Damus-Kaye-Stansel anastomosis in a patient with tricuspid atresia, transposition of the great arteries, VSD and total cavo-pulmonary connection (TCPC).
A Damus-Kaye-Stansel (DKS) anastomosis, i.e. an end-to-side anastomosis between the pulmonary artery and the aorta, has been applied in a wide spectrum of congenital heart disease including the Fontan circulation. We hereby present a 19-year-old woman with tricuspid atresia, transposition of great arteries, hypoplastic right ventricle, and a ventricular septal defect who was operated with total cavo-pulmonary connection (TCPC) and a DKS anastomosis. The Cardiovascular Magnetic Resonance (CMR) study showed that the systemic ventricular outflow tract is not obstructed with a good overall result of the previous interventions. CMR therefore, is an ideal mean for studying detailed anatomy and physiology without any need for radiation or contrast media.
Johansson
Bengt
B
Henein
Michael
M
D000328:Adult; D005260:Female; D018611:Heart Bypass, Left; D018610:Heart Bypass, Right; D006330:Heart Defects, Congenital / Q000473:pathology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D012086:Reoperation; D014188:Transposition of Great Vessels / Q000473:pathology / Q000601:surgery; D018785:Tricuspid Atresia / Q000473:pathology / Q000601:surgery