Affiliation:
1. From the Mayo Graduate School of Medicine and the Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55901.
Abstract
The results of complete repair of double-outlet right ventricle with pulmonic stenosis in 22 Mayo Clinic patients were analyzed. The overall mortality rate was 32%. Since 1960, the mortality rate has been reduced to 16%. Anomalies of the distribution of the right coronary artery, a second ventricular septal defect of the atrioventricular canal type, and significant residual pulmonic stenosis were associated with a higher mortality rate. The difficulties in the diagnosis of this uncommon condition are emphasized.
Complete repair is best carried out after the patient is 4 years old. A systemic-to-pulmonary arterial shunt is the procedure of choice for those who are younger than this. In the occasional patient with anomalous distribution of the right coronary artery which precludes adequate relief of the pulmonic stenosis, use of an aortic homograft from the right ventricle to the pulmonary artery should be considered.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Physiology (medical),Cardiology and Cardiovascular Medicine
Reference19 articles.
1. com.atypon.pdfplus.internal.model.plusxml.impl.AuthorGroup@360b0a74
: Double-outlet right ventricle without pulmonic stenosis: Surgical considerations and results of operation. Circulation: In press
2. Surgical treatment of origin of both vessels from right ventricle, including cases of pulmonary stenosis;J Thorac Cardiovasc Surg,1964
3. Anatomic observations on complete form of persistent common atrioventricular canal with special reference to atrioventricular valves;Mayo Clin Proc,1966
4. Early and Late Results After Intracardiac Repair of Tetralogy of Fallot
5. Management of right ventricular outflow tract in severe tetralogy of Fallot;J Thorac Cardiovasc Surg,1970
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