Changing results and concepts in the surgical treatment of double-outlet right ventricle: analysis of 137 operations in 126 patients.

摘要: Abstract One hundred thirty-seven operations (98 repairs and 39 preliminary or palliative operations) were performed for double-outlet right ventricle (DORV) with concordant atrioventricular connection from January 1967 through July 1982, 36 hospital deaths (26%). Sixteen (12% of the total 137 nonrepair uncorrectable malformations. “Classic” DORV was palliated rather than repaired only when there severe left ventricular mitral hypoplasia both (n = 4). Incremental risk factors death after repair this subset entire period 42) included young age at operation, type era. In current era (1978 1982), 1 (5%; 70% confidence limits 0.7 to 17%) occurred among 19 patients; incremental evident in patients Thus, results are good all subsets, even infants, except Taussig-Bing heart. For condition, a that does not include venous switch is recommended.