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The Annals of Thoracic Surgery, Vol 35, 288-293, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

The transmitral approach to left ventricular outflow tract obstruction

BR Wilcox, GW Henry and RH Anderson

Left ventricular outflow tract obstruction is a particularly vexing problem in patients with complete transposition (atrioventricular concordance and ventriculoarterial discordance) and intact ventricular septum. Previous techniques, such as resecting the obstructive lesion through the pulmonary valve or bypassing the obstruction, have not given entirely satisfactory results. An alternative approach of resection through the left atrium and the retracted mitral valve has recently been proposed. We have used this new technique to achieve excellent relief of this condition in three patients with different types of obstruction.


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R. Sharma, S. K. Choudhary, A. Bhan, R. P. Kumar, R. Juneja, S. S. Kothari, A. Saxena, and P. Venugopal
Late outcome after arterial switch operation for complete transposition of great arteries with left ventricular outflow tract obstruction
Ann. Thorac. Surg., December 1, 2002; 74(6): 1986 - 1991.
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