Starnes procedure for severe left atrioventricular valve regurgitation.
We present the case of a 19-day-old girl with incomplete atrioventricular septal defect, muscular ventricular septal defect, and severe left atrioventricular valve regurgitation. We attempted biventricular repair with left atrioventricular valve repair; however, we could not control the regurgitation. Moreover, the commercially available prosthetic valve was too large to implant. Thus we switched intraoperatively to a univentricular repair. We successfully performed patch closure of the left atrioventricular valve (Starnes procedure), Damus-Kaye-Stansel anastomosis, and a systemic-to-pulmonary artery shunt.
1 Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Tomohiro
T
Nakata
1 Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Tadashi
T
Ikeda
2 Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hiraku
H
Doi
2 Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Shiro
S
Baba
2 Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Shuma
S
Taguchi
1 Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Ryuzo
R
Sakata
D006348:Cardiac Surgical Procedures; D018618:Echocardiography, Doppler, Color; D005260:Female; D006343:Heart Septal Defects / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D020127:Recovery of Function; D012720:Severity of Illness Index; D016896:Treatment Outcome
Damus-Kaye-Stansel anastomosis; Left atrioventricular valve regurgitation; Multiple abnormalities; Starnes procedure; newborn