Arterial Switch, Ventricular Septation, and Fontan Takedown for Double Inlet Left Ventricle
Journal
Annals of Thoracic Surgery
Journal Volume
106
Journal Issue
3
Pages
e159-e162
Date Issued
2018
Abstract
A patient with double inlet left ventricle with transposition of great arteries and severe coarctation of the aorta received aortoplasty and pulmonary artery banding, followed by bidirectional Glenn shunt and extracardiac total cavopulmonary connection (TCPC). Severe subaortic stenosis and increased atrioventricular valve regurgitation were noted 4 years after TCPC. Surgery included alleviation of the subaortic stenosis, ventricular septation through the tricuspid valve approach, and an arterial switch with the main pulmonary artery reopened. The TCPC was taken down with both caval veins reconnected to the right atrium; the neopulmonary artery was reconstructed. Biventricular conversion from TCPC was achieved. ? 2018 The Society of Thoracic Surgeons
SDGs
Other Subjects
polyethylene terephthalate; aortic clamping; arterial switch operation; Article; cardiopulmonary bypass; cavopulmonary connection; computer assisted tomography; congenital heart malformation; disease severity; double inlet left ventricle; echocardiography; follow up; Fontan procedure; great vessels transposition; heart atrioventricular valve; heart left ventricle; human; main pulmonary artery; mitral valve; myomectomy; postoperative complication; priority journal; pulmonary artery; subvalvular aortic stenosis; superior cava vein; surgical technique; total cavopulmonary connection; tricuspid valve; ventricular septation; abnormalities; aortic coarctation; complication; great vessels transposition; heart ventricle; Aortic Coarctation; Heart Ventricles; Humans; Postoperative Complications; Pulmonary Artery; Transposition of Great Vessels
Publisher
Elsevier USA
Type
journal article