Biventricular repair for right atrial isomerism

The Annals of Thoracic Surgery
Masahiro KohSoichiro Kitamura

Abstract

Biventricular repair is often difficult to accomplish in patients with right atrial isomerism because of complex anomalous structures. Ten patients with right atrial isomerism underwent biventricular repair. Their ages ranged from 15 months to 21 years. The follow-up period ranged from 1 month to 21 years. The Fontan procedure was unsuitable in 7 patients. The atrioventricular valves were separated in 5 patients and common in 5. One patient who had severe right-sided atrioventricular valvular regurgitation required concomitant prosthetic valve replacement. Another patient with a hypoplastic intraventricular septum underwent ventricular septation. Nine patients had two balanced ventricles. A ventricular septal defect was enlarged for rerouting in 3 patients. All patients had anomalous venoatrial connections and required intra-atrial baffle rerouting. One with major aortopulmonary collateral arteries underwent staged unifocalization. Three had extracardiac conduit repair. The outcomes were compared with 97 patients who underwent the Fontan procedure. There were 3 early deaths and 1 late death. Six survivors are in New York Heart Association functional class I or II. Two are free from medications. Two required reoperation owing to...Continue Reading

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Apr 26, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Masahiro KohSoichiro Kitamura

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Citations

Feb 3, 2009·The Journal of Thoracic and Cardiovascular Surgery·H G LimF A Pigula
Dec 31, 2015·World Journal for Pediatric & Congenital Heart Surgery·Rohit S LoombaRobert Anderson
Jul 7, 2011·Korean Circulation Journal·Soo-Jin Kim
Feb 20, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Ravi AgarwalJeswin Moses
May 31, 2021·The American Journal of the Medical Sciences·Muhammad SoofiVaskar Mukerji
Aug 3, 2010·International Journal of Cardiology·Yvonne L DouglasAdriana C Gittenberger-de Groot

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