Surgical creation of a double outlet right atrium for tricuspid valve stenosis after a Rastelli operation.
A patient with transposition of the great arteries, ventricular septal defect, and obstruction of the left ventricular outflow tract underwent a Rastelli repair. Stenosis of the tricuspid valve was not recognised before or during operation; this severely compromised the postoperative haemodynamic function and necessitated reoperation. Insertion of a second homograft from the right atrium to the right ventricle bypassed the stenosis and resulted in a complete recovery with maintenance of a biventricular circulation.
Deanfield
J E
JE
Cardiothoracic Unit, Hospital for Sick Children, London.
Gundry
S R
SR
Stark
J
J
D002648:Child; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D012086:Reoperation; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*; D014264:Tricuspid Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014694:Ventricular Outflow Obstruction / Q000150:complications / Q000601:surgery*