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European Journal of Cardio-Thoracic Surgery, Vol 10, 551-555, Copyright © 1996 by European Association for Cardio-thoracic Surgery

ARTICLES

Combined Rastelli and atrial switch procedure: anatomic and physiologic correction of discordant atrioventricular connection associated with ventricular septal defect and left ventricular outflow tract obstruction

RE Delius and J Stark
Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, London, UK.

OBJECTIVE: To evaluate our early experience with the combined Rastelli and atrial switch operation for repair of discordant atrioventricular connection associated with ventricular septal defect and left ventricular outflow tract obstruction. METHODS: Detailed study of the first three cases including preoperative assessment, operative procedure, postoperative progress and follow-up. RESULTS: All three patients survived and remained in sinus rhythm. Postoperative ITU/hospital stay was 2/8, 5/10 and 33/45 days. The third patient developed a venous pathway obstruction and required balloon dilatation with stenting on the 25th postoperative day. All three patients were well at follow-up examination 21, 6 and 5 months after operation. CONCLUSIONS: We believe that this operation is likely to become the operation of choice for this combination of lesions. More experience and longer follow-up is needed.




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Copyright © 1996 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.