HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Amirghofran, A. A. Articles by Stark, J. Search for Related Content PubMed PubMed Citation Articles by Amirghofran, A. A. Articles by Stark, J.

European Journal of Cardio-Thoracic Surgery, Vol 11, 588-590, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Replacement of right ventricle to pulmonary artery and right atrium to right ventricle homograft after a modified Rastelli operation

AA Amirghofran and J Stark
Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, London, UK.

The patient, a 17 year old boy, had undergone a Rastelli operation for transposition of the great arteries plus ventricular septal defect and left ventricular outflow tract obstruction at the age of 7 years. Associated tricuspid valve stenosis was treated with insertion of a second homograft shortly after the Rastelli operation. The patient remained symptom-free for 10 years, when he suffered femoral artery embolus. Investigation showed severe obstruction of both conduits and biventricular dysfunction with thrombus in the left ventricle. After embolectomy and stabilisation of his general condition and prolonged treatment with heparin, he underwent uneventful replacement of the two conduits. He remains well, 8 months after the operation.