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Surgical treatment of double outlet right ventricle

Published online by Cambridge University Press:  19 August 2008

V.I. Burakovsky ,
V.P. Podzolkov ,
A.V. Ivanitsky  and
F.R. Ragimov
V.I. Burakovsky
Affiliation:
A.N. Bakulev Scientific Center for Cardiovascular Surgery, Russian Academy of Medical Sciences Moscow, Russia
V.P. Podzolkov*
Affiliation:
A.N. Bakulev Scientific Center for Cardiovascular Surgery, Russian Academy of Medical Sciences Moscow, Russia
A.V. Ivanitsky
Affiliation:
A.N. Bakulev Scientific Center for Cardiovascular Surgery, Russian Academy of Medical Sciences Moscow, Russia
F.R. Ragimov
Affiliation:
A.N. Bakulev Scientific Center for Cardiovascular Surgery, Russian Academy of Medical Sciences Moscow, Russia
*
Professor Vladimir P. Podzolkov, Bakoulev Scientific Center of Cardiovascular Surgery, Russian Academy of Medical Sciences, 8 Leninsky Prospect, Moscow, 117931, Russia. Tel. (7-095) 236 9131; Fax. (7-095) 237 2172
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Abstract

Form 1980 until January 1991, 76 patients with double outlet ventricle, aged from 1 year 7 months to 23.5 years (mean age 7.5± 5.0 years) underwent surgey at the A.N. Bakoulev Inste for Cardivascular Surgery. Associated heart defects were found in 77.6% patints. In 57 patients (75%), the left ventricle opened into the subaortic infundibulum; into the subpulmonary infudibulum in four (the Tassisg-Bing anomaly) while, in 12 (15.8%), it opened under the outflow tracts of both great arteries. In two cases, (2.6%) there was a mno-committed ventricular septact. In one case (1.3%)a non-committed defect was diagnosed as coexisting with a non-commited defect was dignosed as coexisting with a Taussig-Bing anomaly. There were eight operative deaths (10.9%) among the patients undergoing radical surgery.Another theree patients with the Taussig-Bing anomaly and obstructive pulmomnary vascular disease underwent a successful palliative Mustard operation. All deaths were associated with acute heart failure and were seen only among patiens with subaortic ventricular septal defects. The important factors, which increased the risk of correction and contributed to death were inappropriate pre-operative diagnosis of complex associated defecrs and techmical mistakes during surgical intervention, the latter due to inadequate surgical experience. During the last five years, mortality decreased significatly (one death among 34 patients undergoing surgery from 1986 through January 1991)

Keywords

Double outlet right ventricleventriculo-infundibular foldventicular septal defectsubaortic ventricular septal defectdoubly-committed ventricular septal defectsub-pulmonary ventricular septal defectnon-committed ventricular septal defectTaussig-Bing anomaly
Type
Original Articles
Information
Cardiology in the Young , Volume 7 , Issue 1 , January 1997 , pp. 22 - 30
Copyright
Copyright © Cambridge University Press 1997

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