title: Extending the surgical boundaries in the management of the left ventricular outflow tract obstruction in discordant ventriculo-arterial connections--a surgical and morphological study.
abstract: When there is obstruction of the left ventricular outflow tract, there are several surgical approaches to the repair of discordant ventriculo-arterial connections in the setting of concordant atrioventricular connections. Choosing the optimal technique demands not only knowledge of the different surgical procedures, but also the understanding of the particular anatomic features present in a specific patient. These requisites are then essential to plan the operation, to foresee some difficult situations, and to avoid post-operative complications. In this review, we assess all these surgical and anatomic aspects, focussing on their relative importance in clinical assessment.
authors.affiliation: Paediatric Cardiology Department, Paediatric Hospital of Coimbra, Portugal.
authors.forename: Paula
authors.initials: P
authors.lastname: Martins
authors.forename: Vi
authors.initials: V
authors.lastname: Tran
authors.forename: Gemma
authors.initials: G
authors.lastname: Price
authors.forename: Victor
authors.initials: V
authors.lastname: Tsang
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Cook
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D003657:Decision Making; D006330:Heart Defects, Congenital / Q000473:pathology / Q000601:surgery*; D006801:Humans; D014188:Transposition of Great Vessels / Q000473:pathology / Q000601:surgery*; D014694:Ventricular Outflow Obstruction / Q000473:pathology / Q000601:surgery*