Abstract
An 18-year-old Japanese girl with double-outlet right ventricle (DORV) [S,D,L], subaortic ventricular septal defect and pulmonary stenosis was successfully treated under cardiopulmonary bypass by resection of the obstructing subpulmonic infundibulum, pulmonary valvulotomy and construction of an intraventricular conduit between the venticular septal defect and the aorta. The postoperative course was uneventful, except for mild low-output syndrome, and she was discharged 7 weeks after surgery in good condition. She is at present free from all untoward cardiac symptoms.
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Blancquart, A., Delfloor, E., Bossaert, L., Kunnen, M., DeMaegd, M. and Derom, F.: Double outlet right ventricle with 1-malposition of great arteries, ventricular d-loop, and three fibrotic leaflets in a stenotic subpulmonary conus, Brit. Heart J. 35: 770–773, 1973.
Danielson, G.K., Ritter, D.G., Coleman, H.N., III. and Dushane, J.W.: Successful repair of double-outlet right ventricle with transposition of the great arteries (aorta anterior and to the left), pulmonary stenosis, and subaortic tricular defect, J. Thorac. Cardiovasc. Surg. 63: 741–746, 1972.
Imai, Y., Kurosawa, H., Honda, M. and Nishitani, Y.: Diagnosis and treatment of double-outlet right ventricle: With reference to the group of atrio-ventricular concordance, Nippon Kyobu Geka Gakkai Zasshi (J. Japanese Association for Thoracic Surgery) 25: 574–577, 1977 (in Japanese).
Kugimiya, T., Shirabe, J., Kusaba, E., Hadama, T., Kaku, K., Kuroiwa, M., Fukushima, K. and Takagi, M.: Combined use of norepinephrine and phenoxybenzamine in low output syndrome following cardiac surgery, XIII World Congress of International Cardiovascular Society, Tokyo, 1977.
Lincoln, C.: Total correction of d-loop doubleoutlet right ventricle with bilateral conus, 1-transposition, and pulmonic stenosis, J. Thorac. Cardiovasc. Surg. 64: 435–440, 1972.
McGoon, D.C.: Origin of both great vessels from the right ventricle, Surg. Clin. N. Amer. 41: 1113–1120, 1961.
Rastelli, G.C., Wallace, R.B. and Ongley, P.A.: Complete repair of transposition of the great arteries with pulmonary stenosis: A review and report of a case corrected by using a new surgical technique, Circulation 39: 83–95, 1969.
Stewart, S.: Double-outlet right ventricle: A collective review with a surgical viewpoint, J. Thorac. Cardiovasc. Surg. 71: 355–364, 1975.
Van Praagh, R., Perez-Trevino, C., Reynolds, J.L., Moss, C.A.F., Keith, J.D., Roy, D.L., Belcourt, C., Weinberg, P.M. and Paris, L.F.: Double-outlet right ventricle [S,D,L] with subaortic ventricular septal defect and pulmonary stenosis, Amer. J. Cardiol. 35: 42–53, 1975.
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Kugimiya, T., Shirabe, J., Kusaba, E. et al. Double-outlet right ventricle [S,D,L] with subaortic ventricular septal defect and pulmonary stenosis: Successful repair using an intraventricular conduit. The Japanese Journal of Surgery 11, 90–94 (1981). https://doi.org/10.1007/BF02468875
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DOI: https://doi.org/10.1007/BF02468875