Ventricular Septation for double inlet ventricle patients

  • Qingyu Wu, First Hospital of Tsinghua University, China
  • Hongyin Li, First Hospital of Tsinghua University, China
  • Xingpeng Chen, First Hospital of Tsinghua University, China
  • Lianyi Wang, First Hospital of Tsinghua University, China
  • Hui Xue, First Hospital of Tsinghua University, China
  • Ping Lu, First Hospital of Tsinghua University, China

    • Objective: To report the experience of septation operation in double inlet ventricle patients.
    Method: Four patients aged from 10 to 19 years old underwent ventricular septation procedure for double inlet ventricle from Jul. 2005 to Oct. 2008. There were two male patients with double inlet ventricle; one of them complicated pulmonary artery stenosis but both patients with normal relationship of the great arteries and two female with corrected transposition of great arteries and pulmonary stenosis. There were not any muscular components of ventricular septum in all patients. Their mean pulmonary artery pressure was over 20mmHg, not suitable for Fontan and Glenn procedure. Isolated septation procedure was performed in one patient. Septation procedure, pulmonary valvulotomy and reconstruction of RVOT were in one patient. Sepation and Restalli procedures were in the other two patients.
    Result: Three patients survived and are doing well. One patient died 17days after the operation because of the bleeding of gastro-intestinal tract and renal failure.
    Conclusion: Septation procedure can get good result for some patients with double inlet ventricle and PA pressure not suitable for Fontan or Glenn procedures.