HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Day, R. Articles by George, B. Search for Related Content PubMed PubMed Citation Articles by Day, R. Articles by George, B.

The Annals of Thoracic Surgery, Vol 49, 1003-1005, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Partial biventricular repair for double-outlet right ventricle with left ventricular hypoplasia

R Day, H Laks, E Milgalter, A Billingsley, R Rosengart and B George
Division of Pediatric Cardiology, University of California, Los Angeles 90024.

The presence of left ventricular hypoplasia in double-outlet right ventricle may increase the risk of biventricular repair and Fontan procedures. The hypoplastic left ventricle of an 11-year-old girl with complex double-outlet right ventricle was successfully incorporated in a modified biventricular repair by Dacron patch closure of the ventricular septal defect, diversion of venous return of the inferior vena cava to the mitral valve with an intraatrial baffle, insertion of a left ventricular apex to pulmonary artery valved aortic homograft, and diversion of residual systemic venous return directly to the lungs with a bidirectional superior vena cava to pulmonary artery shunt. Postoperatively, the systemic venous atrial pressure was 6 mm Hg and the pulmonary artery pressure was 14 mm Hg. This method is proposed as a partial biventricular repair hemodynamically superior to the Fontan procedure, although aortic homograft revision may be required in the future.

This article has been cited by other articles:

				G. S. Van Arsdell, W. G. Williams, and R. M. Freedom A practical approach to 11/2 ventricle repairs Ann. Thorac. Surg., August 1, 1998; 66(2): 678 - 680. [Abstract] [Full Text] [PDF]

				V. M. Reddy, D. B. McElhinney, N. H. Silverman, S. M. Marianeschi, and F. L. Hanley Partial biventricular repair for complex congenital heart defects: an intermediate option for complicated anatomy or functionally borderline right complex heart J. Thorac. Cardiovasc. Surg., July 1, 1998; 116(1): 21 - 25. [Abstract] [Full Text]