scholarly journals Re: Three-dimensional fetal echocardiography for prediction of postnatal surgical approach in double outlet right ventricle: a pilot study. V. Zidere, K. Pushparajah, L. D. Allan and J. M. Simpson.Ultrasound Obstet Gynecol2013; 42: 421-425

2013 ◽  
Vol 42 (4) ◽  
pp. 373-374
Author(s):  
H. M. Gardiner
Keyword(s):  
Pilot Study ◽  
Right Ventricle ◽  
Surgical Approach ◽  
Fetal Echocardiography ◽  
Three Dimensional ◽  
Double Outlet Right Ventricle

A Systematic Three-Dimensional Echocardiographic Approach to Assist Surgical Planning in Double Outlet Right Ventricle

2012 ◽  
Vol 30 (2) ◽  
pp. 234-238 ◽  
Author(s):  
Kuberan Pushparajah ◽  
Anna Barlow ◽  
Vi-Hue Tran ◽  
Owen I. Miller ◽  
Vita Zidere ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Double Outlet Right Ventricle

Double-outlet right ventricle

2018 ◽  
pp. 560-565
Author(s):  
Shi-Joon Yoo ◽  
Willem A Helbing
Keyword(s):  
Blood Flow ◽  
Right Ventricle ◽  
Imaging Modality ◽  
Three Dimensional ◽  
Preoperative Assessment ◽  
Quantitative Information ◽  
Double Outlet Right Ventricle ◽  
Surgical Anatomy ◽  
Ventricular Volumes ◽  
The Right

Double-outlet right ventricle (DORV) encompasses a wide variety of abnormalities and requires precise demonstration of the cardiovascular abnormalities using a segmental approach for surgical decision and planning. The most important is whether the left ventricle can be directed surgically to the aorta without obstruction of the pulmonary outflow tract of the right ventricle. Echocardiography is the baseline imaging modality in preoperative assessment of DORV. In complex cases, cardiovascular magnetic resonance (CMR) provides comprehensive information regarding important surgical anatomy, blood flow, and ventricular volumes. Three-dimensional (3D) angiograms and 3D print models may provide undisputable information regarding surgical anatomy and allows practice surgery on the models prior to actual surgery. DORV is frequently associated with post-operative residual findings that require reintervention. CMR is particularly useful in post-operative assessment, as it provides accurate quantitative information regarding ventricular volumes and blood flow for decision and timing of surgical or interventional procedures.

scholarly journals Transthoracic three-dimensional echocardiography for the assessment of straddling tricuspid or mitral valves

2000 ◽  
Vol 10 (6) ◽  
pp. 603-609 ◽  
Author(s):  
Michael Vogel ◽  
Siew Yen Ho ◽  
Christopher Lincoln ◽  
Robert H. Anderson
Keyword(s):  
Right Ventricle ◽  
Three Dimensional ◽  
Double Outlet Right Ventricle ◽  
Left Ventricular ◽  
3D Echocardiography ◽  
Ventricular Septum ◽  
Left Ventricular Volumes ◽  
Cross Sectional ◽  
Atrioventricular Valves ◽  
Atrioventricular Junction

AbstractBackgroundThe advent of 3D echocardiography has provided a technique which, potentially, could afford significant additional information over conventional cross-sectional echocardiography in the assessment of patients with straddling atrioventricular valves prior to surgical correction.MethodsEight patients, aged from 1 month to 9˙2 years, were examined with 3D echocardiography. All but three had discordant ventriculoarterial connections or double outlet right ventricle. Data suitable for reconstruction was acquired with transthoracic scanning. Right and left ventricular volumes were calculated in the 3D dataset.Results3D echocardiography proved capable of defining the exact degree of straddling by imaging theproportion of tension apparatus attached to either side of the ventricular septum. It was able also to display the atrioventricular junction “en face”, thus permitting identification of the precise site of insertion of the muscular ventricular septum relative to the atrioventricular junction. This made it possiblefirst, to calculate the degree of valvar override, and second, to predict the location of the penetrating atrioventricular bundle. End-diastolic volume of the right ventricle in those with straddling tricuspid valves was 73 (61–83)% of normal, and, of the left ventricle in those with mitral valvar straddling 71 (40‐97)% of normal.Conclusions3D echocardiography can aid in planning the optimal surgical procedure in patients with straddling or overrriding atrioventricular valves, as it provides diagnostic information superiorto standard crosssectional techniques. It also allows for exact measurement of the volumes of the respective ventricles.

Surgical management of transposition in the setting of obstruction within the aortic arch

2005 ◽  
Vol 15 (S1) ◽  
pp. 106-110
Author(s):  
Christo I. Tchervenkov
Keyword(s):  
Right Ventricle ◽  
Aortic Arch ◽  
Surgical Management ◽  
Surgical Approach ◽  
Cerebral Perfusion ◽  
Arterial Switch Operation ◽  
Circulatory Arrest ◽  
Double Outlet Right Ventricle ◽  
Switch Operation ◽  
Pulmonary Homograft

The presence of an obstructed aortic arch in patients with transposition, or the Taussig-Bing variant of double outlet right ventricle, presents a formidable surgical challenge. Over the years, there have been several controversies with respect to primary versus staged repair, the best technique for reconstruction of the aortic arch, and whether to use circulatory arrest or antegrade regional cerebral perfusion. In this review, I will address all these issues and describe my favoured surgical approach at The Montreal Children's Hospital, namely the single-stage arterial switch operation with concomitant repair of the aortic arch with a patch fashioned from a pulmonary homograft, all conducted using antegrade regional cerebral perfusion.

Anatomy, echocardiography, and surgical approach to double outlet right ventricle

2008 ◽  
Vol 18 (S3) ◽  
pp. 39-51 ◽  
Author(s):  
William T. Mahle ◽  
Richard Martinez ◽  
Norman Silverman ◽  
Meryl S. Cohen ◽  
Robert H. Anderson
Keyword(s):  
Right Ventricle ◽  
Surgical Approach ◽  
Double Outlet Right Ventricle
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