Anatomic correction for corrected transposition after pulmonary unifocalization.
A Senning plus Rastelli operation was performed in a patient who had a rare combination of congenitally corrected transposition of the great arteries (S,L,L) with dextrocardia, major aortopulmonary collaterals, and diminutive central pulmonary arteries with arborization defects. The patient required four preparatory operations including bilateral unifocalizations of the aortopulmonary artery collaterals. Pulmonary artery to systemic pressure ratio after the double switch operation was 0.6. The patient demonstrates good biventricular function on echocardiogram at 3 months after the operation.
Ando
Makoto
M
Department of Pediatric and Congenital Heart Surgery, The Children's Hospital at The Cleveland Clinic, Cleveland, Ohio 44195, USA.
Duncan
Brian W
BW
Mee
Roger B B
RB
D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002675:Child, Preschool; D003097:Collateral Circulation / Q000502:physiology; D003914:Dextrocardia / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D011669:Pulmonary Wedge Pressure / Q000502:physiology; D012086:Reoperation / Q000379:methods; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000601:surgery*