The Rastelli procedure is an open heart surgical intervention developed by Italian cardiac surgeon Giancarlo Rastelli in 1967 at the Mayo Clinic, used to correct certain combinations of congenital heart defects such as transposition of the great arteries or double outlet right ventricle paired with a ventricular septal defect and an obstruction of the right ventricular outflow tract, using a pulmonary or aortic homograft conduit to relieve the obstruction. The first successful Rastelli operation was performed on July 26, 1968, at the Mayo Clinic by Robert Wallace, and the procedure is typically carried out in children between one and two years of age, often after an initial palliative Blalock-Thomas-Taussig shunt.
Facts
FAQs
How does the Rastelli procedure reroute blood flow in the heart?
A baffle closes the ventricular septal defect and sends left ventricular outflow to the aorta, while a valved homograft conduit links the right ventricle to the pulmonary artery.
A Children's Wisconsin reference for medical professionals describes the surgeon sewing a large baffle inside the ventricles. The baffle closes the ventricular septal defect and redirects the outflow of the left ventricle to the aortic valve. A valved homograft conduit then connects the right ventricle to the pulmonary artery.
Connections
Treats
Source Rastelli procedure (Wikipedia)
Source Rastelli procedure (Wikipedia)
Source Rastelli procedure (Wikipedia)
Source Rastelli procedure (Wikipedia)
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Rastelli procedure (Wikipedia)
- Developed by Giancarlo Rastelli in 1967 at Mayo Clinic, article intro
https://en.wikipedia.org/wiki/Rastelli_procedure, lead section
The Rastelli procedure is an open heart surgical procedure developed by Italian physician and cardiac surgery researcher Giancarlo Rastelli, in 1967 at the Mayo Clinic, and involves using a pulmonary or aortic homograft conduit to relieve pulmonary
obstruction in double outlet ri
Treats: Double outlet right ventricle, Usage
It is used to correct certain combinations of congenital heart defects (CHDs): dextro-Transposition of the great arteries (d-TGA), or overriding aorta, or double outlet right ventricle (DORV); and Ventricular septal defect (VSD); and Right ventricular outflow tract obstruction (RVOTO): pulmonary atresia; or pulmonary stenosis; or subpulmonary stenosis.
Treats: Ventricular septal defect, Usage
It is used to correct certain combinations of congenital heart defects (CHDs): dextro-Transposition of the great arteries (d-TGA), or overriding aorta, or double outlet right ventricle (DORV); and Ventricular septal defect (VSD); and Right ventricular outflow tract obstruction (RVOTO): pulmonary atresia; or pulmonary stenosis; or subpulmonary stenosis.
Treats: Dextro-Transposition of the great arteries, Usage
It is used to correct certain combinations of congenital heart defects (CHDs): dextro-Transposition of the great arteries (d-TGA), or overriding aorta, or double outlet right ventricle (DORV); and Ventricular septal defect (VSD); and Right ventricular outflow tract obstruction (RVOTO): pulmonary atresia; or pulmonary stenosis; or subpulmonary stenosis.
Treats: Congenital Heart Defect, Usage
It is used to correct certain combinations of congenital heart defects (CHDs): dextro-Transposition of the great arteries (d-TGA), or overriding aorta, or double outlet right ventricle (DORV); and Ventricular septal defect (VSD); and Right ventricular outflow tract obstruction (RVOTO): pulmonary atresia; or pulmonary stenosis; or subpulmonary stenosis.
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