Internal right ventricular band for multiple ventricular septal defects in a neonate undergoing arterial switch and aortic arch repair.

Abstract

A neonate presented with d-transposition of the great arteries, aortic arch hypoplasia, aortic coarctation, and multiple ventricular septal defects. During the arterial switch procedure and the aortic arch repair, a fenestrated Gore-Tex disk (W.L. Gore & Assoc, Flagstaff, AZ) was sewn into the right ventricular outflow tract to restrict pulmonary blood flow. The internal right ventricular band successfully controlled the pulmonary blood flow, maintaining a systemic oxygen saturation of 88% to 92%, and allowing growth from 3.5 to 10.5 kg. At 8 months of age, the internal band in the patient was removed, and the ventricular septal defects were successfully closed.

• Authors: William W Carroll, Girish S Shirali, Scott M Bradley
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 91 Issue 1 Pg. 289-91 (Jan 2011) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 21172537 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Aorta, Thoracic (abnormalities, surgery)
• Heart Septal Defects, Ventricular (surgery)
• Humans
• Infant, Newborn
• Male
• Transposition of Great Vessels (surgery)