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Biventricular repair for double-outlet right ventricle
Alain Serraf1, Emre Belli, François Lacour-Gayet
1Department of Pediatric Cardiac Surgery, Marie-Lannelongue Hospital, Le Plessis-Robinson, France.
Summary
Double-outlet right ventricle (DORV) repair is feasible in most cases with two ventricles. This report details surgical techniques and strategies for all DORV forms, offering insights into biventricular repair.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Double-outlet right ventricle (DORV) is a complex congenital heart defect characterized by an abnormal connection between the ventricles and the great arteries.
- Associated cardiac lesions frequently accompany DORV, influencing surgical approach and outcomes.
- The presence of two ventricles generally indicates the potential for biventricular repair.
Purpose of the Study:
- To describe the surgical techniques for biventricular repair in all forms of double-outlet right ventricle.
- To outline the institutional surgical strategy for managing DORV.
- To provide a comprehensive overview of surgical management for DORV.
Main Methods:
- Review of surgical techniques employed for biventricular repair of DORV.
- Description of the specific surgical strategy utilized at the institution.
- Analysis of various forms of DORV encountered and their repair methods.
Main Results:
- Biventricular repair is feasible in the majority of DORV cases with two ventricles.
- Detailed surgical techniques for diverse DORV presentations are outlined.
- The institutional strategy facilitates comprehensive management of DORV.
Conclusions:
- Biventricular repair represents a viable surgical option for most patients with double-outlet right ventricle.
- A well-defined surgical strategy is crucial for addressing the spectrum of DORV.
- This report offers valuable insights into the surgical management of DORV.