Growth potential after root replacement of the right and left ventricular outflow tracts.
A successful operation for acute and severe aortic regurgitation after balloon valvuloplasty together with mitral regurgitation is described in a 9-month-old infant. Aortic root replacement was performed using a pulmonary autograft, while the right ventricular outflow tract was reconstructed with an interposed left atrial appendage posteriorly and a heterologous pericardial patch anteriorly. Mitral valve reconstruction was also effectively accomplished. This combination of right and left ventricular outflow tract reconstruction has a good potential for growth and may provide a solution for the future in infants.
Matsuki
O
O
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
Yagihara
T
T
Yamamoto
F
F
Nishigaki
K
K
Uemura
H
H
Kagisaki
K
K
Kawashima
Y
Y
D001013:Aorta, Thoracic / Q000254:growth & development / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000503:physiopathology / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000151:congenital* / Q000503:physiopathology / Q000601:surgery; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D002404:Catheterization; D003131:Combined Modality Therapy; D005260:Female; D006325:Heart Atria / Q000254:growth & development / Q000637:transplantation*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007223:Infant; D008944:Mitral Valve Insufficiency / Q000151:congenital* / Q000503:physiopathology / Q000601:surgery; D011651:Pulmonary Artery / Q000254:growth & development / Q000637:transplantation*; D011664:Pulmonary Valve / Q000254:growth & development / Q000637:transplantation*; D013536:Suture Techniques; D014694:Ventricular Outflow Obstruction / Q000503:physiopathology / Q000601:surgery*