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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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References

1.kirklin, JW, Barratt-Boyes, BG. Double outler right ventricle. In: Cardiac Surgery: Moorpholgy, Diagnostic Criteria, Natulral History, Techiques, Results and Indicarions. John Wiley, New York, 1986, 1219–1250.Google Scholar
2.Musumeci, F, Shumway, S, Lincoln, C, Anderson, RH. Surgical treatment for doubleoutlet right ventricle ar the Bormpton Hospital 1973–1986. J Thorac Cardiovas Surhg 1988; 9: 278–287.Google Scholar
3.Burakovsky, VI, Bukharin, VA, podzolkov, VP, Falkovsky, GE, Ragimov, FR. Double outler right ventticle. Grudnaya i Serdechno-sosudistaya Khirugia 1990; 1: 4–10.Google Scholar
4.Stark, J Double ourler ventticles. In: Stark, J, de Leval, M (eds) Surgery for Congenital Heart Defects Grune and Stratton Ltd London, 1983; 397–405.Google Scholar
5.Andesron, RH, Becker, AE, Lucchese, FE, Meier, MA, Rigby, ML, Soto, B. Double outler right ventricle In: Morphologhy of Congenital Heart Disease castle House publicaltions Ltd, London, 1983, 51–64.Google Scholar
6.Wilcox, BR, Ho, SY, Macartney, FJ, Becker, AE, Gerlis, LMAnderson, RH. Surgical anatomy of double-outler right ventricle with situs solitus and atroventricluar concordance. J Thorac Cardivas Surg 1981; 82: 405–417.Google Scholar
7.Edwards, WD, Wilcox, WD, Danielson, GK, Feldt, RH. Postoperative false aneurysm of left ventricle and obstruction of lefr circumflex coronary artery complicating entargement of resttictive ventrcular septal defect in double-outlet right ventricle. J Thorac Cordiovasc Surg 1980; 80: 141–147.Google Scholar
8.Patrick, DL, McGoon, DC. An operation for double-outlet right ventticle with transposition of the great arteries. J Cardiovase Surg 1968; 6: 537–542.Google Scholar
9.Kawashima, Y, Fujita, T, Miyamoto, T, Manabe, H. Intravetricular retouting of blood for the correction of Taussig-Bing malformation. J Thorac Cardivase Surg 1971; 62; 825–829.Google Scholar
10.Abe, T, Sugiki, K, Lzumiyama, O, Komatsu, AA successful pro cedure for correction of the Taussig-Bing malgormation. J Thorac Cardiovasc Surg 1984; 87: 403–419.Google Scholar
11.Yokoyama, T, Young, G, Kay, JH. The ust of interrnal and external vascular conduits for correction of D-transposition of the grat arteries and double-outlet right ventticle with pul monary atresia. Ann Thorac Surg 1979; 27: 567–568.CrossRefGoogle Scholar
12.Luber, JM, Castaneda, AR, Lang, P, Norwood, WI. Repair of double-outler right eventricle Early and late results, Circulation 1983; 68: II144–II147.Google ScholarPubMed
13.Stewart, RW, Kirklin, JW, Pacifico, AD, Blackstone, EH, Bargeron, LM Jr. Repair of double-ourlet right ventricle. An analysis of 62 cases. J Thorac Cardiovasc Surg 1979; 78: 502–514.Google Scholar
14.Mazzucco, A, Faggian, G, stellin, G, Borrooltti, U, Livi, U, Rizzoli, G, Gallucci, V. Surgical mangment of dougble-outlet riht ventticle. J Thorac Cardiovasc Surg 1985; 90: 29–34.CrossRefGoogle Scholar
15.Kanter, KR, Anderson, RH, Lincoln, C, Rigby, ML, Shinebourne, EA. Anatomic correction for complete transpo-sition and double outlet right ventricle. J Thorac Cardiovasc Surg 1985; 90: 690–699.Google Scholar
16.Borromée, L, Lecompte, Y, Batisse, A, Lemoine, G, Vouhé, P, Sakata, R, Leca, F, Zannini, L, Neveux, J-Y. Anationic repair of anomalies of ventriculoarterial connection associated with ventricular septal defect. J Thorac Cardiovase Surg 1988; 95; 96–102.CrossRefGoogle ScholarPubMed
17.Aoki, M, Forbess, JM, Jonas, RA, Mayer, JE Jr, Castañeda, AR. Result of biventricular repair for double outlet right ventricle. J Thorac Cardiovasc Surg 1994; 107: 338–350.CrossRefGoogle ScholarPubMed