Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-24T11:44:18.200Z Has data issue: false hasContentIssue false

Double-switch operation for congenitally corrected transposition and Ebstein's malformation

Published online by Cambridge University Press:  19 August 2008

Nikolaos Nikoloudakis
Affiliation:
Departments of Thoracic and Cardiovascular SurgeryUniversity Hospitals Homburg, 66421 Homburg/Saar, Germany
Angelika Lindinger
Affiliation:
Pediatric Cardiology, University Hospitals Homburg, 66421 Homburg/Saar, Germany
Hans-Joachim Schäfers*
Affiliation:
Departments of Thoracic and Cardiovascular SurgeryUniversity Hospitals Homburg, 66421 Homburg/Saar, Germany
*
Professor Dr H.-J. Schäfers, Director, Department of Thoracic and Cardiovascular Surgery, University Hospitals Homburg, 66421 Homburg/Saar, Germany. Tel: 49 6841162501; Fax: 49 684116 2788

Abstract

An infant is described with congenitally corrected transposition and Ebstein's malformation. Banding of the pulmonary trunk had been previously performed because of a muscular ventricular septal defect. The patient underwent the double-switch procedure with the intention of unloading the morphologically right ventricle and the malformed tricuspid valve. This resulted in prompt postoperative functional and haemodynamic improvement.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Allwork, SP, Bentall, HH, Becker, AE, Cameron, H, Gerlis, LM, Wilkinson, JL, Anderson, RH. Congenitally corrected transposition of the great arteries: morphologic study of 32 cases. Am J Cardiol 38: 910, 1976.CrossRefGoogle ScholarPubMed
2.Gerlis, LM, Wilson, L, Dickinson, DF. Abnormalities of the mitral valve in congenitally corrected transposition (discordant atrioventricular and ventriculoatrial connections. Br Heart J 1986; 55: 475479.CrossRefGoogle Scholar
3.Connelly, MS, Liu, PP, Williams, WG, Webb, GG, Robertson, P, McLaughlin, . Congenitally corrected transposition of the great arteries in the adult: functional status and complications. J Am Coll 1996; 27: 12381243.CrossRefGoogle ScholarPubMed
4.Horvarth, P, Szufladowicz, M, De Leval, MR, Elliott, MJ, Stark, J. Tricuspid valve abnormalities in patients with atrioventricular discordance: surgical implications. Ann Thorac Surg 1994; 57: 937940.Google Scholar
5.Karl, TR, Weintraub, RG, Brizard, CP, Cochrane, AD, Mee, RBB. Senning plus arterial switch operation for discordant (congenitally corrected) transposition. Ann Thorac Surg 1997; 64: 495502.CrossRefGoogle ScholarPubMed
6.Cochrane, AD, Karl, RTMee, RBB. Staged Conversion to arterial switch for late failure of the systemic right ventricle. Ann Thorac Surg 1993; 56: 854862.CrossRefGoogle ScholarPubMed
7.Yagihara, T, Kishimoto, H, Isobe, F, Yamamoto, F, Nishigaki, K, Matsuki, O, Uemura, H, Kamiya, T, Kawashima, Y. Double switch operation in cardiac anomalies with atrioventricular and venticuloatrial discordance. J Thorac Cardiovasc Surg 1994; 107: 351358.CrossRefGoogle Scholar
8.Ilbawi, MN, DeLeon, SY, Backer, CL, Duffy, CE, Muster, AJ, Zales, VR, Paul, MH, Idriss, FS. An alternative approach to the surgical management of physiologically corrected transposition with ventricular septal defect and pulmonary stenosis or atresia. J Thorac Cardiovasc Surg 1990; 100: 410415.CrossRefGoogle ScholarPubMed
9.Di Donato, RM, Troconis, CJ, Marino, B, Carotti, A, Iorio, FS, Rossi, E, Marcelletti, C. Combined Mustard and Rastelli operations. An alternative approach for repair of associated anomalies in congenitally corrected transpodition in situs inversus. J Thorac Cardiovasc Surg 1992; 104: 12461248.Google ScholarPubMed