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- Title
RÉPARATION À L'ETAGE VENTRICULAIRE (REV PROCEDURE) IN TRUNCUS ARTERIOSUS.
- Authors
Iliescu, Adrian-Alexandru; Macarescu, Andrei; Balasa, Amanda; Ilovan, Mara-Constantina; Iordache, Teodora; Suciu, Horatiu
- Abstract
Background: The REV (Réparation à l'Etage Ventriculaire) procedure is a modified representation of the Rastelli procedure. This surgical intervention is performed when the congenital malformation "truncus arteriosus" is present, the desired outcome being a partial anatomic reconstruction and total hemodynamic reestablishment. Objectives: To establish a correlation between the patient's anatomy and physiological pulmonary and systemic circulation, relating to the presenting congenital malformation. All this is done in hopes to bring the patient to an optimally functional state. Material and methods: We expose the case of a 26-day old child, diagnosed with type II common arterial trunk, minor truncal valve insufficiency, severe pulmonary hypertension and congestive cardiac insufficiency. Due to the aggravated pulmonary status, the REV procedure is performed despite the patient's very young age. Results: The procedure is conducted using extracorporeal circulation at 28 degrees Celsius; the pulmonary branches are separated and a mixed anastomosis is performed via a patch in the right ventricle (RV). The closing of the septal -ventricle defect is done by right ventriculotomy using a heterologous pericardium patch, this representing the area of pulmonary vascular structure implantation. Conclusion: In extreme situations, when the biological condition threatens the patient's life, surgical treatement remains the last solution.
- Subjects
HEART failure; PULMONARY hypertension; PULMONARY circulation; HUMAN abnormalities; AORTIC valve insufficiency; ARTIFICIAL blood circulation
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p7
- ISSN
2068-3324
- Publication type
Article