Intraventricular tunnel repair for Taussig-Bing heart and related cardiac anomalies.
Uncertainty currently exists as to the optimal definitive procedure for treatment of patients with the Taussig-Bing heart and related cardiac anomalies. Between December 1, 1981 and October 1, 1985, we have used a completely intraventricular tunnel repair, without the use of an extracardiac conduit, in nine patients between 1 and 33 months of age. There was one hospital death from low cardiac output in a 1-month-old infant and one late death 11 months after repair from preexisting and progressive right ventricular cardiomyopathy. Six patients had the Taussig-Bing heart and three had transposition of the great arteries with a ventricular septal defect ( VSD). The specific type of tunnel used was determined by the intracardiac anatomy and VSD enlargement was necessary in six patients. Three reoperations were required, two for recurrent VSD between 1 and 3 months after repair and one for tricuspid valve replacement in the patient with right ventricular cardiomyopathy 6 months later. The remaining seven patients are in NYHA class I 1.3 to 47 months postoperatively. We conclude that continued and perhaps expanded use of this technique is appropriate.[1]References
- Intraventricular tunnel repair for Taussig-Bing heart and related cardiac anomalies. Pacifico, A.D., Kirklin, J.K., Colvin, E.V., Bargeron, L.M. Circulation (1986) [Pubmed]
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