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Rastelli procedure

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Title: Rastelli procedure  
Author: World Heritage Encyclopedia
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Subject: Cardiac surgery, Giancarlo Rastelli, Interventional cardiology, Blalock–Hanlon procedure, Cardiotomy
Collection: Cardiac Surgery, Congenital Heart Disease, Pediatrics
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Rastelli procedure

The Rastelli procedure is an open heart surgical procedure developed by Italian physician and cardiac surgery researcher, Giancarlo Rastelli and involves using a pulmonary or aortic homograft conduit to relieve pulmonary obstruction in double outlet right ventricle with pulmonary stenosis (Taussig-Bing heart).

It is used to correct certain combinations of congenital heart defects (CHDs):

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

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 [[

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