Michael D. Black, MD, Vinayak Shukla, Robert M. Freedom, MD

Slides:

Advertisements

Similar presentations

Repair of Truncus Arteriosus With Interrupted Aortic Arch

Advertisements

Shunji Sano, MD, Kozo Ishino, MD, Masaaki Kawada, MD, Osami Honjo, MD

Influence of surgical arch reconstruction methods on single ventricle workload in the Norwood procedure Keiichi Itatani, MD, Kagami Miyaji, MD, PhD,

Surgical management of the straddling mitral valve in the biventricular heart Ryo Aeba, MD, Toshiyuki Katogi, MD, Shigeyuki Takeuchi, MD, Shiaki Kawada,

The Aortic Translocation (Nikaidoh) Operation

Strategy for biventricular outflow tract reconstruction: Rastelli, REV, or Nikaidoh procedure? Sheng-Shou Hu, MD, PhD, Zhi-Gang Liu, MD, PhD, Shou-Jun.

En-bloc Rotation of the Truncus Arteriosus—A Technique for Complete Anatomic Repair of Transposition of the Great Arteries/Ventricular Septal Defect/Left.

Shunji Sano, MD, Kozo Ishino, MD, Masaaki Kawada, MD, Osami Honjo, MD

Surgical Correction of Congenital Supravalvular Aortic Stenosis

Thomas Yeh, MD, PhD, Claudio Ramaciotti, MD, Steven R

Repair of Tetralogy of Fallot with Absent Pulmonary Valve Syndrome

Modified Konno Procedure for Left Ventricular Outflow Tract Obstruction David P. Bichell, MD Operative Techniques in Thoracic and Cardiovascular Surgery

George M. Alfieris, MD, Michael F. Swartz, PhD

Bronchial compression by posteriorly displaced ascending aorta in patients with congenital heart disease Yang Min Kim, MD, Shi-Joon Yoo, MD, Woong Han.

Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis Justin G. Reeves,

Tetralogy of Fallot with anomalous coronary artery: double outflow technique B.Reddy Dandolu, MD, H.Scott Baldwin, MD, William I Norwood, MD, PhD, Marshall.

Paul M. Kirshbom, MD, James J. Jaggers, MD, Ross M. Ungerleider, MD

Aortic arch geometry after the Norwood procedure: The value of arch angle augmentation Tomomi Hasegawa, MD, PhD, Yoshihiro Oshima, MD, PhD, Ayako Maruo,

One-Stage Repair and Unifocalization for Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collateral Arteries in Early Infancy

Zohair Al-Halees, Ganga Prabhakar, Omar Galal

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

Surgical outcomes of 380 patients with double outlet right ventricle who underwent biventricular repair Shoujun Li, MD, Kai Ma, MD, PhD, Shengshou Hu,

Absent Pulmonary Valve Repair

Surgical intervention for complications of transcatheter dilation procedures in congenital heart disease Doff B McElhinney, MD, V.Mohan Reddy, MD, Phillip.

Transposition of the Great Arteries

An unusual combination of cardiovascular surgical disorders

Truncus Arteriosus Communis With Interrupted Aortic Arch: Successful Repair Using a Novel Technique Shinya Yokoyama, MD, Shigeo Nagasaka, MD, PhD, Yuichi.

Left Pulmonary Artery Kinking Caused by Outflow Tract Dilatation After Transannular Patch Repair of Tetralogy of Fallot Doff B. McElhinney, Andrew J.

Anomalous pulmonary artery from the aorta via a patent ductus arteriosus: repair in a premature infant Khaled J Salaymeh, MD, Thomas R Kimball, MD, Peter.

Melbourne Shunt Promotes Growth of Diminutive Central Pulmonary Arteries in Patients With Pulmonary Atresia, Ventricular Septal Defect, and Systemic-to-Pulmonary.

Biventricular repair in neonates with hypoplastic left heart complex

Kazunobu Hirooka, Charles D. Fraser The Annals of Thoracic Surgery

Pulmonary root translocation for biventricular repair of double-outlet left ventricle with absent subpulmonic conus Doff B. McElhinney, MS, V.Mohan Reddy,

Single coronary artery and complete transposition of the great arteries: a technical challenge resolved? Vinayak Shukla, Robert M Freedom, MD, Michael.

Late Outcomes in Patients Undergoing Aortopulmonary Window for Pulmonary Atresia/Stenosis and Major Aortopulmonary Collaterals Richard D. Mainwaring,

Tarek Alsaied, MD, MSc, Kevin Friedman, MD, Marco Masci, MD, David M

The Neonatal Arterial Switch Operation: How I Teach It

Modified Rastelli procedure for double outlet right ventricle with left-malposition of the great arteries: report of 9 cases Qingyu Wu, MD, Qibin Yu,

Late Results After Extended Pulmonary Artery Reconstruction in the Arterial Switch Operation Michael V. Ullmann, MD, Matthias Gorenflo, MD, Christian.

Double-Root Translocation for Double-Outlet Right Ventricle With Noncommitted Ventricular Septal Defect or Double-Outlet Right Ventricle With Subpulmonary.

Surgical closure of apical ventricular septal defects through a right ventricular apical infundibulotomy Giovanni Stellin, MD, Massimo Padalino, MD,

The Rastelli Procedure for Transposition of the Great Arteries: Resection of the Infundibular Septum Diminishes Recurrent Left Ventricular Outflow Tract.

A new surgical technique for one-stage repair of interrupted aortic arch with valvular aortic stenosis Masaaki Yamagishi, MD, Katsuji Fujiwara, MD, Yoshiaki.

Harold M. Burkhart, MD, David A. Ashburn, MD, Igor E

Pulmonary root translocation for biventricular repair of double-outlet left ventricle Yoshio Ootaki, MD, Masahiro Yamaguchi, MD, Yoshihiro Oshima, MD,

George M. Alfieris, MD, James J. Gangemi, MD, Mathew P

Nikaidoh Procedure: How I Teach It

Direct Reconstruction of the Pulmonary Artery During the Arterial Switch Operation: An Interesting Surgical Option With Excellent Hemodynamic Results

Technique of Aortic Translocation for the Management of Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonary Stenosis Victor.

Surgical Repair of Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collaterals With Absent Intrapericardial Pulmonary Arteries

Arterial Switch Operation: Operative Approach and Outcomes

Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis Masaaki Yamagishi,

Absent pulmonary valve syndrome with interrupted aortic arch

One-Stage Repair of Truncus Arteriosus, CAVC, and TAPVC

Single-Stage Arterial Switch With Aortic Arch Enlargement for Transposition Complexes With Aortic Arch Obstruction Christo I Tchervenkov, Stephen A Tahta,

Aortic Translocation in the Management of Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Results and Follow-Up

Surgical Management of Aortopulmonary Window

Surgical results in patients with double outlet right ventricle: a 20-year experience John W Brown, MD, Mark Ruzmetov, MD, Yuji Okada, MD, Palaniswamy.

Left Pulmonary Artery Coarctoplasty by Using the Right Pulmonary Artery Flap Near the Arterial Duct Hsiao-En Tsai, MD, Shu-Chien Huang, MD, Shyh-Jye.

Composite aortoplasty for recurrent coarctation after neonatal repair in Williams syndrome Jeni L Marks, MD, Max B Mitchell, MD, David N Campbell, MD,

Young-Sang Sohn, MD, Christian P

Sanjiv K Gandhi, MD, Ralph D Siewers, MD, Frank A Pigula, MD

Ross-Konno procedure in neonates: report of three patients

Anomalous origin of the left coronary artery from the pulmonary artery: collective review of surgical therapy Ali Dodge-Khatami, MD, Constantine Mavroudis,

Intermediate term follow-up of the end-to-side aortic anastomosis for coarctation of the aorta Adel K Younoszai, MD, Vadiyala Mohan Reddy, MD, Frank.

Primary repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals: a useful approach Raul F Abella, MD, Teresa.

Management and outcome of patients with abnormal ventriculo-arterial connections and mitral valve cleft Alain Fraisse, MD, Tony Abdel Massih, MD, Pascal.

Interruption of the Ascending Aorta: A Hitherto Undescribed Lesion

Cardiac Autotransplantation and Radical Bi-Atrial Resection for Recurrent Atrial Myxoma James S. Gammie, MD, A. Reza Abrishamchian, MD, Bartley P. Griffith,

Christo I. Tchervenkov, MD, Stephen J

Presentation transcript:

Direct neonatal ventriculo-arterial connections (REV): early results and future implications Michael D. Black, MD, Vinayak Shukla, Robert M. Freedom, MD The Annals of Thoracic Surgery Volume 67, Issue 4, Pages 1137-1141 (April 1999) DOI: 10.1016/S0003-4975(99)00141-1

Fig 1 (A) Anatomy in patient with aortic atresia + ventricular septal defect (VSD) prior to surgical intervention. (B) The ascending aorta (Asc. Ao) is transected, beveled, and anastomosed in end-to-side fashion to the neo-aortic root (neo-Ao). A Lecompte maneuver is performed in addition to reconstruction of the transverse aortic arch. A rotational flap of descending aorta to the transverse arch is believed to lessen the occurrence of recoarctation of the aorta. (C) Repair of aortic atresia + VSD. Through a right ventriculotomy made to assist with VSD closure, additional muscle bundles are excised or transected. The ventriculotomy is extended as cephalad as possible to assist in creation of the direct ventriculo-arterial connection (réparation à l’étage ventriculaire [REV]). (D) The right ventricular outflow tract is completed by attaching the posterior wall of the pulmonary artery confluence to the most superior aspect of the right ventriculotomy. A hood of homograft or autologous pericardium treated in glutaraldehyde completes the repair. (Reprinted from Black MD, Smallhorn JF, Freedom RM. Aortic atresia with ventricular septal defect: modified single-stage neonatal biventricular repair. Ann Thorac Surg 1999;67:751–5.) The Annals of Thoracic Surgery 1999 67, 1137-1141DOI: (10.1016/S0003-4975(99)00141-1)

Fig 2 (Patients.) Angiogram demonstrating patent direct ventriculo-arterial connection (réparation à l’étage ventriculaire [REV]). Although there is no discrete stenosis, stretching of the branch pulmonary arteries (PA) is demonstrated. Distal peripheral arborization abnormalities (peripheral pulmonary artery branch stenosis) are indicated (x). (RV = right ventricle.) The Annals of Thoracic Surgery 1999 67, 1137-1141DOI: (10.1016/S0003-4975(99)00141-1)