Year: 2024
Type: article
Abstract: The Rastelli procedure, which involves baffle closure of the ventricular septal defect (VSD) to the aorta, ligation of the pulmonary artery (PA) above the valve, and placement of a right ventricle (RV)–to–PA conduit, is a standard surgical technique for congenital dextro-transposition of the great arteries (D-TGA) with VSD and pulmonary stenosis.1 The procedure creates a PA stump at the end that communicates with systemic circulation. Although prior literature has described that thrombi can form in ligated PA stumps in patients undergoing the Fontan operation in which thromboembolism can be attributed to low-flow state in the venous pathway, the risk for thromboembolism may be considered low in the PA stump connected to systemic circulation in clinical practice.
Source: CASE
Authors: Weijia Li, Xuan Guan, James Nguyen, Kelvin Lee
Institutions: AdventHealth Orlando, AdventHealth for Children
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $950
OpenAlex ID: W4392594587