Internal right ventricular band for multiple ventricular septal defects in a neonate undergoing arterial switch and aortic arch repair.
A neonate presented with d-transposition of the great arteries, aortic arch hypoplasia, aortic coarctation, and multiple ventricular septal defects. During the arterial switch procedure and the aortic arch repair, a fenestrated Gore-Tex disk (W.L. Gore & Assoc, Flagstaff, AZ) was sewn into the right ventricular outflow tract to restrict pulmonary blood flow. The internal right ventricular band successfully controlled the pulmonary blood flow, maintaining a systemic oxygen saturation of 88% to 92%, and allowing growth from 3.5 to 10.5 kg. At 8 months of age, the internal band in the patient was removed, and the ventricular septal defects were successfully closed.
The Annals of thoracic surgery
Aorta, Thoracic; Heart Septal Defects, Ventricular; Humans; Infant, Newborn; Male; Transposition of Great Vessels
Carroll, W. W., Shirali, G. S., Bradley, S. M. Internal right ventricular band for multiple ventricular septal defects in a neonate undergoing arterial switch and aortic arch repair. The Annals of thoracic surgery 91, 289-291 (2011).