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The role of Fontan's procedure and aortic translocation in the surgical management of patients with discordant atrioventricular connections, interventricular communication, and pulmonary stenosis or atresia

Published online by Cambridge University Press:  13 October 2006

Marshall L. Jacobs ,
Glenn Pelletier ,
Peter D. Wearden  and
Victor O. Morell
Marshall L. Jacobs
Affiliation:
Section of Cardiothoracic Surgery, St. Christopher's Hospital for Children, Drexel University, Philadelphia, Pennsylvania, United States of America
Glenn Pelletier
Affiliation:
Section of Cardiothoracic Surgery, St. Christopher's Hospital for Children, Drexel University, Philadelphia, Pennsylvania, United States of America
Peter D. Wearden
Affiliation:
Section of Pediatric Cardiothoracic Surgery of the Heart, Lung and Esophageal Institute, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
Victor O. Morell
Affiliation:
Section of Pediatric Cardiothoracic Surgery of the Heart, Lung and Esophageal Institute, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
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Abstract

A variety of surgical strategies have been utilized in attempts to accomplish long-term haemodynamic stability in patients with cardiac anomalies characterized by discordant atrioventricular connections, ventricular septal defect, and severe sub-pulmonary obstruction. The majority of these patients have what is commonly referred to as congenitally corrected transposition, together with a ventricular septal defect and pulmonary stenosis or atresia, in the setting of either usual or mirror imaged arrangement of the atrial chambers and the other organs of the body. A smaller sub-group, with discordant atrioventricular connections and double outlet right ventricle, with severe sub-pulmonary obstruction or pulmonary atresia, present similar physiology, and a comparable surgical challenge.

Keywords

Biventricular repair-Mustard/Senning/Rastelliventricular septal defectcongenitally corrected transposition
Type
Discordant Atrioventricular Connections
Information
Cardiology in the Young , Volume 16 , Supplement S3: Controversies and Challenges of the Atrioventricular Junctions and Other Challenges Facing Paediatric Cardiovascular Practitioners and their Patients , September 2006 , pp. 97 - 102
Copyright
© 2006 Cambridge University Press

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References

Ilbawi MN, DeLeon SY, Backer CL, et al. 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: 410–415.Google Scholar
Yamagishi M, Imai Y, Hoshimo S, et al. Anatomic correction of atrioventricular discordance. J Thorac Cardiovasc Surg 1993; 105: 1067–1076.Google Scholar
Jacobs ML, Buckley MJ, Liberthson RL. Combined Rastelli and atrial switch procedure: a 10-year follow-up. Ann Thorac Surg 1999; 68: 570–571.Google Scholar
Jacobs JP, Franklin RCG, Wilkinson JL, et al. The nomenclature, definition and classification of discordant atrioventricular connections. Cardiol Young 2006; 16: this suppl.Google Scholar
Kreutzer C, De Vive J, Oppido G, et al. Twenty-five year experience with Rastelli repair for transposition of the great arteries. J Thorac Cardiovasc Surg 2000; 120: 211–223.Google Scholar
Delius RE, Rademecker MA, de Leval MR, Elliot MJ, Stark J. Is a high-risk biventricular repair always preferable to conversion to a single ventricle repair? J Thorac Cardiovasc Surg 1996; 112: 1561–1569.Google Scholar
Imai Y. Double switch operation for congenitally corrected transposition. Adv Card Surg 1997; 9: 65–86.Google Scholar
Reddy VM, McElhinney DB, Silverman NH, Hanley FL. The double switch procedure for anatomical repair of congenitally corrected transposition of the great arteries in infants and children. Eur Heart J 1997; 18: 1470–1477.Google Scholar
Acar P, Bonnet D, Aggoun Y, et al. Double discordance with ventricular septal defect and pulmonary obstruction. A study of 72 cases. Arch Mal Couer Vaiss 1997; 90: 625–629.Google Scholar
Langley SM, Winlaw DS, Stumper O, et al. Midterm results after restoration of the morphologically left ventricle to the systemic circulation in patients with congenitally corrected transposition of the great arteries. J Thorac Cardiovasc Surg 2003; 125: 1229–1241.Google Scholar
Bautista-Hernandez V, Marx GR, Gauvreau K, Mayer JE, del Nido PJ. J. Maxwell Chamberlain Memorial Paper for Congenital Heart Surgery: Determinants of left ventricular dysfunction after anatomic repair of congenitally corrected transposition of the great arteries. Forty-second Annual Meeting of the Society of Thoracic Surgeons, Chicago, Illinois, Jan 2006.Google Scholar
Shinoka T, Kurosawa H, Ishiyama M, Sakamoto T. Outcomes of definitive repair of congenitally corrected transposition of the great arteries or atrioventricular discordant double outlet right ventricle. (Abstract) Proceedings of the Eighty-sixth Annual Meeting of the American Association for Thoracic Surgery, May 2006, Philadelphia, PA.
Bex JP, Lecompte Y, Baillot F, Hazan E. Anatomic Correction of transposition of the great arteries. Ann Thorac Surg 1980; 29: 86–88.Google Scholar
Nikaidoh H. Aortic translocation and biventricular outflow tract reconstruction: a new surgical repair for transposition of the great arteries associated with a ventricular septal defect and pulmonary stenosis. J Thorac Cardiovasc Surg 1984; 88: 365–372.Google Scholar
Haas GS. Advances in pediatric cardiovascular surgery: anatomic reconstruction of the left ventricular outflow tract in transposition of the great arteries with pulmonary valve abnormalities. Curr Opinion Pediatr 2000; 12: 501–504.Google Scholar
Morell VO. Aortic translocation for TGA with VSD and PS. Cardiothoracic Surgery Network, Expert Techniques, Congenital Cardiac, November, 2005.Google Scholar
Kreutzer C, De Vine J, Oppido G, et al. Twenty-five-year experience with Rastelli repair for transposition of the great arteries. J Thorac Cardiovasc Surg 2000; 120: 211–223.Google Scholar
Anderson RH, Arnold R, Wilkinson JL. The conduction tissue in congenitally corrected transposition. Lancet 1973; 1: 1286–1287.Google Scholar