Starnes procedure for severe left atrioventricular valve regurgitation

Author:

Nakata Tomohiro1,Ikeda Tadashi1,Doi Hiraku2,Baba Shiro2,Taguchi Shuma2,Sakata Ryuzo1

Affiliation:

1. Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

2. Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan

Abstract

We present the case of a 19-day-old girl with incomplete atrioventricular septal defect, muscular ventricular septal defect, and severe left atrioventricular valve regurgitation. We attempted biventricular repair with left atrioventricular valve repair; however, we could not control the regurgitation. Moreover, the commercially available prosthetic valve was too large to implant. Thus we switched intraoperatively to a univentricular repair. We successfully performed patch closure of the left atrioventricular valve (Starnes procedure), Damus-Kaye-Stansel anastomosis, and a systemic-to-pulmonary artery shunt.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

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