Skip to main content

Advertisement

SpringerLink
Log in

Usefulness of transaortic approach for a complex double-outlet right ventricle

  • Case report
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Surgical procedures for double-outlet right ventricle with ventricular septal defect are based on rerouting the blood flow of the left ventricle to the aorta through the ventricular septal defect (VSD) with an intraventricular baffle. The right atriotomy is the most common approach combined with a right ventriculotomy in some cases, particularly in pulmonary stenosis association. However, in complex cases, this standard operative strategy may not provide an adequate exposure. We describe the transaortic approach as an alternative procedure to repair a complex case of double-outlet right ventricle (DORV) with subaortic stenosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data availability

Not applicable.

Code availability

Not applicable.

References

  1. Oladunjoye O, Piekarski B, Baird C, et al. Repair of double outlet right ventricle: Midterm outcomes. J Thorac Cardiovasc Surg. 2019;S0022-5223(19)31694-0.

  2. Kirklin JK, Pacifico AD, Kirklin JW. Intraventricular tunnel repair of double outlet right ventricle. J Card Surg. 1987;2:231–45.

    Article  CAS  Google Scholar 

  3. Uemura H, Yagihara T, Kadohama T, Kawahira Y, Yoshikawa Y. Repair of double outlet right ventricle with doubly-committed ventricular septal defect. Cardiol Young. 2001;11:415–9.

    Article  CAS  Google Scholar 

  4. d’Udekem d’Acoz Y, Pasquet A, Lebreux L, et al. Does right ventricular outflow tract damage play a role in the genesis of late right ventricular dilatation after tetralogy of Fallot repair? Ann Thorac Surg. 2003;76:555–61.

    Article  Google Scholar 

  5. Harlan BJ, Cooley DA. Transaortic repair of double-outlet right ventricle with situs versus, l-loop, l-malposition (I, L, L), subaortic ventricular septal defect, and associated anomalies. J Thorac Cardiovasc Surg. 1976;72:547–52.

    Article  CAS  Google Scholar 

  6. Brizard C. Surgical repair of infundibular ventricular septal defect and aortic regurgitation. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006:153–60.

Download references

Funding

None.

Author information

Authors and Affiliations

  1. Pediatric Cardiac Surgery Department, Vall Hebron University Hospital, Barcelona, Spain

    Joaquín Fernandez-Doblas, Antonio Pamies-Catalan & Raul F. Abella

  2. Pediatric Cardiology Department, Vall Hebron University Hospital, Barcelona, Spain

    Paola Dolader & Queralt Ferrer

Authors
  1. Joaquín Fernandez-Doblas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Antonio Pamies-Catalan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Paola Dolader
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Queralt Ferrer
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Raul F. Abella
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joaquín Fernandez-Doblas.

Ethics declarations

Ethics approval

Not applicable.

Consent to participate

Obtained.

Consent for publication

Obtained.

Statement of human and animal rights

This case report does not contain any studies with animals performed by any of the authors. All procedures performed in this case report were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Surgical technique for repair of a double-outlet right ventricle with doubly committed ventricular septal defect and subaortic stenosis. Fibrous continuity between the leaflets of the aortic and pulmonary valves and fibrous continuity between the aortic and tricuspid valves were presented. First, a continuous suture was performed in the septal aspect of VSD; second, avoiding conduction tissue damage, the suture was continued in the fibrous continuity between the aorta and tricuspid valves; and finally, an interrupted pledgeted suture through the base of the right coronary leaflet was performed to complete the VSD closureSupplementary file1 (MP4 60893 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fernandez-Doblas, J., Pamies-Catalan, A., Dolader, P. et al. Usefulness of transaortic approach for a complex double-outlet right ventricle. Indian J Thorac Cardiovasc Surg 38, 84–86 (2022). https://doi.org/10.1007/s12055-021-01261-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-021-01261-7

Keywords

Search

Navigation