Surgical Options for Transposition of the Great Arteries With Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction: Evolution and Functional Impact
Autor: | Alsayed Salem |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
business.industry Ventricular outflow tract obstruction Hemodynamics Functional impact General Medicine Rastelli procedure Pulmonary valve function Transposition (music) medicine.anatomical_structure Great arteries Internal medicine Pulmonary valve medicine Cardiology Surgery medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | The Heart Surgery Forum. 23:E770-E773 |
ISSN: | 1522-6662 1098-3511 |
Popis: | Surgery for D-transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction has continuously evolved to achieve optimal hemodynamic performance across the right and left ventricular outflow tracts, include predominantly native tissues, and preserve pulmonary valve function. Classically, three types of repair are applied: Rastelli, REV, and translocation procedures. The concept of translocation remains more radical and exposed to many modifications. Its extensive reconstructive nature extends its application to similar lesions with discordant ventriculo-arterial connection. We tried to compare the values and limitations of these surgical options, emphasizing how a more anatomical repair could impact the functional outcome. |
Databáze: | OpenAIRE |
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