Title: Jhajhria Infundibular Resection Adequacy Assessment Technique (JIRAAT) to assess the adequacy of Right ventricular outflow tract muscle bands resection
Authors: Dr Mohd Javed Banday, Dr Dhananjay K Bansal, Dr Surendra VVBS Chauhan, Dr Narender Singh Jhajhria*, Dr Vijay Gupta, Dr Vijay Grover
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.172
Abstract
Tetrology of Fallot (TOF) and related conditions like Double Chambered Right Ventricle(DCRV), Double Outlet Right Ventricle (DORV) and Ventricular Septal Defect with infundibular Pulmonary Stenosis (VSD PS) are increasingly being repaired through transatrial route because of poor long term results associated with right ventricular approach like increased incidence of arrhythmias and right ventricular dysfunction with the later approach. We have been almost exclusively using transatrial approach since last five years and have modified it a bit. We describe our modification in the intraoperative technique for assessing adequacy of infundiblar muscle resection on the cardioplegic arrested heart, and have named the modification as Jhajhria Infundibular Resection Adequacy Assessment Technique ( JIRAAT). The advantages of such a technique are also discussed.
Keywords: Intracardiac repair, tetralogy of Fallot, TOF, transatrial repair, RVOT, JIRAAT.
References
- Dietl CA, Cazzaniga ME et al. Life threatening arrhythmias and RV dysfunction after surgical repair of tetrology of Fallot. Circulation 1994;5:7–11.
- Stirling GR, Lillehei CW et al. The effects of cardiac bypass and ventriculomy upon right ventricular function. Surg Forum 1957;8:433– 438.
- Hudspeth AS, Cordell AR et al. Transatrial approach to total correction of Tetralogy of Fallot. Circulation 1963; 27:796–800.
- Koushal SK, Iyer KS et al. Significant intraoperative right ventricular outflow gradients after repair of tetrology of fallot: To revise or not to revise? Annals of thoracic surgery 1999;68:1705-1713.
- Koshy S, Sunil GS, Anil SR et al. Tricuspid valve detachment for transatrial closure of ventricular septal defects. Asian Cardiovasc Thorac Ann 2002; 10 (4): 314 – 7.