Damus-Kaye-Stansel: Valuable Option for Retraining of Left Ventricle in Late Arterial Switch for Transposition of the Great Arteries

Arvind Kumar Bishnoi, Kartik Patel, Prashant Agrawal, Chandrasekaran Ananthanarayanan, Pankaj Garg, Himani Pandya

Research output: Contribution to journalArticle

Abstract

Management of dextro-transposition of the great arteries with intact interventricular septum along with regression of the left ventricle remains a challenge. Atrial switch always raises concerns about the fate of the right ventricle as a systemic ventricle in the long run. A two-stage repair with pulmonary artery banding and a modified Blalock-Taussig shunt or a single-stage arterial switch with mechanical support has a higher mortality and morbidity. This report describes a case of a 3-year-old girl with dextro-transposition of the great arteries with intact interventricular septum that was managed by a Damus-Kaye-Stansel procedure with a right bidirectional cavopulmonary anastomosis in the first stage to train the left ventricle, followed by a definitive operation (arterial switch) in the second stage.

Original languageEnglish
Pages (from-to)e389-e391
JournalAnnals of Thoracic Surgery
Volume107
Issue number6
DOIs
Publication statusPublished - 01-06-2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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