Doff B. McElhinney, MSa, V. Mohan Reddy, MDa, Michael M

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Presentation transcript:

Repair of truncus arteriosus with intact ventricular septum (Van Praagh type B2) in a neonate Doff B. McElhinney, MSa, V.Mohan Reddy, MDa, Michael M. Brook, MDb, Frank L. Hanley, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 114, Issue 1, Pages 134-138 (July 1997) DOI: 10.1016/S0022-5223(97)70129-6 Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Ascending aortogram demonstrates typical angiographic appearance of truncus arteriosus type A2. A, Anteroposterior projection shows large truncal root, pulmonary artery filling, and mild regurgitation into right ventricle. B, Lateral projection demonstrates filling of pulmonary arteries, which originate from posterolateral aspect of trunk. Neither projection allows clear visualization of semilunar valve morphology. The Journal of Thoracic and Cardiovascular Surgery 1997 114, 134-138DOI: (10.1016/S0022-5223(97)70129-6) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Ascending aortogram demonstrates typical angiographic appearance of truncus arteriosus type A2. A, Anteroposterior projection shows large truncal root, pulmonary artery filling, and mild regurgitation into right ventricle. B, Lateral projection demonstrates filling of pulmonary arteries, which originate from posterolateral aspect of trunk. Neither projection allows clear visualization of semilunar valve morphology. The Journal of Thoracic and Cardiovascular Surgery 1997 114, 134-138DOI: (10.1016/S0022-5223(97)70129-6) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 A, Schematic depiction of semilunar valve shows valve leaflets guarding left (L) and right (R) ventricular outflow tracts, dysplastic valve tissue attached to septal ridge, and single coronary artery. Post, Posterior; Ant, anterior. B, Technique of valve repair with interrupted, doubly pledgetted sutures to attach large lateral leaflet over right ventricular outflow tract to fibrous tissue on septal ridge. The Journal of Thoracic and Cardiovascular Surgery 1997 114, 134-138DOI: (10.1016/S0022-5223(97)70129-6) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 A, Schematic depiction of semilunar valve shows valve leaflets guarding left (L) and right (R) ventricular outflow tracts, dysplastic valve tissue attached to septal ridge, and single coronary artery. Post, Posterior; Ant, anterior. B, Technique of valve repair with interrupted, doubly pledgetted sutures to attach large lateral leaflet over right ventricular outflow tract to fibrous tissue on septal ridge. The Journal of Thoracic and Cardiovascular Surgery 1997 114, 134-138DOI: (10.1016/S0022-5223(97)70129-6) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 3 A, Preoperative echocardiogram in parasternal short-axis view shows structure of semilunar valve during early diastolic closing. Valve leaflets guarding left (L) and right (R) ventricular outflow tracts are as shown in Fig. 2. Posterior margin of septal ridge is indicated by arrow. B, Doppler color-flow mapping in same view shows two separate semicircular ejection jets in early systole. (Doppler color-flow is reproduced in black and white in this photograph.) Arrow indicates septal ridge and can be used as a reference point to compare with A. The Journal of Thoracic and Cardiovascular Surgery 1997 114, 134-138DOI: (10.1016/S0022-5223(97)70129-6) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 3 A, Preoperative echocardiogram in parasternal short-axis view shows structure of semilunar valve during early diastolic closing. Valve leaflets guarding left (L) and right (R) ventricular outflow tracts are as shown in Fig. 2. Posterior margin of septal ridge is indicated by arrow. B, Doppler color-flow mapping in same view shows two separate semicircular ejection jets in early systole. (Doppler color-flow is reproduced in black and white in this photograph.) Arrow indicates septal ridge and can be used as a reference point to compare with A. The Journal of Thoracic and Cardiovascular Surgery 1997 114, 134-138DOI: (10.1016/S0022-5223(97)70129-6) Copyright © 1997 Mosby, Inc. Terms and Conditions