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Ann Thorac Surg 1987;44:662-664
© 1987 The Society of Thoracic Surgeons


Articles

Additional Aortopulmonary Anastomosis for Subaortic Obstruction in the Rastelli-Type Repair for the Taussig-Bing Malformation

Yasunaru Kawashima, M.D.*, Hikaru Matsuda, M.D., Kazuhiro Taniguchi, M.D., Jyunjiro Kobayashi, M.D.

From the First Department of Surgery, Osaka University Medical School, Osaka, Japan

Accepted for publication May 28, 1987.

* Address reprint requests to Dr. Kawashima, First Department of Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, Osaka 553, Japan

In the Taussig-Bing malformation, residual subaortic obstruction from a hypertrophied subaortic conus is often a problem at the time of intraventricular repair. To alleviate this problem, during a Rastelli-type repair involving an extracardiac valved conduit and an intraventricular connection from the ventricular septal defect to both aortic and pulmonary outflows, an additional side-to-side anastomosis between the ascending aorta and the proximal portion of the divided pulmonary artery can be performed, creating a supplementary outflow for the left ventricle. This method was used in 2 patients who had anteroposterior transposition of the great arteries, with 1 long-term survivor.




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