Dextro-transposition of the great arteries rastelli operation
Dextro-transposition of the great arteries Microchapters |
Differentiating dextro-transposition of the great arteries from other Diseases |
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Diagnosis |
Treatment |
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Transposition of the great vessels Microchapters |
Classification |
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Differentiating Transposition of the great vessels from other Diseases |
Diagnosis |
Treatment |
Surgery |
Case Studies |
Dextro-transposition of the great arteries rastelli operation On the Web |
American Roentgen Ray Society Images of Dextro-transposition of the great arteries rastelli operation |
FDA on Dextro-transposition of the great arteries rastelli operation |
CDC on Dextro-transposition of the great arteries rastelli operation |
Dextro-transposition of the great arteries rastelli operation in the news |
Blogs on Dextro-transposition of the great arteries rastelli operation |
Risk calculators and risk factors for Dextro-transposition of the great arteries rastelli operation |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]
Overview
- Done for patients with TGA, VSD, and pulmonary outflow tract obstruction.
- It depends on appropriate VSD anatomy (large and subaortic) because then it will be used as part of the left ventricular outflow tract (LVOT), involving placement of a baffle within the RV to direct blood flow from the VSD to the aorta. A conduit is inserted between the RV and the pulmonary artery, which is stitched.
- Advantage- Left Ventricle becomes the systemic ventricle
- Disadvantage- The conduit will likely need to be replaced several times during the patient's life.
- The appropriate age for this operation is still debated, due to the higher risk with the early repair.
- The younger the patient the smaller the conduit, needing earlier reoperation.
References
Acknowledgements and Initial Contributors to Page
Leida Perez, M.D.
External links
- Diagram at kumc.edu
- Diagram and description at umich.edu
- Royal Children's Hospital, Melbourne
- Mayo Clinic, Arizona - Florida - Minnesota, USA