Single lung Rastelli repair.
A four year old severely cyanotic child was diagnosed to have double outlet right ventricle, large subpulmonic ventricular septal defect, severe pulmonic valve stenosis with absent left pulmonary artery and bilateral superior vena cavae without any connecting vein. A Rastelli type repair was performed utilizing the right pulmonary artery as the only run-off for the right ventricle. Immediate post-pump right ventricular (RV) pressures were 90 percent of the systemic. Six months later, echocardiographically estimated RV pressure was 60 percent of the systemic. The child is doing well at 6 months follow-up.
Mehrotra
R
R
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi.
Sharma
R
R
Bhan
A
A
Juneja
R
R
D002675:Child, Preschool; D004310:Double Outlet Right Ventricle / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D011666:Pulmonary Valve Stenosis / Q000150:complications; D017725:Ventricular Pressure