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Extending the surgical boundaries in the management of the left ventricular outflow tract obstruction in discordant ventriculo-arterial connections--a surgical and morphological study.

Martins, P; Tran, V; Price, G; Tsang, V; Cook, AC; (2008) Extending the surgical boundaries in the management of the left ventricular outflow tract obstruction in discordant ventriculo-arterial connections--a surgical and morphological study. Cardiology in the Young , 18 (2) 124 - 134. 10.1017/S1047951108001947.

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Abstract

When there is obstruction of the left ventricular outflow tract, there are several surgical approaches to the repair of discordant ventriculo-arterial connections in the setting of concordant atrioventricular connections. Choosing the optimal technique demands not only knowledge of the different surgical procedures, but also the understanding of the particular anatomic features present in a specific patient. These requisites are then essential to plan the operation, to foresee some difficult situations, and to avoid post-operative complications. In this review, we assess all these surgical and anatomic aspects, focussing on their relative importance in clinical assessment.

Type:Article
Title:Extending the surgical boundaries in the management of the left ventricular outflow tract obstruction in discordant ventriculo-arterial connections--a surgical and morphological study.
DOI:10.1017/S1047951108001947
Publisher version:http://dx.doi.org/10.1017/S1047951108001947
Language:English
Keywords:Heart defects, Surgery, Transposition of the great arteries, Nikaidoh procedure, rastelli procedure, REV procedure, arterial switch, atrial switch
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science

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