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The hemi-Mustard, bi-directional Glenn, and Rastelli operations used for correction of congenitally corrected transposition, achieving a “ventricle and a half ” repair

Published online by Cambridge University Press:  21 January 2005

Daniel J. DiBardino ,
Jeffrey S. Heinle  and
Charles D. Fraser
Daniel J. DiBardino
Affiliation:
Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA
Jeffrey S. Heinle
Affiliation:
Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA
Charles D. Fraser
Affiliation:
Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA
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Abstract

Based on experience in several centers, the double switch operation has reportedly become the standard surgical therapy for congenitally corrected transposition. We report and discuss here the use of a “ventricle and a half” double switch operation performed due to the concerns raised intraoperatively because of the size of the morphologically right ventricle. Although the long-term course of such a procedure in this setting remains unknown, we submit that the proposed benefits of the double switch operation, even when used in the “ventricle and a half” configuration, may be superior to the alternatives.

Keywords

Discordant atrioventricular connectionsdouble discordancedouble switch operation
Type
Brief Report
Information
Cardiology in the Young , Volume 14 , Issue 3 , June 2004 , pp. 330 - 332
Copyright
© 2004 Cambridge University Press

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