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The Norwood-Rastelli Procedure for Left Ventricular Outflow Tarct Obstruction with a Ventricular Septal Defect - Three case report -  

Kim, Dong-Jung (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Kwak, Jae-Gun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Oh, Se-Jin (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Jang, Woo-Sung (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Kim, Dong-Jin (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Lee, Chang-Ha (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute)
Kim, Woong-Han (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Publication Information
Journal of Chest Surgery / v.40, no.9, 2007 , pp. 624-628 More about this Journal
Abstract
Between 2001 and 2006, 3 neonates that had multilevel left ventricular outflow tract obstruction and a ventricular septal defect underwent the Norwood-Rastelli procedure. The body weights ranged from 2.9 to 3.1 kg. The patients had a near normal sized mitral valve and left ventricle. We simultaneously performed a modified Norwood procedure with native tissues-to-tissue anastomosis without circulatory arrest, and a Rastelli type procedure using a non-valved conduit from the right ventricle to the pulmonary artery and intracardiac patch baffling from the left ventricle to the pulmonary valve via the ventricular septal defect. The postoperative courses were uneventful. During follow-up, there was one late mortality caused by a cardiac catheterization related complication at 7 months after surgery, One patient required a Rastelli conduit change. Two patients are doing well during a follow-up period of 1 and 5 years, respectively.
Keywords
Norwood procedure; Ventricular outflow tract obstruction left; Aortic atresia;
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1 Steger V, Heinemann MK, Irtel von Brenndorff C, Ziemer G. Combined Norwood and Rastelli procedure for repair of interrupted aortic arch with subaortic stenosis. Thorac Cardiovasc Surg 1998;46:156-8   DOI   ScienceOn
2 Mahowald JM, Lucas RV Jr, Edwards JE. Aortic valvular atresia. Associated cardiovascular anomalies. Pediatr Cardiol 1982;2:99-105   DOI   ScienceOn
3 Yasui H, Kado H, Nakano E, et al. Primary repair of interrupted aortic arch and severe aortic stenosis in neonates. J Thorac Cardiovase Surg 1987;93:539-45
4 Austin EH, Jonas RA, Mayer JE, Castaneda AR. Aortic atresia with normal left ventricle, Single-stage repair in the neonate. J Thorac Cardiovase Surg 1989;97:392-5
5 Peter JG, Stephanie F, Kathryn MC, Ibrahim A. Early results of single-stage biventricular repair of severe aortic hypoplasia or atresia with ventricular septal defect and normal left ventricle. J Thorac Cardiovasc Surg 2006;132:260-3   DOI   ScienceOn
6 Freedom RM, Dische MR, Rowe RD. Conal anatomy in aortic atresia, ventricular septal defect, and normally developed left ventricle. Am Heart J 1977;94:689-98   DOI   ScienceOn
7 Bogers AJ, Sreeram N, Hess J, Sutherland GR, Quaegebeur JM. Aortic atresia with normal left ventricle: onestage repair in early infancy. Ann Thorac Surg 1991;51:312-4   DOI   PUBMED   ScienceOn
8 Kim WS, Kim YJ. Single stage anatomic repair of aortic atresia with normal left ventricle. Korean J Thoracic Cardiovas Surg 1993;26:701-4