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2014, Number 1

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Rev Cubana Cardiol Cir Cardiovasc 2014; 20 (1)

Left ventricular retraining to prepare a patient for a double switch procedure. Case report

Seijas CJA, Naranjo UA, Marcano SL, Frías GF, Selman-Houssein SE, Bermúdez GG

Language: Spanish
References: 10
Page:
PDF size: 190.76 Kb.


ABSTRACT

Anatomic correction for simple transposition of great arteries surgical treatment should be done before a month of age, after that there is a gradual diminished pulmonary vascular resistances facing of left ventricle with involution of ventricular mass. This is not an optimal situation for arterial switch operation because a high morbimortaliy. This is a report of an infant who couldn’t be operated because an absent of optimal left ventricle for anatomical correction. They received ventricle training first and in a second time, arterial switch operation. Training of left ventricle to support systemic circulation is possible using pulmonary banding and systemic pulmonary shunt.


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