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Aortic Translocation for the Management of Double-Outlet Right Ventricle and Pulmonary Stenosis With Dextrocardia: Technique to Avoid Coronary Insufficiency 

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Presentation on theme: "Aortic Translocation for the Management of Double-Outlet Right Ventricle and Pulmonary Stenosis With Dextrocardia: Technique to Avoid Coronary Insufficiency "— Presentation transcript:

1 Aortic Translocation for the Management of Double-Outlet Right Ventricle and Pulmonary Stenosis With Dextrocardia: Technique to Avoid Coronary Insufficiency  Victor Bautista-Hernandez, MD, PhD, Daniel E. Nento, MD, Steven D. Colan, MD, Tal Geva, Frank A. Pigula, MD  The Annals of Thoracic Surgery  Volume 89, Issue 2, Pages (February 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Magnetic resonance image depicting the narrow pathway between the left ventricle (LV) and the aorta (Ao) (arrow). Note the tricuspid valve apparatus attaching in the pathway. (RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Echocardiographic scan showing the conoventricular ventricular septal defect (VSD) and the remote relationship between the left ventricle (LV) and the aorta (Ao) (arrow). Note that in ventricular diastole the tricuspid valve (TV) apparatus lies in the pathway between the conoventricular VSD and the aorta. (LA = left atrium; MV = mitral valve; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Intraoperative picture showing the autograft harvested “en block.” Note the coronary arteries in continuity with the aorta (Ao) and the absence of the aortic cross clamp. (PAs = pulmonary artery branches; RCA = right coronary artery; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions


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