Yasui Conversion for Repair After Left Ventricular Outflow Tract Obstruction Satoshi Fujita, MD, PhD, Toshihide Nakano, MD, PhD, Shinichiro Oda, MD, PhD,

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Yasui Conversion for Repair After Left Ventricular Outflow Tract Obstruction Satoshi Fujita, MD, PhD, Toshihide Nakano, MD, PhD, Shinichiro Oda, MD, PhD, Hideaki Kado, MD, PhD, Hisataka Yasui, MD, PhD The Annals of Thoracic Surgery Volume 104, Issue 5, Pages e389-e391 (November 2017) DOI: 10.1016/j.athoracsur.2017.06.030 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 After ascending aorta cross-clamp and antegrade cardioplegia administration, resection of the (A) modified (m) Konno patch, (B) ventricular septal defect enlargement, and (C) the production of a double-outlet left ventricle with an expanded polytetrafluoroethylene patch were performed by right ventriculotomy. (D) Subsequently, Damus-Kaye-Stansel anastomosis was performed. (AAo = ascending aorta; LV = left ventricle; mPA = main pulmonary artery.) The Annals of Thoracic Surgery 2017 104, e389-e391DOI: (10.1016/j.athoracsur.2017.06.030) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The images of (A) preoperative and (B) postoperative echocardiography show the release of the systemic outflow tract obstruction. The white arrows indicate (A) the modified Konno patch and (B) intraventricular rerouting with the expanded polytetrafluoroethylene patch. (C) Postoperative computed tomography image is shown. The red arrow indicates the RVOT valved conduit, and the white arrow indicates the Damus-Kaye-Stansel anastomosis. (AoV = aortic valve; LA = left atrium; LV = left ventricle; PV = pulmonary valve; RV = right ventricle.) The Annals of Thoracic Surgery 2017 104, e389-e391DOI: (10.1016/j.athoracsur.2017.06.030) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions