Single-stage anatomical repair of complete atrioventricular canal, double-outlet right ventricle, and cor triatriatum using ventricular septal defect.

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Presentation transcript:

Single-stage anatomical repair of complete atrioventricular canal, double-outlet right ventricle, and cor triatriatum using ventricular septal defect translocation Christo I Tchervenkov, MD, Stephen J Korkola, MD, Marie J Béland, MD The Annals of Thoracic Surgery Volume 73, Issue 4, Pages 1317-1320 (April 2002) DOI: 10.1016/S0003-4975(01)03187-3

Fig 1 (A) Schematic representation of double-outlet right ventricle associated with complete atrioventricular canal and left superior vena cava to coronary sinus. Note the inlet ventricular septal defect confined to a location remote from the great vessels that arise entirely from the right ventricle. (B) Schematic representation of the intracardiac anatomy showing the complete atrioventricular canal, left superior vena cava to unroofed coronary sinus, and cor triatriatum membrane. The Annals of Thoracic Surgery 2002 73, 1317-1320DOI: (10.1016/S0003-4975(01)03187-3)

Fig 2 (A) Partial closure of the ventricular septal defect using a patch fashioned from autologous pericardium. The uppermost portion of the ventricular septal defect is left open and extended leftwards and superior by resecting the interventricular septum. (B) A Gore-Tex patch is used to create an intraventricular tunnel from the left ventricle to the aorta through the ventricular septal defect. The pulmonary valve annulus has been encompassed as well because of the absence of any conal septum to anchor sutures. The main pulmonary artery is transected and oversewn proximally. (C) A valved pulmonary homograft is used as a conduit from the right ventricle to the pulmonary artery. The proximal end is augmented with a patch of autologous pericardium. The Annals of Thoracic Surgery 2002 73, 1317-1320DOI: (10.1016/S0003-4975(01)03187-3)

Fig 3 (A) Right anterior oblique projection of left ventriculogram showing unobstructed left ventricular outflow tract. (B) Long axial oblique projection of left ventriculogram showing unobstructed left ventricular outflow tract. The Annals of Thoracic Surgery 2002 73, 1317-1320DOI: (10.1016/S0003-4975(01)03187-3)