HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Charles A. Bullaboy Wayne M. Derkac Richard A. Hopkins David H. Johnson Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ford, D. K. Articles by Johnson, D. H. Search for Related Content PubMed PubMed Citation Articles by Ford, D. K. Articles by Johnson, D. H.

Ann Thorac Surg 1988;46:412-415
© 1988 The Society of Thoracic Surgeons

---

Articles

Transatrial Repair of Double-Chambered Right Ventricle

Divisions of Pediatric Cardiology and Cardiac and Thoracic Surgery, Children's Hospital of The King's Daughters, Eastern Virginia Medical School, Norfolk, VA

Accepted for publication April 18, 1988.

^* Address reprint requests to Dr. Jennings, Pediatric Cardiology, Children's Hospital of The King's Daughters, 800 W. Olney Rd, Norfolk, VA 23507

Double-chambered right ventricles (DCRVCs) traditionally have been repaired via a right ventriculotomy. We describe the cases of 8 children (aged 7 months to 6 years; weight, 6.3 to 21.5 kg), who underwent repair of DCRV via a right atriotomy. Six patients had ventricular septal defects. Peak systolic gradients in the right ventricular outflow tract were 26 to 135 mm Hg. The Q_P/Q_S were 1.1 to 2.5. Cardiopulmonary bypass times were 52 to 89 min (mean, 65.5 min) with aortic cross-clamp times of 20 to 56 min (mean, 39 min). Mean intraoperative gradients following repair were 5.8 mm Hg. Three patients had transient postoperative atrioventricular block requiring temporary pacing. Two patients required minimal inotropic support (dopamine, 2.5 to 5 (µg/kg/min). The children have all been asymptomatic after hospitalization with follow-up times of 5 months to 4.5 years. No patient requires cardiac medications or has significant, persistent dysrhythmias; however, 1 patient required reoperation. Transatrial repair of DCRV allows excellent operative anatomical visualization and should be considered as an alternative to the transventricular approach in patients with this congenital heart defect.

This article has been cited by other articles:

				J. F. Rhodes, Z. M. Hijazi, and R. J. Sommer Pathophysiology of Congenital Heart Disease in the Adult, Part II: Simple Obstructive Lesions Circulation, March 4, 2008; 117(9): 1228 - 1237. [Full Text] [PDF]

				J. M. Oliver, A. Garrido, A. Gonzalez, F. Benito, M. Mateos, A. Aroca, and E. Sanz Rapid progression of midventricular obstruction in adults with double-chambered right ventricle J. Thorac. Cardiovasc. Surg., September 1, 2003; 126(3): 711 - 717. [Abstract] [Full Text] [PDF]