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

This Article Full Text 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): Serafin Y. DeLeon Michel N. Ilbawi Roque Pifarré Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by DeLeon, S. Y. Articles by Pifarré, R. Search for Related Content PubMed PubMed Citation Articles by DeLeon, S. Y. Articles by Pifarré, R.

Ann Thorac Surg 1995;60:213-216
© 1995 The Society of Thoracic Surgeons

---

Current Reviews

Alternatives in Biventricular Repair of Double-Outlet Left Ventricle

Departments of Cardiothoracic-Vascular Surgery and Pediatrics, Loyola University Medical Center, Maywood, Illinois and Heart Institute for Children, Oak Lawn, Illinois

Wide variation in morphology of double-outlet left ventricle allows numerous surgical alternatives that require sorting out to develop a more organized approach. There is a high association between tricuspid abnormalities and right ventricular hypoplasia with double-outlet left ventricle that calls for either Fontan-type procedure or biventricular repair. With pulmonic stenosis, biventricular repair has been accomplished using right-sided conduits. When pulmonic stenosis is mild or absent, repair techniques without conduits depend on the commitment of the ventricular septal defect (VSD). With subaortic VSD and mild pulmonic valvar stenosis, we successfully performed translocation of the main pulmonary artery and valve to the right ventricle on 2 patients (ages 32 and 8 months). Both patients are doing well 2 years and 1 year postoperatively. Others have successfully connected the right ventricle to the pulmonary artery with intraventricular baffle by enlarging a subaortic VSD or when the VSD is either subpulmonic or doubly committed. With subaortic VSD, although it has not been reported, biventricular repair can also be accomplished using a right ventricle-to-aorta baffle combined by either atrial or arterial switch. We believe that a simplified management plan can be formed in double outlet left ventricle based on the size of the right ventricle, presence of pulmonic stenosis, and commitment of the VSD. Whenever possible, translocation of the main pulmonary artery and valve or intraventricular repair should be accomplished in double-outlet right ventricle minimizing the use of right-sided conduits and reoperation.

This article has been cited by other articles:

				G. Shanmugam, J. Pollock, and K. Macarthur Double Outlet Left Ventricle, Transposition of Great Vessels and Pulmonary Stenosis Asian Cardiovasc Thorac Ann, June 1, 2004; 12(2): 159 - 161. [Abstract] [Full Text] [PDF]

				Y. Ootaki, M. Yamaguchi, Y. Oshima, N. Yoshimura, and S. Oka Pulmonary root translocation for biventricular repair of double-outlet left ventricle Ann. Thorac. Surg., April 1, 2001; 71(4): 1347 - 1349. [Abstract] [Full Text] [PDF]

				J. P. da Silva, J. F. Baumgratz, and L. da Fonseca Pulmonary root translocation in transposition of great arteries repair Ann. Thorac. Surg., February 1, 2000; 69(2): 643 - 645. [Abstract] [Full Text] [PDF]

				D. B. McElhinney, V. M. Reddy, and F. L. Hanley PULMONARY ROOT TRANSLOCATION FOR BIVENTRICULAR REPAIR OF DOUBLE-OUTLET LEFT VENTRICLE WITH ABSENT SUBPULMONIC CONUS J. Thorac. Cardiovasc. Surg., September 1, 1997; 114(3): 501 - 503. [Full Text]