Ventricular Outflow Tract

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Edward L Bove - One of the best experts on this subject based on the ideXlab platform.

  • Ventricular Outflow Tract obstruction interrupted aortic arch with Ventricular septal defect: Management of left Selective management of the left Ventricular Outflow Tract for repair of
    2013
    Co-Authors: Caren S. Goldberg, Carlen A Gomez, Eric J Devaney, Richard G. Ohye, Toru Ishizaka, Edward L Bove, Takaaki Suzuki, Paul N Nathan
    Abstract:

    DOI:€10.1016/j.jtcvs.2005.11.038 J Thorac Cardiovasc Surg 2006;131:779-784 Caren S. Goldberg, Carlen A. Gomez and Edward L. Bove Takaaki Suzuki, Richard G. Ohye, Eric J. Devaney, Toru Ishizaka, Paul N. Nathan,Ventricular Outflow Tract obstruction interrupted aortic arch with Ventricular septal defect: Management of left Selective management of the left Ventricular Outflow Tract for repair ofhttp://jtcs.ctsnetjournals.org/cgi/content/full/131/4/779 located on the World Wide Web at: The online version of this article, along with updated information and services, is

  • selective management of the left Ventricular Outflow Tract for repair of interrupted aortic arch with Ventricular septal defect management of left Ventricular Outflow Tract obstruction
    The Journal of Thoracic and Cardiovascular Surgery, 2006
    Co-Authors: Takaaki Suzuki, Caren S. Goldberg, Paul N Nathan, Carlen A Gomez, Eric J Devaney, Richard G. Ohye, Toru Ishizaka, Edward L Bove
    Abstract:

    Objective Left Ventricular Outflow Tract obstruction remains an early and late complication after repair of interrupted aortic arch and Ventricular septal defect. We reviewed our experience with the selective management of the infundibular septum during primary repair to address left Ventricular Outflow Tract obstruction. Methods From 1991 through 2001, all 27 patients presenting with interrupted aortic arch/Ventricular septal defect and posterior deviation of the infundibular septum were analyzed. Fifteen patients with the smallest subaortic areas underwent myectomy or myotomy of the infundibular septum concomitant with interrupted aortic arch/Ventricular septal defect repair. Results Patients undergoing myectomy-myotomy (Group I) had significantly smaller subaortic diameter indexes (0.83 ± 0.16 cm/m 2 ) when compared with those who had only interrupted aortic arch/Ventricular septal defect repair (group 2: 0.99 ± 0.13 cm/m 2 , P = .012). Two hospital deaths occurred in group 1, and 1 occurred in group 2. No late deaths occurred. No patient in group 2 required reoperation. Six group 1 patients required 9 reoperations for left Ventricular Outflow Tract obstruction. Five patients underwent resection of a new subaortic membrane. Only 1 patient had recurrent muscular left Ventricular Outflow Tract obstruction. Three patients required a second reoperation, primarily related to aortic valve stenosis. Conclusions Interrupted aortic arch/Ventricular septal defect with posterior malalignment of the infundibular septum can be repaired with low mortality in the neonatal period. Tailored to the degree of subaortic narrowing, resection or incision of the infundibular septum at the time of primary repair was very effective in preventing or prolonging the interval to recurrent left Ventricular Outflow Tract obstruction compared with the published data. However, reoperation for left Ventricular Outflow Tract obstruction, often related to the development of a new and discrete subaortic membrane or valvar stenosis, is still required in a subset of patients.

Bo Yang - One of the best experts on this subject based on the ideXlab platform.

  • Management of Ruptured Left Ventricular Outflow Tract.
    The Annals of thoracic surgery, 2019
    Co-Authors: Dexi Yan, Alexander A. Brescia, Juan Caceres, Linda Farhat, Bo Yang
    Abstract:

    Left Ventricular Outflow Tract pseudoaneurysm is a potentially fatal complication after aortic root replacement. Challenges surrounding multiple reoperations on the aortic root include sternal reentry, bleeding, valve positioning, compression of coronary arteries, and navigating concomitant interventions. We present a 27-year-old patient with mechanical valves in the aortic and mitral positions and a left main coronary artery drug-eluting stent for left main compression after being diagnosed with rheumatic heart disease at age 16. She underwent a fourth redo modified Bentall procedure with a homemade mechanical composite graft for the contained rupture of an left Ventricular Outflow Tract pseudoaneurysm.

Feng Liu - One of the best experts on this subject based on the ideXlab platform.

Ma Jian - One of the best experts on this subject based on the ideXlab platform.

Takaaki Suzuki - One of the best experts on this subject based on the ideXlab platform.

  • Ventricular Outflow Tract obstruction interrupted aortic arch with Ventricular septal defect: Management of left Selective management of the left Ventricular Outflow Tract for repair of
    2013
    Co-Authors: Caren S. Goldberg, Carlen A Gomez, Eric J Devaney, Richard G. Ohye, Toru Ishizaka, Edward L Bove, Takaaki Suzuki, Paul N Nathan
    Abstract:

    DOI:€10.1016/j.jtcvs.2005.11.038 J Thorac Cardiovasc Surg 2006;131:779-784 Caren S. Goldberg, Carlen A. Gomez and Edward L. Bove Takaaki Suzuki, Richard G. Ohye, Eric J. Devaney, Toru Ishizaka, Paul N. Nathan,Ventricular Outflow Tract obstruction interrupted aortic arch with Ventricular septal defect: Management of left Selective management of the left Ventricular Outflow Tract for repair ofhttp://jtcs.ctsnetjournals.org/cgi/content/full/131/4/779 located on the World Wide Web at: The online version of this article, along with updated information and services, is

  • selective management of the left Ventricular Outflow Tract for repair of interrupted aortic arch with Ventricular septal defect management of left Ventricular Outflow Tract obstruction
    The Journal of Thoracic and Cardiovascular Surgery, 2006
    Co-Authors: Takaaki Suzuki, Caren S. Goldberg, Paul N Nathan, Carlen A Gomez, Eric J Devaney, Richard G. Ohye, Toru Ishizaka, Edward L Bove
    Abstract:

    Objective Left Ventricular Outflow Tract obstruction remains an early and late complication after repair of interrupted aortic arch and Ventricular septal defect. We reviewed our experience with the selective management of the infundibular septum during primary repair to address left Ventricular Outflow Tract obstruction. Methods From 1991 through 2001, all 27 patients presenting with interrupted aortic arch/Ventricular septal defect and posterior deviation of the infundibular septum were analyzed. Fifteen patients with the smallest subaortic areas underwent myectomy or myotomy of the infundibular septum concomitant with interrupted aortic arch/Ventricular septal defect repair. Results Patients undergoing myectomy-myotomy (Group I) had significantly smaller subaortic diameter indexes (0.83 ± 0.16 cm/m 2 ) when compared with those who had only interrupted aortic arch/Ventricular septal defect repair (group 2: 0.99 ± 0.13 cm/m 2 , P = .012). Two hospital deaths occurred in group 1, and 1 occurred in group 2. No late deaths occurred. No patient in group 2 required reoperation. Six group 1 patients required 9 reoperations for left Ventricular Outflow Tract obstruction. Five patients underwent resection of a new subaortic membrane. Only 1 patient had recurrent muscular left Ventricular Outflow Tract obstruction. Three patients required a second reoperation, primarily related to aortic valve stenosis. Conclusions Interrupted aortic arch/Ventricular septal defect with posterior malalignment of the infundibular septum can be repaired with low mortality in the neonatal period. Tailored to the degree of subaortic narrowing, resection or incision of the infundibular septum at the time of primary repair was very effective in preventing or prolonging the interval to recurrent left Ventricular Outflow Tract obstruction compared with the published data. However, reoperation for left Ventricular Outflow Tract obstruction, often related to the development of a new and discrete subaortic membrane or valvar stenosis, is still required in a subset of patients.