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(Circulation. 1973;48:III-19.)
© 1973 American Heart Association, Inc.

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Surgical Treatment of Double-Outlet Left Ventricle

Report of Four Cases

ALBERT D. PACIFICO M.D.¹; JOHN W. KIRKLIN M.D.¹; L. M. BARGERON JR. M.D.¹; BENIGNO SOTO M.D.¹

¹ From the Departments of Surgery, Pediatric Cardiology, and Diagnostic Radiology, School of Medicine and Medical Center, University of Alabama in Birmingham, Birmingham, Alabama.

Four patients with double-outlet left ventricle and ventricular septal defect have been successfully corrected surgically. Three of the patients had pulmonary stenosis, and one did not. Three patients had d-position of the great arteries, and one patient had l-position with the aorta anterior and to the left. Surgical correction was accomplished by repairing the ventricular septal defect, closing the connection between left ventricle and pulmonary artery, and creating a conduit between right ventricle and pulmonary artery. The preferred conduit is a composite valved one.

Key Words: d-Position • l-Position • Valved synthetic conduits