Reoperative double ventricular outflow tract reconstruction in grown-up congenital heart disease patients with conotruncal anomalies

General Thoracic and Cardiovascular Surgery
Kunio KusajimaHajime Ichikawa

Abstract

Surgical experiences of the reoperative double ventricular outflow tract reconstruction long after the successful repair of conotruncal anomalies were reviewed. Ten adult patients with conotruncal anomalies (6 females, 22.9 ± 5.5 years old) underwent the reoperative double ventricular outflow tract reconstruction. Primary diagnosis was pulmonary atresia with ventricular septal defect in 6 patients, truncus arteriosus in 3, and double-outlet right ventricle in 1. The indication for the left ventricular outflow tract reconstruction was the left ventricular dilatation and dysfunction derived from moderate or greater systemic semilunar valve insufficiency. The indication for the right ventricular outflow tract reconstruction was severe pulmonary insufficiency in all patients, and concomitant right ventricular outflow tract obstruction in 7. The systemic semilunar valve replacement was performed in all patients. The right ventricular outflow tract patching was performed in 4 patients, and the revision of extra-cardiac conduit in 6. Within a mean follow-up of 9.0 ± 7.0 years, there was no mortality. The left ventricular end-diastolic volume index improved from 147 ± 37 to 108 ± 19 ml/m(2) (p = 0.005), and the peak pressure gradient a...Continue Reading

References

Feb 21, 2004·International Journal of Cardiology·Pascal A BerdatThierry Carrel
Apr 8, 2009·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Joseph A DearaniHartzell V Schaff
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Aditya K KazaFrank A Pigula
Sep 22, 2009·The Annals of Thoracic Surgery·Alessandro GiambertiMarco Ranucci
Feb 9, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Katrien FrançoisDaniel De Wolf
Dec 12, 2012·Circulation·François-Pierre MongeonUNKNOWN Alliance for Adult Research in Congenital Cardiology (AARCC)
Mar 7, 2013·The Annals of Thoracic Surgery·Kimberly A HolstHartzell V Schaff

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