Rastelli procedure

Top

Home > Library > Miscellaneous > Wikipedia

The Rastelli procedure is an open heart surgical procedure developed by Italian physician and cardiac surgery researcher, Giancarlo Rastelli, which is used to correct certain combinations of congenital heart defects (CHDs):

dextro-Transposition of the great arteries (d-TGA), or overriding aorta, or double outlet right ventricle (DORV); and
Ventricular septal defect (VSD); and
Right ventricular outflow tract obstruction (RVOTO):

pulmonary atresia; or
pulmonary stenosis; or
subpulmonary stenosis.

Contents

1 Timing
2 Method
3 References
- 3.1 External links

Timing

The Rastelli procedure is typically performed between one and two years of age. Since d-TGA, overriding aorta, and DORV are cyanotic heart defects, the child is palliated with a Blalock-Taussig shunt in the meantime.

Method

A Gore-Tex patch is used to direct oxygenated blood from the left ventricle to the aorta, while at the same time closing the VSD. The pulmonary valve is surgically closed and an artificial conduit and valve are constructed from the pulmonary bifurcation to the right ventricle, allow oxygen depleted blood to travel to the lungs for reoxygenation.

References

External links

Healthcare science – Medicine · Surgery · Cardiac procedures (ICD-9-CM V3 35-37+89.4+99.6, ICD-10-PCS 02)

Surgery and IC

Heart valves and septa	Valve repair · Valvulotomy · Mitral valve repair · Valvuloplasty (aortic, mitral) Valve replacement - Aortic valve replacement (Ross procedure, Percutaneous aortic valve replacement) · Mitral valve replacement production of septal defect in heart: enlargement of existing septal defect (Atrial septostomy, Balloon septostomy) · creation of septal defect in heart (Blalock-Hanlon procedure) shunt from heart chamber to blood vessel: atrium to pulmonary artery (Fontan procedure) · left ventricle to aorta (Rastelli procedure) · right ventricle to pulmonary artery (Sano shunt) compound procedures: for transposition of great vessels (Jatene procedure, Mustard procedure) · for univentricular defect (Norwood procedure, Kawashima procedure) shunt from blood vessel to blood vessel: systemic circulation to pulmonary artery shunt (Blalock-Taussig shunt) · SVC to the right PA (Glenn procedure)

Cardiac vessels	CHD: Angioplasty · Bypass/Coronary artery bypass (MIDCAB · Off-pump CAB · TECAB) Coronary stent: Bare-metal stent · Drug-eluting stent Bentall procedure · Valve-sparing aortic root replacement

Other	Pericardium: Pericardiocentesis · Pericardial window · Pericardiectomy Myocardium: Cardiomyoplasty · Dor procedure · Septal myectomy · Ventricular reduction · Alcohol septal ablation Conduction system: Maze procedure (Cox maze and minimaze) · Catheter ablation (Cryoablation, Radiofrequency ablation) · Pacemaker insertion Left atrial appendage occlusion · Cardiotomy · Heart transplantation

Diagnostic
tests and
procedures

Electrophysiology: Electrocardiography (Vectorcardiography) · Holter monitor · Cardiac stress test (Bruce protocol) · Electrophysiology study

Cardiac imaging: Angiocardiography · Echocardiography (TTE, TEE) · Myocardial perfusion imaging · Cardiovascular MRI · Ventriculography (Radionuclide ventriculography) · Cardiac catheterization/Coronary catheterization · Cardiac CT · Cardiac PET

sound: Phonocardiogram

Function tests

Impedance cardiography · Ballistocardiography · Cardiotocography

Pacing

Cardioversion · Transcutaneous pacing

M: HRT

anat/phys/devp

noco/cong/tumr, sysi/epon, injr

proc, drug (C1A/1B/1C/1D), blte

This surgery article is a stub. You can help Wikipedia by expanding it.

This entry is from Wikipedia, the leading user-contributed encyclopedia. It may not have been reviewed by professional editors (see full disclaimer)

Donate to Wikimedia

Help us answer these

What do you do after a procedure?

Were can you get procedures?

What is the procedure for that?

How do you do this procedure?

Post a question - any question - to the WikiAnswers community:

Copyrights:

Cite

Wikipedia on Answers.com This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article Rastelli procedure. Read