title: Internal right ventricular band for multiple ventricular septal defects in a neonate undergoing arterial switch and aortic arch repair.
abstract: A neonate presented with d-transposition of the great arteries, aortic arch hypoplasia, aortic coarctation, and multiple ventricular septal defects. During the arterial switch procedure and the aortic arch repair, a fenestrated Gore-Tex disk (W.L. Gore & Assoc, Flagstaff, AZ) was sewn into the right ventricular outflow tract to restrict pulmonary blood flow. The internal right ventricular band successfully controlled the pulmonary blood flow, maintaining a systemic oxygen saturation of 88% to 92%, and allowing growth from 3.5 to 10.5 kg. At 8 months of age, the internal band in the patient was removed, and the ventricular septal defects were successfully closed.
authors.affiliation: Pediatric Cardiothoracic Surgery and Pediatric Cardiology, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
authors.forename: William W
authors.initials: WW
authors.lastname: Carroll
authors.forename: Girish S
authors.initials: GS
authors.lastname: Shirali
authors.forename: Scott M
authors.initials: SM
authors.lastname: Bradley
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014188:Transposition of Great Vessels / Q000601:surgery*