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Extending the surgical boundaries in the management of the left ventricular outflow tract obstruction in discordant ventriculo-arterial connections – a surgical and morphological study

Published online by Cambridge University Press:  31 January 2008

Paula Martins ,
Vi Tran ,
Gemma Price ,
Victor Tsang  and
Andrew C. Cook
Paula Martins
Affiliation:
Paediatric Cardiology Department, Paediatric Hospital of Coimbra, Portugal
Vi Tran
Affiliation:
Cardiac Unit, Institute of Child Health, London, United Kingdom
Gemma Price
Affiliation:
Cardiac Unit, Institute of Child Health, London, United Kingdom
Victor Tsang
Affiliation:
Cardiac Unit, Institute of Child Health, London, United Kingdom
Andrew C. Cook*
Affiliation:
Cardiac Unit, Institute of Child Health, London, United Kingdom
*
Correspondence to: Dr Andrew C Cook, Senior Lecturer, Cardiac Unit, Institute of Child Health, 30 Guilford St, London WC1N 1EH. Tel: +44 (0)207 905 2295; Fax: +44 (0)207 905 2324; E-mail: a.cook@ich.ucl.ac.uk
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Abstract

When there is obstruction of the left ventricular outflow tract, there are several surgical approaches to the repair of discordant ventriculo-arterial connections in the setting of concordant atrioventricular connections. Choosing the optimal technique demands not only knowledge of the different surgical procedures, but also the understanding of the particular anatomic features present in a specific patient. These requisites are then essential to plan the operation, to foresee some difficult situations, and to avoid post-operative complications. In this review, we assess all these surgical and anatomic aspects, focussing on their relative importance in clinical assessment.

Keywords

Nikaidoh procedurerastelli procedureREV procedurearterial switchatrial switch
Type
Review Article
Information
Cardiology in the Young , Volume 18 , Issue 2 , April 2008 , pp. 124 - 134
Copyright
Copyright © Cambridge University Press 2008

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