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[Ventricular septation combined with arterial switch for a patient with double inlet left ventricle with right sided rudimentary right ventricle and ventriculoarterial discordance].

Authors
  • Ohuchi, H
  • Yagihara, T
  • Kishimoto, H
  • Isobe, F
  • Yamamoto, F
  • Kawashima, Y
Type
Published Article
Journal
[Zasshi] [Journal]. Nihon Kyōbu Geka Gakkai
Publication Date
Dec 01, 1991
Volume
39
Issue
12
Pages
2229–2233
Identifiers
PMID: 1774512
Source
Medline
License
Unknown

Abstract

A 5-year-old boy with double inlet left ventricle and ventriculoarterial discordance (SDD type) underwent ventricular septation with arterial switch procedure. Previously he had received pulmonary arterial banding at 3 months-old. Preoperative cardiac catheterization revealed Qp/Qs 1.26, Pp/Ps 0.19 and LVEDV was 315% of normal (as left ventricle). Arterial switch with Lecompte modification was performed in order to separate ventricle with straight patch could be done. Post operative course was uneventful and patient was extubated 4 post operative day. These procedures had employed in this patient as follows; 1) systemic ventricle could be constructed with morphological left ventricle with mitral valve. 2) left ventricular outflow tract stenosis due to ventricular outlet foramen occasionally observed in conventional procedure such as intraventricular rerouting could be prevented, and 3) ventricular septation could be easy and simple with straight patch.

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