Open AccessBulboventricular foramen enlargement: an alternative surgical approach
Author(s) -
Sachin Talwar,
Bharat Siddharth Chigurupati,
Sukhjeet Singh,
Shiv Kumar Choudhary
Publication year - 2018
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-018-0751-y
Subject(s) - ventriculotomy , medicine , interventricular septum , cardiac surgery , vascular surgery , ventricular outflow tract obstruction , cardiothoracic surgery , cardiology , ventricle , foramen , surgery , great arteries , mitral valve
Bulboventricular foramen (BVF) enlargement is often required to enlarge a restrictive interventricular communication in patients with univentricular hearts (UVH) to prevent the development of systemic ventricular outflow tract obstruction (SVOTO). We describe an alternative surgical technique through the transected pulmonary artery without an atriotomy, ventriculotomy or aortotomy that was successfully performed in a patient with double inlet left ventricle (DILV) with malposed great arteries (MPGA) and a restrictive BVF.