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Updated: May 11, 2026
07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
[REV procedure for complex congenital heart diseases].
Lingjin Huang1, Guoqiang Lin, Jianhui Zhou
1Department of Cardiothoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Summary
The REV procedure is effective for treating transposition of the great arteries (TGA) with ventricular septal defect (VSD) and pulmonary stenosis (PS). This surgical approach demonstrated excellent clinical outcomes with no in-hospital mortality.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
Background:
- Transposition of the great arteries (TGA) is a complex congenital heart defect.
- Associated anomalies like VSD and PS require tailored surgical interventions.
Observation:
- The study evaluated the REV procedure in four TGA patients between May and June 2012.
- Two patients underwent the SWITCH operation for VSD, while two received the REV procedure for PS.
- One patient with atrioventricular discordance underwent the Senning procedure.
Findings:
- No in-hospital mortality was observed.
- The REV procedure group showed the shortest cardiopulmonary bypass and aortic crossclamp times.
- Postoperative echocardiography confirmed physiologic left ventricular outflow tract hemodynamics and normal cardiac function.
Implications:
- The REV procedure is a viable surgical option for TGA with VSD and pulmonary outflow tract obstruction.
- This technique offers potential benefits in reduced surgical times.
- Excellent clinical condition was maintained during follow-up, suggesting long-term efficacy.
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