Partial Sternectomy to Prevent Rastelli Conduit Compression in Patients with Conotruncal Anomalies

We report two cases of redo cardiac surgeries in adult patients with conotruncal anomalies (double outlet right ventricle and transposition of the great arteries) with pulmonary stenosis who underwent the Rastelli procedure in childhood. Although the Rastelli operation is one of the best options for the patients, conduit stenosis occasionally developed due to compression by the anterior chest wall. To prevent compression by the sternum, we performed partial sternectomy with Rastelli conduit change.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research