Aortopulmonary shunt with replacement of a common atrioventricular valve in a patient with double inlet ventricle.
Replacement of a common atrioventricular valve with a St. Jude medical prosthesis, together with construction of a central aortopulmonary shunt using a polytetrafluoroethylene graft, were performed on a patient with double inlet ventricle complicated by severe regurgitation across an atrioventricular valve and hypoplastic pulmonary arteries. No complications were noted during a postoperative follow-up of 58 months; indeed, a considerable increase was noted in postoperative exercise capacity. This simple surgical procedure should be considered as a mode of treatment in patients with this combination of lesions.
Department of Surgery, Keio University Hospital, Tokyo, Japan.
Y
Y
Shimoyama
S
S
Takeuchi
H
H
Imamura
D001807:Blood Vessel Prosthesis; D002648:Child; D004310:Double Outlet Right Ventricle / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000002:abnormalities*; D011138:Polytetrafluoroethylene; D011651:Pulmonary Artery / Q000002:abnormalities; D014261:Tricuspid Valve / Q000002:abnormalities*
D011138:Polytetrafluoroethylene