Abstract
Surgical treatment of double-outlet right ventricle is one of the most complex issues of modern pediatric cardiac surgery. Because of wide anatomical variability a standard approach to its surgical treatment is absent. Assessment of intracardiac structures which define indications and contraindications to each type of operation is crucial. Nowadays any protocols or standard approaches for decisionmaking for specific anatomy of the disease are absent. In this article we present revision algorithm of intracardiac structures determining the possibility of performing appropriate operation as well as surgical decision-making for each type of the disease.
References
- Stewart S. Double-outlet right ventricle. A collective review with a surgical viewpoint. J. Thorac. Cardiovasc. Surg. 1976; 71: 355–65. DOI: 10.1016/s0022-5223(19)40199-2
- Wilcox B.R., Ho S.Y., Macartney F.J., Becker A.E., Gelis L.M., Anderson R.H. Surgical anatomy of double-outlet right ventricle with situs solitus and atrioventricular concordance. J. Thorac. Cardiovasc. Surg. 1981; 82: 405–17. DOI: 10.1016/s0022-5223(19)39330-4
- Ebadi A., Spicer D.E., Backer C.L., Fricker F.J., Anderson R.H. Double-outlet right ventricle: revisited. J. Thorac. Cardiovasc. Surg. 2017; 2: 598–604. DOI: 10.1016/j.jtcvs.2017.03.049
- Lev M., Bharati S., Meng C.C.L., Libethson R.P., Paul M.H., Idriss F. A concept of double outlet right ventricle. J. Thorac. Cardiovasc. Surg. 1972; 64: 271–81. DOI: 10.1016/s0022-5223(19)41769-8
- Walters H.L. III, Mavroudis C., Tchervenkov C.I., Jacobs J.P., Lacour-Gayet F., Jacobs M.L. Congenital heart surgery nomenclature and database project: double outlet right ventricle. Ann. Thorac. Surg. 2000; 69: S249–63. DOI: 10.1016/s0003-4975(99)01247-3
- Li S., Ma K., Hu S., Hua Z., Yang K., Yan J., Chen Q. Surgical outcomes of 380 patients with double outlet right ventricle who underwent biventricular repair. J. Thorac. Cardiovasc. Surg. 2014; 3: 817–24. DOI: 10.1016/j.jtcvs.2014.06.020
- Serraf A., Belli E., Lacour-Gayet F., Zoghbi J., Planche C. Biventricular repair for double-outlet right ventricle. Pediatr. Card. Surg. Ann. Sem. Thorac. Cardiovasc. Surg. 2000; 3: 43–56. DOI: 10.1053/tc.2000.6039
- Lacour-Gayet F. Biventricular repair of double outlet right ventricle with noncommitted ventricular septal defect. Pediatr. Card. Surg. Ann. Semin. Thorac. Cardiovasc. Surg. 2002; 5: 163–72. DOI: 10.1053/pcsu.2002.31491
- Belli E., Serraf A., Lacour-Gayet F., Hubler M., Zoghby J., Houyel L., Planche C. Double-outlet right ventricle with noncommitted ventricular septal defect. Eur. J. Cardiothorac. Surg. 1999; 15: 747–52. DOI: 10.1016/s1010-7940(99)00100-1
- Barbero-Marcial M., Tanamati C., Atik E., Ebaid M. Intraventricular repair of double-outlet right ventricle with noncommitted ventricular septal defect: advantages of multiple patches. J. Thorac. Cardiovasc. Surg. 1999; 118: 1056–67. DOI: 10.1016/s0022-5223(99)70102-9
- Serraf A., Nakamura T., Lacour-Gayet F., Piot D., Bruniaux J., Touchot A. et al. Surgical approach for double-outlet right ventricle or transposition of the great arteries associated with straddling atrioventricular valves. J. Thorac. Cardiovasc. Surg. 1996; 111: 527–35. DOI: 10.1016/s0022-5223(96)70304-5
- Imamura M., Drummond-Webb J.J., Sarris G.E., Murphy D.J., Mee R.B.B. Double-outlet right ventricle with complete atrioventricular canal. Ann. Thorac. Surg. 1998; 66: 942–4. DOI: 10.1016/s0003-4975(98)00625-0
- Artrip J.H., Sauer H., Campbell D.N., Mitchell M.B., Haun C., Almodovar M.C. et al. Biventricular repair in double outlet right ventricle: surgical results based on the STS-EACTS International Nomenclature classification. Eur. J. Cardiothorac. Surg. 2006; 29: 545–50. DOI: 10.1016/j.ejcts.2005.12.038
- Freedom R.M., Van Arsdell G.S. Biventricular hearts not amenable to biventricular repair. Ann. Thorac. Surg. 1988; 66: 641–3. DOI: 10.1016/s0003-4975(98)00620-1
- Ruzmetov M., Rodefeld M.D., Turrentine M.W., Brown J. Rational approach to surgical management of complex forms of double outlet right ventricle with modified Fontan operation. Congenit. Heart Dis. 2008; 3: 397–403. DOI: 10.1111/j.1747-0803.2008.00220.x
About the authors
- Konstantin V. Shatalov, Dr. Med. Sc., Professor, Head of Department, ORCID
- Konstantine M. Dzhidzhikhiya, Cand. Med. Sc., Cardiovascular Surgeon, ORCID
