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

Federici, Duccio ; Ait‐Ali, Lamia ; Ravaglioli, Antonio ; Festa, Pierluigi ; Chiappino, Dante ; Pak, Vitali ; Clemente, Alberto

Journal of cardiac surgery, 2021-06, Vol.36 (6), p.2164-2167 [Periódico revisado por pares]

United States

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  • Título:
    Pitfalls in surgical repair of Fallot's tetralogy: The “ventricular subaortic pouch”
  • Autor: Federici, Duccio ; Ait‐Ali, Lamia ; Ravaglioli, Antonio ; Festa, Pierluigi ; Chiappino, Dante ; Pak, Vitali ; Clemente, Alberto
  • Assuntos: Fallot‐type VSD ; surgical anatomy of VSD ; ventricular pouch
  • É parte de: Journal of cardiac surgery, 2021-06, Vol.36 (6), p.2164-2167
  • Notas: Duccio Federici and Lamia Ait‐Ali equally collaborate in this manuscript.
  • Descrição: 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.
  • Editor: United States
  • Idioma: Inglês

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