Rastelli procedure
Encyclopedia
The Rastelli procedure is an open heart
surgical procedure developed by Italian
physician
and cardiac
surgery research
er, Giancarlo Rastelli
, which is used to correct certain combinations of congenital heart defects
(CHDs):
s, the child is palliated with a Blalock-Taussig shunt
in the meantime.
patch is used to direct oxygen
ated blood
from the left ventricle
to the aorta
, while at the same time closing the VSD. The pulmonary valve
is surgically closed and an artificial conduit and valve are constructed from the pulmonary bifurcation to the right ventricle
, allow oxygen depleted blood to travel to the lungs for reoxygenation.
Open Heart Surgery
Open Heart Surgery was released on August 8, 2000 by rock band Virginwool. The band signed to Breaking/Atlantic Records after initially beginning signed to Universal Records. The album was produced and mixed by Brad Wood....
surgical procedure developed by Italian
Italian people
The Italian people are an ethnic group that share a common Italian culture, ancestry and speak the Italian language as a mother tongue. Within Italy, Italians are defined by citizenship, regardless of ancestry or country of residence , and are distinguished from people...
physician
Physician
A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments...
and cardiac
Human heart
The human heart is a muscular organ that provides a continuous blood circulation through the cardiac cycle and is one of the most vital organs in the human body...
surgery research
Research
Research can be defined as the scientific search for knowledge, or as any systematic investigation, to establish novel facts, solve new or existing problems, prove new ideas, or develop new theories, usually using a scientific method...
er, Giancarlo Rastelli
Giancarlo Rastelli
Giancarlo Rastelli was a cardiac surgeon. He was the creator of the Rastelli procedure. He died of cancer at just 36 years of age. At the time of his death he was the head of cardiovascular surgical research at the Mayo Clinic. He has been suggested for sainthood by the Catholic Church, and his...
, which is used to correct certain combinations of congenital heart defects
Congenital heart defect
A congenital heart defect is a defect in the structure of the heart and great vessels which is present at birth. Many types of heart defects exist, most of which either obstruct blood flow in the heart or vessels near it, or cause blood to flow through the heart in an abnormal pattern. Other...
(CHDs):
- dextro-Transposition of the great arteriesDextro-Transposition of the great arteriesdextro-Transposition of the great arteries , sometimes also referred to as complete transposition of the great arteries, is a birth defect in the large arteries of the heart...
(d-TGA), or overriding aortaOverriding aortaAn overriding aorta is a congenital heart defect where the aorta is positioned directly over a ventricular septal defect, instead of over the left ventricle....
, or double outlet right ventricleDouble outlet right ventricleDouble outlet right ventricle is a form of congenital heart disease where both of the great arteries connect to the right ventricle...
(DORV); and - Ventricular septal defectVentricular septal defectA ventricular septal defect is a defect in the ventricular septum, the wall dividing the left and right ventricles of the heart.The ventricular septum consists of an inferior muscular and superior membranous portion and is extensively innervated with conducting cardiomyocytes.The membranous...
(VSD); and - Right ventricular outflow tract obstruction (RVOTO):
-
-
- pulmonary atresiaPulmonary atresiaPulmonary atresia is a congenital malformation of the pulmonary valve in which the valve orifice fails to develop. The valve is completely closed thereby obstructing the outflow of blood from the heart to the lungs. The pulmonary valve is located on the right side of the heart between the right...
; or - pulmonaryHuman lungThe human lungs are the organs of respiration in humans. Humans have two lungs, with the left being divided into two lobes and the right into three lobes. Together, the lungs contain approximately of airways and 300 to 500 million alveoli, having a total surface area of about in...
stenosisStenosisA stenosis is an abnormal narrowing in a blood vessel or other tubular organ or structure.It is also sometimes called a stricture ....
; or - subpulmonary stenosis.
- pulmonary atresia
-
Timing
The Rastelli procedure is typically performed between one and two years of age. Since d-TGA, overriding aorta, and DORV are cyanotic heart defectCyanotic heart defect
A cyanotic heart defect is a group-type of congenital heart defects . The patient appears blue , due to deoxygenated blood bypassing the lungs and entering the systemic circulation...
s, the child is palliated with a Blalock-Taussig shunt
Blalock-Taussig shunt
The Blalock–Taussig shunt is a surgical procedure to give palliation to cyanotic heart defects which are common causes of blue baby syndrome...
in the meantime.
Method
A Gore-TexGore-Tex
Gore-Tex is a waterproof/breathable fabric, and a registered trademark of W. L. Gore and Associates. It was co-invented by Wilbert L. Gore, Rowena Taylor, and Gore's son, Robert W. Gore. Robert Gore was granted on April 27, 1976, for a porous form of polytetrafluoroethylene with a...
patch is used to direct oxygen
Oxygen
Oxygen is the element with atomic number 8 and represented by the symbol O. Its name derives from the Greek roots ὀξύς and -γενής , because at the time of naming, it was mistakenly thought that all acids required oxygen in their composition...
ated blood
Blood
Blood is a specialized bodily fluid in animals that delivers necessary substances such as nutrients and oxygen to the cells and transports metabolic waste products away from those same cells....
from the left ventricle
Left ventricle
The left ventricle is one of four chambers in the human heart. It receives oxygenated blood from the left atrium via the mitral valve, and pumps it into the aorta via the aortic valve.-Shape:...
to the aorta
Aorta
The aorta is the largest artery in the body, originating from the left ventricle of the heart and extending down to the abdomen, where it branches off into two smaller arteries...
, while at the same time closing the VSD. The pulmonary valve
Pulmonary valve
The pulmonary valve is the semilunar valve of the heart that lies between the right ventricle and the pulmonary artery and has three cusps. Similar to the aortic valve, the pulmonary valve opens in ventricular systole, when the pressure in the right ventricle rises above the pressure in the...
is surgically closed and an artificial conduit and valve are constructed from the pulmonary bifurcation to the right ventricle
Right ventricle
The right ventricle is one of four chambers in the human heart. It receives deoxygenated blood from the right atrium via the tricuspid valve, and pumps it into the pulmonary artery via the pulmonary valve and pulmonary trunk....
, allow oxygen depleted blood to travel to the lungs for reoxygenation.