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One and half ventricle repair: rationale, indications, and results

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Surgical strategies in patients with functionally or anatomically borderline right ventricles include a high-risk biventricular repair, a Fontan procedure, or a one and half ventricle repair (also referred to as the partial biventricular repair). One and half ventricle repair (1.5VR) circumvents the high early mortality of a biventricular repair and also the late morbidity of the Fontan. The two most common indications for a 1.5VR are a small pulmonary ventricle and a dilated poorly functioning pulmonary ventricle. Extension of 1.5VR to patients undergoing anatomical repair for congenitally corrected transposition of great arteries, straddling tricuspid valves, and severe Ebstein’s anomaly has facilitated biventricular repair with decreased mortality. We reviewed the relevant literature on this subject in detail and describe its rationale, indications and its early and late results.

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Authors and Affiliations

  1. Cardiothoracic Centre, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India

    Sachin Talwar, Bharat Siddharth, Shiv Kumar Choudhary & Balram Airan

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  1. Sachin Talwar
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  2. Bharat Siddharth
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Correspondence to Sachin Talwar.

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All procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this study, formal consent was obtained.

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All authors declare that they have no conflict of interest and do not receive any research grants from any company, have not received a speaker honorarium from any company, do not own any stock in any company and are not members of a committee.

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Talwar, S., Siddharth, B., Choudhary, S.K. et al. One and half ventricle repair: rationale, indications, and results. Indian J Thorac Cardiovasc Surg 34, 370–380 (2018). https://doi.org/10.1007/s12055-017-0628-5

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  • DOI: https://doi.org/10.1007/s12055-017-0628-5

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