The Norwood-Rastelli Procedure for Left Ventricular Outflow Tarct Obstruction with a Ventricular Septal Defect: Three case report.
- Author:
Dong Jung KIM
1
;
Woong Han KIM
;
Jae Gun KWAK
;
Se Jin OH
;
Woo Sung JANG
;
Dong Jin KIM
;
Chang Ha LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. woonghan@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Norwood procedure;
Ventricular outflow tract obstruction, left;
Aortic atresia
- MeSH:
Body Weight;
Cardiac Catheterization;
Cardiac Catheters;
Follow-Up Studies;
Heart Septal Defects, Ventricular*;
Heart Ventricles;
Humans;
Infant, Newborn;
Mitral Valve;
Mortality;
Norwood Procedures;
Pulmonary Artery;
Pulmonary Valve
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(9):624-628
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Between 2001 and 2006, 3 neonates that had multilevel left ventricular outflow tract obstruction and a ventricular septal defect underwent the Norwood-Rastelli procedure. The body weights ranged from 2.9 to 3.1 kg. The patients had a near normal sized mitral valve and left ventricle. We simultaneously performed a modified Norwood procedure with native tissues-to-tissue anastomosis without circulatory arrest, and a Rastelli type procedure using a non-valved conduit from the right ventricle to the pulmonary artery and intracardiac patch baffling from the left ventricle to the pulmonary valve via the ventricular septal defect. The postoperative courses were uneventful. During follow-up, there was one late mortality caused by a cardiac catheterization related complication at 7 months after surgery. One patient required a Rastelli conduit change. Two patients are doing well during a follow-up period of 1 and 5 years, respectively.
