NDLI: Late complex biventricular repair after bidirectional cavopulmonary shunt.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Al Qethamy, Howaida O. El Oakley, Reida M. Tageldin, Mohammed M. Abdulhamed, Jassim M. Al Faraidi, Yahya
Description	Author Affiliation: Al Qethamy HO ( Department of Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia. halqethamy26@hotmail.com)
Abstract	A child diagnosed with transposition of great arteries, multiple (Swiss cheese) ventricular septal defects, and a small right ventricle underwent pulmonary artery banding and patent ductus arteriosus ligation at the age of six months. At the age of three years bidirectional cavopulmonary shunt was performed as a first stage for univentricular repair. However, the patient was lost follow-up for four years, following which further evaluation showed that the right ventricle was reasonably adequate to support pulmonary circulation if the ventricular septal defects (VSDs) were closed using percutaneous techniques. Four VSDs were then closed using Amplatzer devices (AGA Medical Corporation, Plymouth, MN, USA). At the age of eight years she underwent complex biventricular repair in the form of arterial switch, closure of atrial septal defect, take down of Glenn shunt, and reanastomosis of the distal end of the superior vena cava to the distal superior vena cava stump on the right atrium. One year later the patient is alive and well. In conclusion; biventricular repair may be considered before completion of Fontan whenever cardiac anatomy allows.
File Format	HTM / HTML
ISSN	08860440
Issue Number	6
Volume Number	23
e-ISSN	15408191
Journal	Journal of Cardiac Surgery
Language	English
Publisher	Wiley
Publisher Date	2008-11-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Cardiology Discipline Surgery Heart Bypass, Right Methods Heart Septal Defects, Ventricular Surgery Heart Ventricles Abnormalities Transposition Of Great Vessels Child Child, Preschool Ductus Arteriosus, Patent Female Fontan Procedure Pathology Humans Infant Pulmonary Artery Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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