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Ann Thorac Surg 1975;20:461-467
© 1975 The Society of Thoracic Surgeons

Articles

Surgical Correction of Unusual Double-Outlet Right Ventricle

With Pulmonary Stenosis and Severe Tricuspid Insufficiency in the Presence of Dextrocardia with Ventricular Discordance

W.C.P. Geldof, M.D., J. Rohmer, M.D., A. Oppenheimer-Dekker, M.D., Z. Aytug, M.D., A.G. Brom, M.D.*

From the Departments of Thoracic Surgery and Pediatric Cardiology and the Laboratory of Anatomy and Embryology, University Hospital, Leiden, The Netherlands

Accepted for publication December 31, 1974.

* Address reprint requests to Dr. Brom, Department of Thoracic Surgery, University Hospital, Leiden, The Netherlands

This paper presents the case history of an 8-year-old girl who had total situs inversus and double-outlet right ventricle with pulmonary stenosis and severe tricuspid insufficiency in the presence of dextrocardia with ventricular discordance. A successful repair was performed using the Rastelli technique in conjunction with replacement of the tricuspid valve with a Björk-Shiley prosthesis.

The postoperative course was uneventful, and follow-up catheterization revealed a good operative result. However, the patient died suddenly during an emotionally upsetting period about two months after the operation. Postmortem examination revealed only signs of moderately severe cardiac decompensation.

Some anatomical and embryological comments are made.






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Copyright © 1975 by The Society of Thoracic Surgeons.