Abstract
In 1969, Rastelli and colleagues introduced a procedure that bypasses left ventricular outflow tract obstructions (LVOT) in complex congenital heart disease patients [1, 2]. In the first step of the Rastelli procedure, the pulmonary artery is separated from the morphologic left ventricle just above the valve, and the cardiac end of the left ventricular outflow tract is closed. Next, an intraventricular tunnel is created using a patch to redirect blood from the left ventricle across the ventricular septal defect (VSD) into the right ventricle and out into the ascending aorta. Then, the right ventricle is anastomosed to the pulmonary artery with an extracardiac conduit, usually using a pulmonary allograft. In the setting of transposition of the great vessels, this procedure corrects the abnormal blood flow pattern at the ventricular level and allows the left ventricle to function as the systemic ventricle [3].
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References
Konstantinov IE, Rosapepe F, Dearani JA, Alexi-Meskishvili VV, Li J. A tribute to giancarlo rastelli. Ann Thorac Surg. 2005;79:1819–23. doi:10.1016/j.athoracsur.2004.11.037.
Rastelli GC. A new approach to “anatomic” repair of transposition of the great arteries. Mayo Clin Proc. 1969;44:1–12.
Morell VO, Jacobs JP, Quintessenza JA. Surgical management of transposition with ventricular septal defect and obstruction to the left ventricular outflow tract. Cardiol Young. 2005;15 Suppl 1:102–5.
Kreutzer C, De Vive J, Oppido G, Kreutzer J, Gauvreau K, Freed M, et al. Twenty-five-year experience with rastelli repair for transposition of the great arteries. J Thorac Cardiovasc Surg. 2000;120:211–23. doi:10.1067/mtc.2000.108163.
Gaca AM, Jaggers JJ, Dudley LT, Bisset 3rd GS. Repair of congenital heart disease: a primer-part 1. Radiology. 2008;247:617–31. doi:10.1148/radiol.2473061909.
Hughes Jr D, Siegel MJ. Computed tomography of adult congenital heart disease. Radiol Clin North Am. 2010;48:817–35. doi:10.1016/j.rcl.2010.04.005.
Rodriguez E, Soler R, Fernandez R, Raposo I. Postoperative imaging in cyanotic congenital heart diseases: part 1, normal findings. AJR Am J Roentgenol. 2007;189:1353–60. doi:10.2214/07.2104.
Soler R, Rodriguez E, Alvarez M, Raposo I. Postoperative imaging in cyanotic congenital heart diseases: part 2, complications. AJR Am J Roentgenol. 2007;189:1361–9. doi:10.2214/AJR.07.2105.
Spevak PJ, Johnson PT, Fishman EK. Surgically corrected congenital heart disease: utility of 64-MDCT. AJR Am J Roentgenol. 2008;191:854–61. doi:10.2214/AJR.07.2889.
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Mazur, W., Siegel, M.J., Miszalski-Jamka, T., Pelberg, R. (2013). Rastelli Procedure. In: CT Atlas of Adult Congenital Heart Disease. Springer, London. https://doi.org/10.1007/978-1-4471-5088-6_26
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DOI: https://doi.org/10.1007/978-1-4471-5088-6_26
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