LearningRadiology - Cardiac Surgical Corrective Procedures

Congenital Heart Disease

Surgical Corrective Procedures

· AORTICOPULMONARY WINDOW SHUNT

= side-to-side anastamosis between ascending aorta and left pulmonary artery (reversible procedure) – used in Tetralogy of Fallot

· BLALOCK-HANLON PROCEDURE

= surgical creation of ASD: Complete transposition

· BLALOCK-TAUSSIG SHUNT

= end-to-side anastomosis of subclavian artery to pulmonary artery, performed ipsilateral to innominate artery/opposite to aortic arch: Tetralogy of Fallot, tricuspid atresia c pulmonic stenosis

· FONTAN PROCEDURE

= (1) external conduit from R atrium to pulmonary trunk (= venous return enters pulmonary artery directly) (2) closure of ASD: floor constructed from flap of atrial wall and roof from piece of prosthetic material: Tricuspid atresia

· GLENN SHUNT

= end-to-side shunt between distal end of right pulmonary artery and SVC; reserved for patients with cardiac defects in which total correction is not anticipated: Tricuspid atresia

· POTT SHUNT

= side-to-side anastomosis between descending aorta + left pulmonary artery: Tetralogy of Fallot

· MUSTARD PROCEDURE

= (1) removal of atrial septum (b) pericardial baffle placed into common atrium such that systemic venous blood is rerouted into left ventricle and pulmonary venous return into right ventricle and aorta: Complete Transposition

· RASHKIND PROCEDURE

= balloon atrial septostomy: Complete transposition

· RASTELLI PROCEDURE

= external conduit (Dacron) with porcine valve connecting RV to pulmonary trunk: Transposition

· WATERSON-COOLEY SHUNT

= side-to-side anastomosis between ascending aorta and right pulmonary artery (a) extrapericardial (WATERSON) and (b) intrapericaridial (COOLEY): Tetralogy of Fallot

WH/‘91