Surgical approaches for double-outlet right ventricle or transposition of the great arteries associated with straddling atrioventricular valves Alain.

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Presentation transcript:

Surgical approaches for double-outlet right ventricle or transposition of the great arteries associated with straddling atrioventricular valves Alain Serraf, MD§, Tomohiro Nakamura, MD§, François Lacour-Gayet, MD§, Dominique Piot, MD§, Jacqueline Bruniaux, MD§, Anita Touchot, MD§, Miguel Sousa-Uva, MD§, Lucile Houyel, MD§, Claude Planché, MD The Journal of Thoracic and Cardiovascular Surgery Volume 111, Issue 3, Pages 527-535 (March 1996) DOI: 10.1016/S0022-5223(96)70304-5 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 Surgical technique for intraoperative management of straddling tricuspid valve in TGA. After section of the great arteries, the intracardiac anatomy is explored through the semilunar valves. The chordae or the papillary muscle crossing the VSD into the left ventricular cavity is retracted toward the right ventricle by a hook passed through the native aortic valve. The VSD is then closed through the native pulmonary valve in the usual manner. Sometimes it is necessary to complete this procedure through the right atrium. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 527-535DOI: (10.1016/S0022-5223(96)70304-5) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Surgical technique for intraoperative management of straddling mitral valve in TGA. The chordae or the papillary muscle is retracted into the left ventricle with a hook passed through the native pulmonary artery. The VSD is then closed either through the native aortic valve or through a right ventriculotomy. It is sometimes necessary to complete this procedure through the right atrium. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 527-535DOI: (10.1016/S0022-5223(96)70304-5) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Surgical technique for tailoring of the myocardial flap in the presence of abnormal attachments of the tricuspid valve on the outlet septum in DORV. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 527-535DOI: (10.1016/S0022-5223(96)70304-5) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 Actuarial survival and freedom from reoperation at 4 years. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 527-535DOI: (10.1016/S0022-5223(96)70304-5) Copyright © 1996 Mosby, Inc. Terms and Conditions