Aortic Translocation in the Management of Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Results and Follow-Up

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Presentation transcript:

Aortic Translocation in the Management of Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Results and Follow-Up Victor O. Morell, MD, Jeffrey P. Jacobs, MD, James A. Quintessenza, MD The Annals of Thoracic Surgery Volume 79, Issue 6, Pages 2089-2093 (June 2005) DOI: 10.1016/j.athoracsur.2004.11.059 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Lateral view of the heart with transposition of the great arteries, ventricular septal defect (VSD), and pulmonary stenosis. (B) Lateral view of the same heart with a classic Rastelli procedure. Although a tried and true procedure, this demonstrates that the outflow of each ventricle must make a right angle turn, pass through a muscular tunnel (either a ventricular septal defect or a ventriculotomy), and continue in an anterior conduit subject to compression by the sternum. (C) Lateral view of the same heart with the aortic valve transferred posteriorly to the left ventricular outflow tract and the pulmonary artery reconstruction accomplished directly end to end to the right ventricular outflow tract. Ventricular outflow is straight and direct, and unobstructed without risk of sternal compression by the sternum. (Ao = aorta; LA = left atrium; LV = left ventricle; PA = pulmonary artery; RV = right ventricle.) (Reprinted from Haas GS, Curr Opin Pediatr; 2000;12:501–4[16], with permission.) The Annals of Thoracic Surgery 2005 79, 2089-2093DOI: (10.1016/j.athoracsur.2004.11.059) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions