Dextro-transposition of the great arteries rastelli operation: Difference between revisions
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(New page: * Done for patients with TGA, VSD, and pulmonary outflow tract obstruction. * It depends on appropriate VSD anatomy (large and subaortic) because then it will be used as part of the left v...) |
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Revision as of 21:32, 11 August 2011
- Done for patients with TGA, VSD, and pulmonary outflow tract obstruction.
- It depends on appropriate VSD anatomy (large and subaortic) because then it will be used as part of the left ventricular outflow tract (LVOT), involving placement of a baffle within the RV to direct blood flow from the VSD to the aorta. A conduit is inserted between the RV and the pulmonary artery, which is stitched.
- Advantage- Left Ventricle becomes the systemic ventricle
- Disadvantage- The conduit will likely need to be replaced several times during the patient's life.
- The appropriate age for this operation is still debated, due to the higher risk with the early repair.
- The younger the patient the smaller the conduit, needing earlier reoperation.