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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 6/2019

01-06-2019 | Case Report

Anatomical correction of atrioventricular discordance using three-dimensional replica

Authors: Tai Fuchigami, Masahiko Nishioka, Toru Akashige, Mami Nakayashiro, Nobuhiro Nagata

Published in: General Thoracic and Cardiovascular Surgery | Issue 6/2019

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Abstract

Surgical experience with {S,L,D} segmental anatomy of atrioventricular discordance with double-outlet right ventricle is extremely rare. In addition to ordinary cardiac examination, we reviewed electrophysiological studies and a three-dimensional cardiac replica (crossMedical, Inc., Kyoto, Japan). Consequently, we preoperatively confirmed the intracardiac rerouting line and the appropriate right ventricle incision line. A Senning procedure, intracardiac rerouting, and subaortic stenosis resection were performed in a 2.6-year-old patient (weight, 10.6 kg). The three-dimensional cardiac replica contributed definitively to the anatomical correction.
Literature
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Fuchigami T, Nishioka M, Takahashi K, Akashige T, Nagata N. Hypoplastic left heart syndrome with right ventricle compression. Ann Thorac Surg. 2015;100:e15.17.CrossRef
2.
Yeh T Jr, Connelly MS, Coles JG, Webb GD, McLaughlin PR, Freedom RM, et al. Atrioventricular discordance: results of repair in 127 patients. J Thorac Cardiovasc Surg. 1999;117:1190.1203.
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Sharma R, Marwah A, Shah S, Maheshwari S. Isolated atrioventricular discordance: surgical experience. Ann Thorac Surg. 2008;85:1403.1406.CrossRef
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Fujita T, Fukushima S, Fukushima N, Shiraishi I, Kobayashi J. Three-dimensional replica of corrected transposition of the great arteries for successful heart transplantation. J Artif Organs. 2017;20:289.291.CrossRefPubMed
Metadata
Title
Anatomical correction of atrioventricular discordance using three-dimensional replica
Authors
Tai Fuchigami
Masahiko Nishioka
Toru Akashige
Mami Nakayashiro
Nobuhiro Nagata
Publication date
01-06-2019
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 6/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-018-0944-8

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