Combined Rastelli and atrial switch procedure: anatomic and physiologic correction of discordant atrioventricular connection associated with ventricular septal defect and left ventricular outflow tract obstruction.

OBJECTIVE

To evaluate our early experience with the combined Rastelli and atrial switch operation for repair of discordant atrioventricular connection associated with ventricular septal defect and left ventricular outflow tract obstruction.

METHODS

Detailed study of the first three cases including preoperative assessment, operative procedure, postoperative progress and follow-up.

RESULTS

All three patients survived and remained in sinus rhythm. Postoperative ITU/hospital stay was 2/8, 5/10 and 33/45 days. The third patient developed a venous pathway obstruction and required balloon dilatation with stenting on the 25th postoperative day. All three patients were well at follow-up examination 21, 6 and 5 months after operation.

CONCLUSIONS

We believe that this operation is likely to become the operation of choice for this combination of lesions. More experience and longer follow-up is needed.