Regression of tricuspid regurgitation after two-stage arterial switch operation for failing systemic ventricle after atrial inversion operation

The Journal of Thoracic and Cardiovascular Surgery
J A van SonF L Hanley

Abstract

The cases of five patients with previous Senning (n = 4) or Mustard (n = 1) operations and failing systemic ventricles in whom banding of the pulmonary artery was performed as an interim step toward an arterial switch procedure are reported. The rise in the ratio of left to right mean systolic ventricular pressure, from 0.35 before operation to 0.90 during operation and 0.80 on the first postoperative day, caused a shift of the ventricular septum from a leftward to a midline or nearly midline position. This shift was associated with a reduction of tricuspid regurgitation. At a median interval of 5.1 months after pulmonary artery banding, the mean left ventricular posterior wall thickness had increased to 8.2 mm, versus 5 mm before operation, and the mean left ventricular myocardial mass index had increased to 90 gm/m2, versus 55.6 gm/m2 before operation. After the arterial switch operation, which was performed in four patients, the tricuspid regurgitation decreased to a trivial amount (n = 1) or disappeared completely (n = 3).

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Citations

Jul 3, 2008·Nature Clinical Practice. Cardiovascular Medicine·Barry A LoveValentin F Fuster
Mar 17, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bjorn CoolsMarc Gewillig
Apr 6, 2000·The Annals of Thoracic Surgery·C Mavroudis, C L Backer
Jul 1, 2005·Current Cardiology Reports·Daniel J Murphy
Sep 5, 1998·Pediatric Clinics of North America·E R Rosenkranz
Nov 28, 2000·The Annals of Thoracic Surgery·M A PadalinoD Casarotto
Jun 4, 2014·Echocardiography·Samir R Thadani, Elyse Foster
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Elizabeth D. Blume, Gil Wernovsky
Jul 3, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Tudor C PoernerRaoul Arnold
Oct 25, 2016·The Annals of Thoracic Surgery·Takuya MaedaKenji Yamazaki
Jun 1, 2001·The Journal of Thoracic and Cardiovascular Surgery·M JahangiriM R de Leval
Mar 3, 2017·Cardiology in the Young·UNKNOWN Authors/Task Force Members:Pascal R Vouhé
Dec 13, 2006·Circulation·Carole A Warnes
Jan 13, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·George E SarrisPascal R Vouhé
Sep 15, 2004·Circulation·Damien BonnetLudwig K von Segesser

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