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KMID : 0364019770100010148
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Korean Journal of Thoracic and Cardiovascular Surgery
1977 Volume.10 No. 1 p.148 ~ p.155
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Double-Outlet Right Ventricle with Pulmonary Stenosis DORV (S,D,D), subaortic VSD with PS
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金炯默/Kim, Hyoung Mook
李南洙/宋堯準/Lee, Nam Soo/Song, Yo Joon
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Abstract
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The clinical findings with cardioangiography and successful surgical treatment of a 10 year old girl with double-outlet right ventricle is reported at The Dept. of Thoracic and Cardiovascular Surgery, Korea University Hospital, College of Medicine.
The patient has been suffered from intermittent cyanosis, palpitation, and exertional dyspnea since 1 year after NFSD, and a holosystolic ejection murmur of grade 4 at the left 3rd intercostal space with mild cyanosis of the lips was the only physical findings at the time of this admission. Cardiac catheterization revealed ventricular saptal defect with left to right shunt of 43% and light to left shunt of 10.2% On cardioangiogiaphy from the left ventricle revealed all of the left ventricular outflow shunted into the right ventricle through the large ventricular septal defect, and the aorta originated from the infundibular chamber of the right ventricle with left, anterior sided pulmonary atery. The atria, viscera, and ventricles were normally located, and Tight ventricular out-flow was narrowed with infundibular hypertrophy and pulmonary valvular stenosis.
Surgical correction was accomplished by closure of the ventricular septal defect in such a way that left ventricular outflow was routed via a Teflon felt prosthetic tunnel to the aorta, and pulmonary valvulotomy with infundibulectomy was done to pass Hegar´s dilator No. 15 for reconstruction of the right ventricular outflow tract.
The patient tolerated complete repair and has continued to improve over a period of three months after operation with normal school life. Details of the disease and method of repair are presented with related references.
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