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Right arrow Congenital - acyanotic

Ann Thorac Surg 2005;80:332-333
© 2005 The Society of Thoracic Surgeons

Case report

Dor Procedure for Left Ventricular Diverticulum With Mitral Regurgitation in an Infant

Ko Yoshizumi, MDa, Kozo Ishino, MDa,*, Masaaki Kawada, MDa, Emi Fujisawa, MDa, Shin-ichi Ohstuki, MDb, Shunji Sano, MDa

a Department of Cardiovascular Surgery, Okayama, Japan
b Department of Pediatric Cardiology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Ishino, Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine and Dentistry, 2-5-1, Shikata-cho, Okayama-City 700-8558, Japan (Email: ishino{at}tb3.so-net.ne.jp).

Congenital left ventricular diverticulum accompanied by MR is a rare abnormality. A 5-month-old female infant with this clinical combination underwent a procedure comprising exclusion of a large diverticulum by using an endoventricular circular patch (Dor procedure). This technique allowed us to avoid restriction of the left ventricular cavity and to improve the orientation of the papillary muscles, thus leading to successful mitral valve repair.






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