Abstract
Surgical re-intervention for progressive left ventricular outflow tract obstruction after a standard biventricular repair of aortic arch obstruction and ventricular septal defect is rare but can occur. In this situation, left ventricular outflow bypass surgery can be performed to relieve left ventricular outflow tract obstruction by creating an intraventricular baffle to channel the re-opened ventricular septal defect to the pulmonary valve, Damus-Kaye-Stansel anastomosis, and right ventricle-to-pulmonary artery connection with a valved conduit. This strategy, termed as “Yasui conversion,” is a safe and useful alternative procedure for selected patients. Surgical re-intervention for progressive left ventricular outflow tract obstruction after a standard biventricular repair of aortic arch obstruction and ventricular septal defect is rare but can occur. In this situation, left ventricular outflow bypass surgery can be performed to relieve left ventricular outflow tract obstruction by creating an intraventricular baffle to channel the re-opened ventricular septal defect to the pulmonary valve, Damus-Kaye-Stansel anastomosis, and right ventricle-to-pulmonary artery connection with a valved conduit. This strategy, termed as “Yasui conversion,” is a safe and useful alternative procedure for selected patients.
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