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At that time, the procedure was used for patients who had TGA with a ventricular septal defect (VSD). By the late 2000s, the procedure was employed in situations where the right ventricle is bigger than the left ventricle and the left ventricle connects to the pulmonary artery instead of the aorta ; examples include double inlet left ventricle ...
A ventricular septal defect (VSD) is a defect in the ventricular septum, the wall dividing the left and right ventricles of the heart. The extent of the opening may vary from pin size to complete absence of the ventricular septum, creating one common ventricle. The ventricular septum consists of an inferior muscular and superior membranous ...
The Senning procedure is an atrial switch heart operation performed to treat transposition of the great arteries. It is named after its inventor, the Swedish cardiac surgeon Åke Senning (1915–2000), also known for implanting the first permanent cardiac pacemaker in 1958.
This procedure allows the surgeon to keep the left ventricle connected to the systemic circulation while using the pulmonary valve as its outflow valve, by connecting them through the ventricular septal defect. The Yasui procedure includes a modified Damus–Kaye–Stansel procedure to connect the aortic and pulmonary roots, allowing the ...
The procedure involves increasing the size of the pulmonary valve and pulmonary arteries and repairing the ventricular septal defect. [8] In babies who are too small, a temporary surgery may be done with plans for a second surgery when the baby is bigger. [ 8 ]
Overall, the Rastelli procedure has a low initial fatality rate. Conduit blockage, left ventricular outflow tract obstruction and arrhythmia, on the other hand, are linked to significant late morbidity and mortality. [4] Almost half of the patients who received the Rastelli operation required heart transplantation or died two decades later.
The Dor procedure uses a circular suture and a Dacron patch to correct LV aneurysms and exclude scarred parts of the septum and ventricular wall and would prove to be the best option amongst the other methods of ventricular remodeling, i.e. Cooley’s linear suturing and Jatene’s circular external suturing.
Repair of large septal defects (atrial septal defect, ventricular septal defect, atrioventricular septal defect) Repair and/or palliation of congenital heart defects (Tetralogy of Fallot, transposition of the great vessels) Transplantation (heart transplantation, lung transplantation, heart–lung transplantation, liver transplantation)
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