Damus-Kaye-Stansel: Valuable option for retraining of Left ventricle in late arterial switch for Transposition of great arteries

Publication date: Available online 24 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Arvind Kumar Bishnoi, Kartik Patel, Prashant Agrawal, Chandrasekaran Ananthanarayanan, Pankaj Garg, Himani PandyaAbstractManagement of Transposition of great vessels (d-TGA) with intact interventricular septum along with regression of left ventricular (LV) remains a challenge. Atrial switch always raises concern of fate of right ventricle as a systemic ventricle in long run. Two stage repair with pulmonary artery banding and modified Blalock-Taussig shunt or single stage arterial switch with mechanicalsupporthas a higher mortality and morbidity. Here, we report a case of 3 year girl with d-TGA with IVS managed by Damus-Kaye-Stansel with right bidirectional. cavopulmonary anastomosis in first stage to train LV followed by definitive surgery (arterial switch) in second stage
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research