Korean J Thorac Cardiovasc Surg.  2007 Sep;40(9):624-628.

The Norwood-Rastelli Procedure for Left Ventricular Outflow Tarct Obstruction with a Ventricular Septal Defect: Three case report

• Kim DJ
• Kim WH
• Kwak JG
• Oh SJ
• Jang WS
• Kim DJ
• Lee CH

Abstract

Between 2001 and 2006, 3 neonates that had multilevel left ventricular outflow tract obstruction and a ventricular septal defect underwent the Norwood-Rastelli procedure. The body weights ranged from 2.9 to 3.1 kg. The patients had a near normal sized mitral valve and left ventricle. We simultaneously performed a modified Norwood procedure with native tissues-to-tissue anastomosis without circulatory arrest, and a Rastelli type procedure using a non-valved conduit from the right ventricle to the pulmonary artery and intracardiac patch baffling from the left ventricle to the pulmonary valve via the ventricular septal defect. The postoperative courses were uneventful. During follow-up, there was one late mortality caused by a cardiac catheterization related complication at 7 months after surgery. One patient required a Rastelli conduit change. Two patients are doing well during a follow-up period of 1 and 5 years, respectively.

Keyword

Norwood procedure; Ventricular outflow tract obstruction, left; Aortic atresia

MeSH Terms

Body Weight
Cardiac Catheterization
Cardiac Catheters
Follow-Up Studies
Heart Septal Defects, Ventricular*
Heart Ventricles
Humans
Infant, Newborn
Mitral Valve
Mortality
Norwood Procedures
Pulmonary Artery
Pulmonary Valve