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The hemi-Mustard, bi-directional Glenn, and Rastelli operations used for correction of congenitally corrected transposition, achieving a “ventricle and a half ” repair

Published online by Cambridge University Press:  21 January 2005

Daniel J. DiBardino
Affiliation:
Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA
Jeffrey S. Heinle
Affiliation:
Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA
Charles D. Fraser
Affiliation:
Michael E. DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA

Abstract

Based on experience in several centers, the double switch operation has reportedly become the standard surgical therapy for congenitally corrected transposition. We report and discuss here the use of a “ventricle and a half” double switch operation performed due to the concerns raised intraoperatively because of the size of the morphologically right ventricle. Although the long-term course of such a procedure in this setting remains unknown, we submit that the proposed benefits of the double switch operation, even when used in the “ventricle and a half” configuration, may be superior to the alternatives.

Type
Brief Report
Copyright
© 2004 Cambridge University Press

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References

Termington JL, Leca F, Vouhe PR, et al. “Classic” repair of congenitally corrected transposition and ventricular septal defect 1996; 62: 199206.Google Scholar
Yeh T, Connelly MS, Coles JG, et al. Atrioventricular discordance: results of repair in 127 patients. J Thorac Cardiovasc Surg 1999; 117: 11901203.Google Scholar
Imamura M, Drummond-Webb JJ, Murphy DJ Jr, et al. Results of the double switch operation in the current era. Ann Thorac Surg 2000; 70: 100105.Google Scholar
Ilbawi MN, Ocampo CB, Allen BS, et al. Intermediate results of the anatomic repair for congenitally corrected transposition. Ann Thorac Surg 2002; 73: 594600.Google Scholar
Devaney EJ, Charpie JR, Ohye RG, Bove EL. Combined arterial switch and Senning operation for congenitally corrected transposition of the great arteries: patient selection and intermediate results. J Thorac Cardiovasc Surg 2003; 125: 500507.Google Scholar
Reddy VM, McElhinney DB, Silverman NH, Marianeschi SM, Hanley FL. Partial biventricular repair for complex congenital heart defects: an intermediate option for complicated anatomy or functionally borderline right heart complex. J Thorac Cardiovasc Surg 1998; 116: 2127.Google Scholar
Van Arsdell GS, Williams WG, Maser CM, et al. Superior vena cava to pulmonary artery anastomosis: an adjunct to biventricular repair. J Thorac Cardiovasc Surg 1996; 112: 11431149.Google Scholar
Kreutzer C, Mayorquim RC, Kreutzer GO, et al. Experience with one and a half ventricle repair. J Thorac Cardiovasc Surg 1999; 117: 662668.Google Scholar
Abbruzzese PA, Bianco R, Cavaglia M, Ciriotti G, Rizzo A. Rapid two-stage repair of S,L,L, ventricular septal defect, pulmonary atresia, Ebstein anomaly of the tricuspid valve and stenotic pulmonary arteries. Ann Thorac Surg 1999; 68: 571573.Google Scholar
Hanley FL. The one and a half ventricle repair – we can do it, but should we do it? J Thorac Cardiovasc Surg 1999; 117: 659661.Google Scholar