Successful repair of pulmonary atresia with ventricular septal defect without the use of a conduit: a new surgical option. Report of two cases.
A new technique for the restoration of continuity between the pulmonary artery and the right ventricle in pulmonary atresia with ventricular septal defect without the use of a conduit is described. This was accomplished by anastomosing the inferior margin of the distal pulmonary artery to the apex of a T-shaped infundibular ventriculotomy to form the posterior wall of the reconstructed right ventricular outflow tract. A winged patch of bovine pericardium was then used for the anterior wall to complete reconstruction of the transannular right ventricular outflow tract. This technique was used successfully in two patients.
al-Halees
Z
Z
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Galal
O
O
Wilson
N
N
D000714:Anastomosis, Surgical; D001705:Bioprosthesis; D002648:Child; D004452:Echocardiography; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography