A Tribute to Giancarlo Rastelli

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Presentation transcript:

A Tribute to Giancarlo Rastelli Igor E. Konstantinov, MD, PhD, Felice Rosapepe, MD, PhD, Joseph A. Dearani, MD, Vladimir V. Alexi-Meskishvili, MD, PhD, Jia Li, MD, PhD The Annals of Thoracic Surgery Volume 79, Issue 5, Pages 1819-1823 (May 2005) DOI: 10.1016/j.athoracsur.2004.11.037 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Giancarlo Rastelli during mountain trekking, ca 1955. (B) Dr. Rastelli during his residency in Parma, ca 1958. (Courtesy of Rosangela Rastelli Zavattaro.) The Annals of Thoracic Surgery 2005 79, 1819-1823DOI: (10.1016/j.athoracsur.2004.11.037) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Dr Rastelli upon arrival to Mayo Clinic in 1961. (B) Dr Giancarlo Rastelli, Dwight C. McGoon, and Jack L. Titus discussing Rastelli's operation in front of their exhibit at the American Medical Association meeting in 1969. (Courtesy of Mayo Clinic Foundation.) The Annals of Thoracic Surgery 2005 79, 1819-1823DOI: (10.1016/j.athoracsur.2004.11.037) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Rastelli classification of complete common atrioventricular canal. (A) Type A: Anterior (A) common atrioventricular leaflet is divided into two portions, one mitral valve (MV) and one tricuspid valve (TV), attached medially to interventricular septum with long, nonfused chordae tendineae. In posterior common AV leaflet, MV and TV portions are not separated. (L = lateral; P = posterior; RA = right atrium.) (B) Type B: Anterior common AV leaflet is divided but not attached to the septum. Mitral and tricuspid components are both attached medially to abnormal papillary muscle arising in right ventricle near septum. Free interventricular communication occurs under anterior common leaflet. (RV = right ventricle.) (C) Type C: Anterior common AV leaflet is not divided and is not attached to the septum so that free interventricular communication, extending to vicinity of aortic cusps, occurs underneath this leaflet. (Reprinted from Rastelli GC, et al. Mayo Clin Proc 1967;42:200–9 [7], with permission.) The Annals of Thoracic Surgery 2005 79, 1819-1823DOI: (10.1016/j.athoracsur.2004.11.037) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A–E) Rastelli operation. (A = aorta; Ant. = anterior; IVC = inferior vena cava; PA = pulmonary artery; RA = right atrium; RV = right ventricle; SVC = superior vena cava; TV = tricuspid valve; VSD = ventricular septal defect.) (Reprinted from Rastelli GC, et al. Circulation 1969;39:83–95 [10], with permission.) The Annals of Thoracic Surgery 2005 79, 1819-1823DOI: (10.1016/j.athoracsur.2004.11.037) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 (A) A poster signed by all Italian children operated on at the Mayo Clinic in the late 1960s that Dr Rastelli kept in his office. The Italian inscription on the poster says, “Love always wins.” (B) Vincenzo Ferrante a few days after the Rastelli operation with Dr Rastelli at the Mayo Clinic in 1969. (Courtesy of Rosangela Rastelli Zavattaro with permission of Vincenzo Ferrante.) The Annals of Thoracic Surgery 2005 79, 1819-1823DOI: (10.1016/j.athoracsur.2004.11.037) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions