Starnes procedure for severe left atrioventricular valve regurgitation.

• 发表时间: Feb 2017
• 来源期刊: Asian Cardiovasc Thorac Ann
• DOI: 10.1177/0218492315604545
• PMID: 26347547
• 文章类型: Case Reports
• 作者列表: Nakata T,Ikeda T,Doi H,Baba S,Taguchi S,Sakata R

关键词: Damus-Kaye-Stansel anastomosis; Left atrioventricular valve regurgitation; Multiple abnormalities; Starnes procedure; newborn

Mesh: Cardiac Surgical Procedures; Echocardiography, Doppler, Color; Female; Heart Septal Defects / diagnostic imaging physiopathology surgery; Heart Septal Defects, Ventricular / diagnostic imaging physiopathology surgery; Hemodynamics; Humans; Infant, Newborn; Mitral Valve / diagnostic imaging physiopathology surgery; Mitral Valve Insufficiency / diagnostic imaging physiopathology surgery; Recovery of Function; Severity of Illness Index; Treatment Outcome

Abstract

We present the case of a 19-day-old girl with incomplete atrioventricular septal defect, muscular ventricular septal defect, and severe left atrioventricular valve regurgitation. We attempted biventricular repair with left atrioventricular valve repair; however, we could not control the regurgitation. Moreover, the commercially available prosthetic valve was too large to implant. Thus we switched intraoperatively to a univentricular repair. We successfully performed patch closure of the left atrioventricular valve (Starnes procedure), Damus-Kaye-Stansel anastomosis, and a systemic-to-pulmonary artery shunt.