petridis ◽  
Emanuela Angeli ◽  
Giorgio Romano ◽  
Valentina Agostini ◽  
...  

Primary rhabdomyomas obstructing the right or left outflow tract are uncommon findings in the perinatal period. The presenting symptom may be arrhythmia, cardiac murmur, complete or variable atrioventricular block, pericardial effusion, cardiomegaly, cardiac failure, or sudden death. The variety of symptoms can be explained on the basis of obstruction of blood flow, myocardial involvement, and disturbance of the cardiac rhythm. Commonly, rhabdomyoma spontaneously regresses in the majority of cases, and neonatal surgery is advocated only in case of severe left ventricular outflow tract (LVOT) obstruction or the development of arrhythmias. Herein, we describe the pathologic and clinical characteristics of neonatal presentation of a cardiac rhabdomyoma with a nearly obstructive mass in the LVOT, discovered during pregnancy and operated 4 months after delivery.


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