Surgery: Multiple VSDs with TGA - Internal RV "band"

The Annals of Thoracic Surgery
Volume 91, Issue 1, January 2011, Pages 289-291

Case reportInternal Right Ventricular Band for Multiple Ventricular Septal Defects in a Neonate Undergoing Arterial Switch and Aortic Arch Repair
William W. Carroll, Girish S. Shirali and Scott M. Bradley

A neonate presented with d-transposition of the great arteries, aortic arch hypoplasia, aortic coarctation, and multiple ventricular septal defects. During the arterial switch procedure and the aortic arch repair, a fenestrated Gore-Tex disk (W.L. Gore & Assoc, Flagstaff, AZ) was sewn into the right ventricular outflow tract to restrict pulmonary blood flow. The internal right ventricular band successfully controlled the pulmonary blood flow, maintaining a systemic oxygen saturation of 88% to 92%, and allowing growth from 3.5 to 10.5 kg. At 8 months of age, the internal band in the patient was removed, and the ventricular septal defects were successfully closed.k

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