Apil Aorta Pulmonary Artery Left Sub-Pulmonic Atrium Right Sub-Pulmonic Atrium Left Sub-Aortic Ventricle Right Sub-Aortic Ventricle Show 2018003-01 Myocardium Show 2018003-02 Myocardium Show Heart Information
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Diagnosis

1. Orientation: Situs inversus totalis; dextrocardia; Infero-posterior morphologic LV,
supero-anterior morphologic RV; Right aortic arch with mirror-image branching

2. Segmental anatomy: Complex TGA: Concordant A-V, discordant V-A connections: posterior pulmonary valve, anterior aortic valve, with ventricular L-loop

3. Shunts: Secondum ASD; Membranous VSD

4. Pulmonary stenosis; subpulmonary outflow tract obstruction.

Procedure

1. Patch closure of membranous VSD, tunnel-like connection of LV to aorta; pulmonary valvotomy and excision of fibrous tissue from the RVOT,
closure of secundum ASD;

2. Removal of VSD patch, Morrow-like incision on the ventricular septum; closure of VSD,
Relief of subpulmonic outflow obstruction; transvenous atrial and ventricular pacemaker insertion