Damus-Ratelli Procedure for Double Outlet Right Ventricle With Doubly-Committed Subarterial Ventricular Septal Defect

Annals of Thoracic Surgery Short Reports 2026 Open access

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Authors: Hayato Konishi, Akiyo Suzuki, Kanta Kishi, Takamichi Uchiyama, Takahiro Katsumata, Shintaro Nemoto
DOI: 10.1016/j.atssr.2026.01.003
Cited by: 0
References: 6

Abstract

To prevent interventricular rerouting tunnel obstruction after biventricular repair for double outlet right ventricle, it is essential to create a sufficiently straight and wide interventricular rerouting. In cases of the ventricular septal defect extending under both semilunar valves arranged side by side and perpendicular to the outlet septum, conventional rerouting to one semilunar valve may obstruct the other. Herein, we describe our technique for creating an interventricular rerouting tunnel in this rare anatomical configuration by combining rerouting from ventricular septal defect to both semilunar valves and Damus anastomosis. Upon completion, the Rastelli procedure without a conduit was performed.

Fields of Study & Subjects

Congenital Heart Disease Studies Congenital heart defects research Cardiac Arrhythmias and Treatments

Publication details

Journal / source
Annals of Thoracic Surgery Short Reports
Volume
4
Issue
3
Pages
885–888
Publication date
20 January 2026
Language
EN