Additional aortopulmonary anastomosis for subaortic obstruction in the Rastelli-type repair for the Taussig-Bing malformation.
In the Taussig-Bing malformation, residual subaortic obstruction from a hypertrophied subaortic conus is often a problem at the time of intraventricular repair. To alleviate this problem, during a Rastelli-type repair involving an extracardiac valved conduit and an intraventricular connection from the ventricular septal defect to both aortic and pulmonary outflows, an additional side-to-side anastomosis between the ascending aorta and the proximal portion of the divided pulmonary artery can be performed, creating a supplementary outflow for the left ventricle. This method was used in 2 patients who had anteroposterior transposition of the great arteries, with 1 long-term survivor.
Kawashima
Y
Y
First Department of Surgery, Osaka University Medical School, Japan.
Matsuda
H
H
Taniguchi
K
K
Kobayashi
J
J
D001011:Aorta / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002648:Child; D004310:Double Outlet Right Ventricle / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D007223:Infant; D008722:Methods; D011651:Pulmonary Artery / Q000601:surgery*