Clinical Procedure
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Primary Biventricular Repair (BVR) : This approach consists of a Stansel (aka Damus anastomosis) with arch augmentation as necessary. The VSD baffles LV output through both the aortic and pulmonary valves into the systemic circulation. An RV to PA homograft completes the repair. This approach was first described by Yasui. The clear advantage of neonatal BVR is the early establishment of circulation in series. Subjecting a hypoplastic LV to normal or near normal preload allows for postnatal growth toward normal.
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Apr 15, 2013