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Staged Surgical Management of Anatomically Corrected Malposition of Great Arteries
Fabian A Kari1, Saira Siddiqui2, Kanwal M Farooqi2
1Pediatric Cardiac Surgery, NewYork-Presbyterian/Columbia University Medical Center, Morgan Stanley Children's Hospital, New York, NY, USA.
Abstract:
A nine-month-old girl diagnosed with anatomically corrected malposition (atrioventricular discordance, ventriculoarterial concordance, and malposed great arteries) complicated by multiple ventricular septal defects (VSD) and multifactorial left ventricular outflow tract obstruction (LVOTO) presented for management after pulmonary artery banding. She underwent interim palliation in the form of bilateral cavopulmonary connections, a modified Damus-Kaye-Stansel-type anastomosis, and subsequent staged one-and-a-half ventricle repair (1.5 repair) at the age of three years in the form of VSD closure, hemi-Mustard, and LVOTO resection.
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