Surgical creation of a double outlet right atrium for tricuspid valve stenosis after a Rastelli operation.

Abstract

A patient with transposition of the great arteries, ventricular septal defect, and obstruction of the left ventricular outflow tract underwent a Rastelli repair. Stenosis of the tricuspid valve was not recognised before or during operation; this severely compromised the postoperative haemodynamic function and necessitated reoperation. Insertion of a second homograft from the right atrium to the right ventricle bypassed the stenosis and resulted in a complete recovery with maintenance of a biventricular circulation.

• Authors: J E Deanfield, S R Gundry, J Stark
• Journal: British heart journal (Br Heart J) Vol. 60 Issue 2 Pg. 172-4 (Aug 1988) ISSN: 0007-0769 [Print] England
• PMID: 3415878 (Publication Type: Case Reports, Journal Article)

Topics

• Child
• Heart Septal Defects, Ventricular (complications, surgery)
• Humans
• Male
• Reoperation
• Transposition of Great Vessels (complications, surgery)
• Tricuspid Valve Stenosis (complications, diagnosis, surgery)
• Ventricular Outflow Obstruction (complications, surgery)