PMID: 8975849Dec 1, 1996Paper

Surgical treatment of subaortic stenosis after biventricular repair of double-outlet right ventricle

The Journal of Thoracic and Cardiovascular Surgery
E BelliC Planche

Abstract

Out of 180 patients who underwent biventricular repair of double-outlet right ventricle between 1980 and 1995, 9 (5%) required reoperation because of subaortic stenosis. Two other patients who initially underwent operation elsewhere underwent reoperation at our institution because of subaortic stenosis. The median age at biventricular repair was 4 months. Repair consisted of tunnel construction from the left ventricle to the aorta in nine patients; the remaining two patients received an arterial switch operation with ventricular septal defect closure. Subaortic stenosis developed with time: the mean postoperative left ventricle-to-aorta gradient after repair was 10 +/- 19 mm Hg (range, 0 to 50 mm Hg) and became 84 +/- 27 mm Hg (range, 40 to 124 mm Hg) in a mean delay of 45 +/- 66 months (range, 1 to 213 months). At reoperation, the obstruction was caused by the protrusion of the inferior rim of the ventricular septal defect into the left ventricular outflow tract associated with subaortic hypertrophied muscle and membrane. The 11 patients underwent 15 reoperations. Surgical technique consisted of an extended septoplasty in 6 reoperations. In this technique an incision was made in the septal patch and was extended into the muscl...Continue Reading

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Citations

Aug 10, 2000·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·N AtsumiT Mitsui
Sep 6, 2005·Current Treatment Options in Cardiovascular Medicine·Frank CettaDonald J Hagler
Oct 3, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bertrand LéobonAlain Serraf
Mar 10, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Steven P GoldbergFrançois G Lacour-Gayet
Oct 29, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F Nurozler, S M Bradley
Jul 6, 2000·The Annals of Thoracic Surgery·E BelliC Planché
Jul 16, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Luba FrankAnil K Attili
Apr 8, 2009·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Francois Lacour-Gayet
Jul 20, 2013·Congenital Heart Disease·Amit KeswaniStephen Ramee
Dec 14, 1999·The Journal of Thoracic and Cardiovascular Surgery·M Barbero-MarcialM Ebaid
Jul 7, 2014·The Journal of Thoracic and Cardiovascular Surgery·Shoujun LiQiuming Chen
Jan 24, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Shoujun LiQiuming Chen
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Alain SerrafClaude Planché
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Koh Takeuchi, Pedro J. Del Nido
May 8, 2002·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·François Lacour-Gayet
Aug 29, 2016·Seminars in Thoracic and Cardiovascular Surgery·Olivier VillemainEmre Belli
Jun 28, 2016·The Journal of Thoracic and Cardiovascular Surgery·Olivier VillemainDamien Bonnet
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Aug 4, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E BelliC Planche
Oct 11, 2019·The Journal of Thoracic and Cardiovascular Surgery·Olubunmi OladunjoyeSitaram M Emani
Jun 4, 2021·Journal of Cardiovascular Imaging·Parveen Kumar, Mona Bhatia

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