Korean J Thorac Cardiovasc Surg.
2000 Apr;33(4):316-319.
Anatomical Repair of Double-Outlet Left Ventricle with Ventricular Septal
Defect and Pulmonary Stenosis by Reight Ventricular Outflow Patch Reconstruction
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Ewha Womans University.
- 2Department of Pediatrics, College of Medicine, Ewha Womans University.
Abstract
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Double-outlet left ventricle with ventricular septal defect and pulmonary stenosis was
conventionally repaired with extracardiac conduit or pulmonary artery translocation. Here,
we report an anatomically repaired double-outlet left ventricle without extracardiac conduit
or pulmonary artery translocation in an 11 month old patient who had undergone palliative
systemic-pulmonary shunt at a nonatal period. The location of ventricular septal defect,
both great arteries and coronary arteries made it possible to reconstruct the right
ventricular outflow tract using on-lay patch after incision and undercutting the tissue
between the ventriculotomy and the pulmonary arteriotomy.