Pitfalls in surgical repair of Fallot's tetralogy: The "ventricular subaortic pouch"

被引：0

作者：

Federici, Duccio ^{[1
]}

Ait-Ali, Lamia ^{[2
]}

Ravaglioli, Antonio ^{[1
]}

Festa, Pierluigi ^{[3
]}

Chiappino, Dante ^{[4
,5
]}

Pak, Vitali ^{[1
]}

Clemente, Alberto ^{[4
,5
]}

机构：

[1] Monasterio Fdn, Heart Hosp, Pediat Cardiac Surg, Via Aurelia Sud, I-54100 Massa, Italy

[2] CNR, Inst Clin Physiol, Massa, Italy

[3] Monasterio Fdn, Heart Hosp, Pediat Cardiol & GUCH Unit, Massa, Italy

[4] Monasterio Fdn, Heart Hosp, Imaging Dept, Massa, Italy

[5] Monasterio Fdn, Heart Hosp, Imaging Dept, Pisa, Italy

来源：

JOURNAL OF CARDIAC SURGERY | 2021年 / 36卷 / 06期

关键词：

Fallot-type VSD; surgical anatomy of VSD; ventricular pouch;

D O I：

10.1111/jocs.15480

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Fallot-type ventricular septal defect (VSD) is characterized by anterior malalignment of the outlet septum with variable degree of aortic dextroposition. Correct identification of the borders of the defect is crucial to achieve an optimal surgical repair. We describe a particular postsurgical lesion, identified by cardiac magnetic resonance and cardiac computed tomography, which results from an improper surgical closure technique of anterior malaligned VSD. Based on its anatomical features we defined this entity "subaortic pouch." A comprehensive description of this defect is here provided along with an in-depth analysis of the proper operative technique for Fallot-type VSD repair.

引用

页码：2164 / 2167

页数：4