One and half ventricle repair: rationale, indications, and results
| Autor: | Sachin Talwar, Balram Airan, Shiv Kumar Choudhary, Bharat Siddharth |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty medicine.medical_treatment Review Article 030204 cardiovascular system & hematology Right ventricles Fontan procedure 03 medical and health sciences 0302 clinical medicine Medicine In patient cardiovascular diseases business.industry Vascular surgery Surgery Cardiac surgery surgical procedures operative medicine.anatomical_structure 030228 respiratory system Cardiothoracic surgery Great arteries Ventricle cardiovascular system Cardiology and Cardiovascular Medicine business |
| Zdroj: | Indian J Thorac Cardiovasc Surg |
| ISSN: | 0973-7723 0970-9134 |
| DOI: | 10.1007/s12055-017-0628-5 |
| Popis: | Surgical strategies in patients with functionally or anatomically borderline right ventricles include a high-risk biventricular repair, a Fontan procedure, or a one and half ventricle repair (also referred to as the partial biventricular repair). One and half ventricle repair (1.5VR) circumvents the high early mortality of a biventricular repair and also the late morbidity of the Fontan. The two most common indications for a 1.5VR are a small pulmonary ventricle and a dilated poorly functioning pulmonary ventricle. Extension of 1.5VR to patients undergoing anatomical repair for congenitally corrected transposition of great arteries, straddling tricuspid valves, and severe Ebstein's anomaly has facilitated biventricular repair with decreased mortality. We reviewed the relevant literature on this subject in detail and describe its rationale, indications and its early and late results. |
| Databáze: | OpenAIRE |
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