JTCS Speed Up Your Browser
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Yasunaru Kawashima
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hirooka, K.
Right arrow Articles by Kawashima, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hirooka, K.
Right arrow Articles by Kawashima, Y.

J Thorac Cardiovasc Surg 1995;109:530-535
© 1995 Mosby, Inc.

SURGERY FOR CONGENITAL HEART DISEASE

Biventricular repair in cardiac isomerismReport of seventeen cases

Kazunobu Hirooka, MD, Toshikatsu Yagihara, MD, Hirofumi Kishimoto, MD, Fumitaka Isobe, MD, Fumio Yamamoto, MD, Kyoichi Nishigaki, MD, Osamu Matsuki, MD, Hideki Uemura, MD, Yasunaru Kawashima, MD


Osaka, Japan

From the Division of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.

Received for publication July 9, 1993. Accepted for publication August 26, 1994. Address for reprints: Kazunobu Hirooka, MD, Tsuchiura Kyodo General Hospital, Manabe-shinnmachi, 11 Tsuchiura, Ibaraki, 300, Japan.

Abstract

Ninety-three patients with cardiac isomerism were treated surgically from July 1985 to June 1991. Among them, three patients with right and 14 with left isomerism underwent biventricular repair. Ages ranged from 4 months to 41 years (mean 4.8 years). Anatomic repair was accomplished in 15 patients and functional repair with the right ventricle used as the systemic ventricle in two patients. Methods of atrial septation to separate pulmonary venous flow from systemic venous flow included atrial partition with a straight patch in seven patients, intraatrial rerouting with a tailored baffle in five, and a Mustard-type atrial switch in five. One hospital death (5.8%) and two late (12%) occurred. Two patients required reoperation (12%), one reconstruction of a stenotic systemic venous connection and one mitral valve replacement because of incompetence. Surgically induced complete atrioventricular block was not observed in any of the patients. Optimal atrial septation offers the possibility of biventricular repair for patients with acceptable intraventricular structure. (J THORACCARDIOVASCSURG1995; 109: 530-5)




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
M. Koh, T. Yagihara, H. Uemura, K. Kagisaki, I. Hagino, T. Ishizaka, and S. Kitamura
Biventricular repair for right atrial isomerism.
Ann. Thorac. Surg., May 1, 2006; 81(5): 1808 - 1816.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
T.-J. Yun, O. O. Al-Radi, I. Adatia, C. A. Caldarone, J. G. Coles, W. G. Williams, J. Smallhorn, and G. S. Van Arsdell
Contemporary management of right atrial isomerism: Effect of evolving therapeutic strategies
J. Thorac. Cardiovasc. Surg., May 1, 2006; 131(5): 1108 - 1113.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
J. S.L. Lim, B. W. McCrindle, J. F. Smallhorn, F. Golding, C. A. Caldarone, M. Taketazu, and E. T. Jaeggi
Clinical Features, Management, and Outcome of Children With Fetal and Postnatal Diagnoses of Isomerism Syndromes
Circulation, October 18, 2005; 112(16): 2454 - 2461.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Oshima, M. Yamaguchi, N. Yoshimura, S. Oka, and Y. Ootaki
Anatomically corrective repair of complete atrioventricular septal defects and major cardiac anomalies
Ann. Thorac. Surg., August 1, 2001; 72(2): 424 - 429.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
T. Gilljam, B. W. McCrindle, J. F. Smallhorn, W. G. Williams, and R. M. Freedom
Outcomes of left atrial isomerism over a 28-year period at a single institution
J. Am. Coll. Cardiol., September 1, 2000; 36(3): 908 - 916.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Uemura, S. Y. Ho, R. H. Anderson, and T. Yagihara
Ventricular morphology and coronary arterial anatomy in hearts with isomeric atrial appendages
Ann. Thorac. Surg., May 1, 1999; 67(5): 1403 - 1411.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
J. A. van Son, J. Hambsch, and F. W Mohr
Extracardiac Repair of Complex Unroofed Coronary Sinus
Asian Cardiovasc Thorac Ann, March 1, 1998; 6(1): 52 - 53.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. A. M. van Son, J. Hambsch, and F. W. Mohr
Repair of Complex Unroofed Coronary Sinus by Anastomosis of Left to Right Superior Vena Cava
Ann. Thorac. Surg., January 1, 1998; 65(1): 280 - 280.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Carotti, B. Marino, G. Oppido, and C. Marcelletti
Biventricular repair in patients with left isomerism
J. Thorac. Cardiovasc. Surg., October 1, 1995; 110(4): 1151 - 1152.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1995 by The American Association for Thoracic Surgery.