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KMID : 0364020070400090624
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Korean Journal of Thoracic and Cardiovascular Surgery
2007 Volume.40 No. 9 p.624 ~ p.628
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The Norwood-Rastelli Procedure for Left Ventricular Outflow Tarct Obstruction with a Ventricular Septal Defect -Three case report-
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Kim Dong Jung
Kim Woong-Han
Kwak Jae-Gun
Oh Se-Jin
Jan Woo-Sung
Kim Dong-Jin
Lee Chang-Ha
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Abstract
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Between 2001 and 2006, 3 neonates that had multilevel left ventricular outflow tract obstruction and a ventricular septal defect underwent the Norwood-Rastelli procedure. The body weights ranged from 2.9 to 3.1 kg. The patients had a near normal sized mitral valve and left ventricle. We simultaneously performed a modified Norwood procedure with native tissues-to-tissue anastomosis without circulatory arrest, and a Rastelli type procedure using a non-valved conduit from the right ventricle to the pulmonary artery and intracardiac patch baffling from the left ventricle to the pulmonary valve via the ventricular septal defect. The postoperative courses were uneventful. During follow-up, there was one late mortality caused by a cardiac catheterization related complication at 7 months after surgery. One patient required a Rastelli conduit change. Two patients are doing well during a follow-up period of 1 and 5 years, respectively
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KEYWORD
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Norwood procedure, Ventricular outflow tract obstruction, left, Aortic atresia
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