The effect of ventricular septal defect enlargement on the outcome of Rastelli or Rastelli-type repair

Navabi, Mohammad Ali; Shabanian, Reza; Kiani, Ali Asghar; Rahimzadeh, Mitra

doi:10.1016/j.jtcvs.2009.02.034

Cited by 10 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Long-term complications after Rastelli-type operations in patients with D-TGA with VSD and pulmonary atresia include regurgitation or stenosis of the valved conduit between the RV and PA, residual VSD, and re-stenosis of the peripheral PA, which occurred in the present case. Other possible complications reported were an obstruction of the left ventricular outflow tract, aortic regurgitation, left ventricular dysfunction, arrhythmias, endocarditis, and sudden death [ 14 , 18 – 20 ].…”

Section: Discussionmentioning

confidence: 99%

A 34-Year-Old Thai Man Presenting with Pulmonary Stenosis and Heart Failure 24 Years After Surgical Correction with the Rastelli Procedure for Congenital Dextro-Transposition of the Great Artery, Ventricular Septal Defect, and Pulmonary Atresia

et al. 2021

View full text Add to dashboard Cite

Patient: Male, 34-year-old Final Diagnosis: Pulmonary stenosis and heart failure 24 years after surgical correction with the Rastelli procedure for congenital D-TGA, VSD, and pulmonary atresia Symptoms: Dyspnea on exertion Medication:— Clinical Procedure: Pulmonary artery plasty • Rastelli procedure • Right-ventricle-to-pulmonary-artery conduit • VSD closure Specialty: Anatomy • Cardiac Surgery • Cardiology • General and Internal Medicine Objective: Congenital defects/diseases Background: Dextro-transposition of the great arteries (D-TGA) with a ventricular septal defect (VSD) and pulmonary atresia is an uncommon congenital conotruncal abnormality. Surgical correction is performed using the Rastelli procedure, which includes a ventricular septal patch to direct blood from the left ventricle to the aorta and a valved conduit to connect the right ventricle to the pulmonary artery. This report is of a 34-year-old Thai man who presented with pulmonary stenosis and heart failure 24 years after surgical correction with the Rastelli procedure for congenital D-TGA, VSD, and pulmonary atresia. Case Report: A 34-year-old Thai man presented with dyspnea on moderate exertion. His cardiovascular examination revealed a median sternal surgical scar, parasternal heaving, a grade III systolic ejection murmur at the left upper parasternal border, and a single second heart sound. Echocardiography demonstrated degenerative calcification of a severely stenosed pulmonary valve and impaired right ventricular function. A color Doppler M-mode echocardiogram showed VSD patch leakage. A computed tomography scan with 3-dimensional heart reconstruction demonstrated a significantly stenosed branch pulmonary artery. Right and left heart catheterization confirmed the multi-site stenoses were hemodynamically significant. The patient underwent surgery for VSD closure, placement of a right-ventricle-to-pulmonary-artery conduit with a polytetrafluoroethylene graft, and pulmonary artery plasty to correct the stenosis at the branch of the pulmonary artery. Conclusions: The long-term complications of the Rastelli-type operation seen for D-TGA with a VSD and pulmonary atresia included a right-ventricle-to-pulmonary-artery conduit obstruction, VSD patch leakage, and re-stenosis of the peripheral pulmonary stenosis. Multimodal imaging was informative in planning for reoperation.

show abstract

Section: Discussionmentioning

confidence: 99%

A 34-Year-Old Thai Man Presenting with Pulmonary Stenosis and Heart Failure 24 Years After Surgical Correction with the Rastelli Procedure for Congenital Dextro-Transposition of the Great Artery, Ventricular Septal Defect, and Pulmonary Atresia

et al. 2021

View full text Add to dashboard Cite

show abstract

“…There are some reports describing the benefits of VSD enlargement on the outcome of the Rastelli procedure [22]. The CF method involves VSD enlargement combined with the transfer of the interrupting chordae and may contribute to the enlargement of the LVOT.…”

Section: Commentmentioning

confidence: 99%

Long-Term Follow-Up of the Conal Flap Method for Tricuspid Malinsertion in Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis

Fuchigami

Nagashima

Hiramatsu

et al. 2016

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…Navabi et al (7) report on the effect of ventricular septal defect (VSD) enlargement on the outcome of Rastelli or Rastelli-type repair of TGA; 49 patients had Rastelli operations and were involved in a follow-up study divided into 2 groups: group A had VSD enlargement, and group B did not have VSD enlargement. Median age and weight at the time of the operation were 6 years and 17 kg, respectively.…”

Section: Transposition Of the Great Arteriesmentioning

confidence: 99%

The Year in Congenital Heart Disease

Graham

2011

Journal of the American College of Cardiology

View full text Add to dashboard Cite

The effect of ventricular septal defect enlargement on the outcome of Rastelli or Rastelli-type repair

Abstract: Septal resection in patients undergoing Rastelli or Rastelli-type operations has a substantial effect on late morbidity and is a predictive factor for long-term mortality.

Cited by 10 publications

References 14 publications

A 34-Year-Old Thai Man Presenting with Pulmonary Stenosis and Heart Failure 24 Years After Surgical Correction with the Rastelli Procedure for Congenital Dextro-Transposition of the Great Artery, Ventricular Septal Defect, and Pulmonary Atresia

A 34-Year-Old Thai Man Presenting with Pulmonary Stenosis and Heart Failure 24 Years After Surgical Correction with the Rastelli Procedure for Congenital Dextro-Transposition of the Great Artery, Ventricular Septal Defect, and Pulmonary Atresia

Long-Term Follow-Up of the Conal Flap Method for Tricuspid Malinsertion in Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis

The Year in Congenital Heart Disease

Contact Info

Product

Resources

About