An open heart surgical procedure developed by Giancarlo Rastelli.
Rastelli procedure is used to correct certain combinations of congenital heart defects (CHDs).
The Common Indications for which Rastelli’s procedure is done are,
1. dextro-Transposition of the great arteries (d-TGA), or overriding aorta, or double outlet right ventricle (DORV); and
2. Ventricular septal defect (VSD); and
3. Right ventricular outflow tract obstruction (RVOTO):
* pulmonary atresia; or
* pulmonary stenosis; or
* subpulmonary stenosis.
When To Do..??
The Rastelli procedure is typically performed between one and two years of age. Since d-TGA, overriding aorta, and DORV are cyanotic heart defects, the child is palliated with a Blalock-Taussig shunt till Rastelli’s procedure is done.
How To Do..??- The Complete Rastelli’s procedure
A Gore-Tex patch is used to direct oxygenated 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 re-oxygenation.
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