Left Ventricular Outflow Tract Obstruction (LVOTO)
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Left Ventricular Outflow Tract Obstruction (LVOTO)- Key Points
- Short- and Long-Term Surgical Outcomes
- Ross Procedure
- Homograft/Mechanical Aortic Valve Replacement vs. Ross Procedure
- Discrete Subaortic Membrane
- Tunnel-Like Subaortic Stenosis
- Hypertrophic Obstructive Cardiomyopathy (HOCM)
- Supravalvar Aortic Stenosis
- Embryology
- References
- Anatomy
- Nomenclature and Classification
- Incidence and Significance
- Pathophysiology
- Clinical Presentation
- Diagnosis
- Chest Radiography
- Electrocardiography
- Echocardiography
- Diagnostic Catheterization
- Advanced Imaging (Computerized Axial Tomography or Magnetic Resonance Imaging)
- Natural History Without Treatment
- Treatment
- Valvar Aortic Stenosis
- Critical Aortic Stenosis in the Neonate
- Aortic Valvotomy in the Neonate and Infant
- Valve Replacement Options
- Pulmonary Autograft Replacement of the Aortic Valve (Ross Procedure)
- Homograft Replacement of the Aortic Valve
- Mechanical Valve Replacement
- Subaortic Stenosis
- Supravalvar Aortic Stenosis
- Video Library: Left Ventricular Outflow Tract Obstruction (LVOTO)
- Videos within the chapter
- Three-Sinus Autologous Interdigitating Technique for Supravalvar Aortic Stenosis
- Postition of the Autograft and Homograft in Ross-Konno Procedure
- Supplemental videos
- Valve-Sparing Aortic Root and Ascending Aorta Replacement in a Teenager with Turner Syndrome and Bicuspid Aortopathy
- Surgical Management of an Infant with Severely Stenotic Systemic and Pulmonary Circulation in a case of William’s Syndrome
- Repair of a Complex Unicuspid Aortic Valve using Geometric Ring Annuloplasty
- Transposition of the Great Arteries with Ventricular Septal Defect (TGA-VSD) with or without Left Ventricular Outflow Tract Obstruction (LVOTO)
- Key Points
- Treatment
- Medical Treatment
- Surgical Treatment
- Indication for surgery
- Preoperative management
- Left ventricular conditioning
- Surgical planning and considerations according to anatomic features
- Operative Techniques
- Arterial Switch Operation (ASO) with Relief of LVOTO
- Rastelli Procedure
- REV procedure (Réparation à l’Etage Ventriculaire) (Conal septal resection + LV to aorta intraventricular tunnel + RV to PA direct anastomosis)
- Aortic Root Translocation Procedure (Nikaidoh)
- Atrial Switch Operation
- Transcatheter Treatment
- Introduction
- Outcomes
- Comments and Controversies
- References
- Embryology
- Anatomy
- Nomenclature, Classification
- Incidence, Significance
- Pathophysiology
- Clinical Presentation
- Diagnosis
- Chest Radiography
- Electrocardiography
- Echocardiography
- Diagnostic Catheterization
- Advanced Imaging (Computerized Axial Tomography)
- Advanced Imaging (Magnet Resonance Imaging)
- Natural History Without Treatment
- Surgery for Adults with Congenital Heart Disease (ACHD)
- Table of Contents
- Interrupted Aortic Arch (IAA)
- Transposition of the Great Arteries with Ventricular Septal Defect (TGA-VSD) with Aortic Arch Obstruction
- Congenitally Corrected Transposition of the Great Arteries (ccTGA)
- Transposition of the Great Arteries with Intact Ventricular Septum (TGA-IVS)
- Nomenclature for Pediatric and Congenital Cardiac Care: Unification of Clinical and Administrative Nomenclature
- History of Congenital Heart Surgery
- Databases for Pediatric and Congenital Cardiac Care