Hostname: page-component-6bf8c574d5-gr6zb Total loading time: 0 Render date: 2025-02-17T14:32:55.741Z Has data issue: false hasContentIssue false
  • English
  • Français

Single stage biventricular repair of hypoplastic right ventricle with straddling tricuspid valve

Published online by Cambridge University Press:  30 August 2022

Neel K. Prabhu Open the ORCID record for Neel K. Prabhu [Opens in a new window] ,
Alexander Zhu ,
Joseph W. Turek  and
Nicholas D. Andersen
Neel K. Prabhu*
Affiliation:
Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA
Alexander Zhu
Affiliation:
Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA
Joseph W. Turek
Affiliation:
Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA Duke Children’s Pediatric & Congenital Heart Center, Durham, NC, USA Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA
Nicholas D. Andersen
Affiliation:
Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA Duke Children’s Pediatric & Congenital Heart Center, Durham, NC, USA Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA
*
Author for correspondence: Neel K. Prabhu, BSE, Duke University Medical Center, 2301 Erwin Road, DUMC 3474, Durham, NC 27710, USA. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We present the case of a five-year-old child with an inlet ventricular septal defect, subpulmonic stenosis, hypoplastic right ventricle, and straddling tricuspid valve who received a successful one-stage biventricular repair with right ventricular rehabilitation, right ventricular outflow tract augmentation, papillary muscle transposition, ventricular septal defect closure, and fenestrated atrial septation. This report outlines the surgical decision making and operative technique.

Keywords

Biventricular repairventricular rehabilitationstraddling tricuspid valvetricuspid valveCHD
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 4 , April 2023 , pp. 657 - 659
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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

Milo, S, Ho, SY, Macartney, FJ, et al. Straddling and overriding atrioventricular valves: morphology and classification. Am J Cardiol 1979; 44: 1122–1134.CrossRefGoogle ScholarPubMed
van Son, JA, Hambsch, J, Mohr, FW. Suspension of straddling tricuspid valve chordae into the appropriate ventricle. Ann Thorac Surg 1998; 65: 850–852.CrossRefGoogle ScholarPubMed
Dodge-Khatami, A, Mavroudis, CD, Frost, J, Jacobs, JP, Mavroudis, C. Repairing the tricuspid valve in congenital heart diseases other than Ebstein’s. Cardiol Young 2014; 24: 1077–1087.CrossRefGoogle ScholarPubMed
Pacifico, AD, Soto, B, Bargeron, LM. Surgical treatment of straddling tricuspid valves. Circulation 1979; 60: 655–664.CrossRefGoogle ScholarPubMed
Reddy, VM, Liddicoat, JR, McElhinney, DB, Brook, MM, van Son, JAM, Hanley, FL. Biventricular repair of lesions with straddling tricuspid valves using techniques of cordal translocation and realignment. Cardiol Young 1997; 7: 147–152.CrossRefGoogle Scholar
Andersen, ND, Scherba, JC, Turek, JW. Biventricular conversion in the borderline hypoplastic heart. Curr Cardiol Rep 2020; 22: 115.CrossRefGoogle ScholarPubMed
Emani, SM, del Nido, PJ. Strategies to Maintain Biventricular Circulation in Patients With High-Risk Anatomy. In Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. vol. 16, 2013: 37–42.CrossRefGoogle ScholarPubMed
Arciniegas, E, Hakimi, M, Farooki, ZQ, Green, EW. Results of total correction of tetralogy of fallot with complete atrioventricular canal. J Thorac Cardiovasc Surg 1981; 81: 768–773.CrossRefGoogle ScholarPubMed
Buechel, EV, Kaiser, T, Jackson, C, Schmitz, A, Kellenberger, CJ. Normal right- and left ventricular volumes and myocardial mass in children measured by steady state free precession cardiovascular magnetic resonance. J Cardiovasc Magn Reson 2009; 11: 19.CrossRefGoogle ScholarPubMed
Oladunjoye, OO, Piekarski, B, Banka, P, etal, PJ. Staged ventricular recruitment in patients with borderline ventricles and large ventricular septal defects. J Thorac Cardiovasc Surg 2018; 156: 254–264.CrossRefGoogle ScholarPubMed