[Successful surgical treatment of total cavopulmonary connection on a 4-year-old boy with complete transposition of the great arteries and hypoplastic left ventricle].
A four-year-old boy with complete transposition of the great arteries, intact ventricular septum and hypoplastic left ventricle, underwent total cavopulmonary connection after two palliative operations; B-T shunt and central shunt. He had undergone cardiac catheterization three times; four months after birth, and at two and four years of age. LVEDV (% normal) were calculated 31%, 26%, 27%, and RVEDV (% normal) were 226%, 115%, 105% respectively. PA index increased from 178 to 230 and further to 380. This case indicates that intracardiac repair is possible, if appropriate palliative operations suitable for patient's cardiac function and pulmonary artery morphology are applied.
Shiono
N
N
Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine, Tokyo, Japan.
Takanashi
Y
Y
Yoshihara
K
K
Tokuhiro
K
K
Suzuki
N
N
Komatsu
H
H
D006328:Cardiac Catheterization; D002675:Child, Preschool; D018610:Heart Bypass, Right / Q000379:methods*; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male; D010166:Palliative Care; D011652:Pulmonary Circulation; D014188:Transposition of Great Vessels / Q000503:physiopathology / Q000601:surgery*