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A Tribute to Giancarlo Rastelli

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1 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 (May 2005) DOI: /j.athoracsur Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

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

3 Fig 2 (A) Dr Rastelli upon arrival to Mayo Clinic in (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 (Courtesy of Mayo Clinic Foundation.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

4 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  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

5 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  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

6 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 (Courtesy of Rosangela Rastelli Zavattaro with permission of Vincenzo Ferrante.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions


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