Rastelli Procedure
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The Rastelli procedure (named after Rastelli who developed it in 1969) is most commonly used in severe Tetralogy of Fallot and Pulmonary Atresia/VSD but is also used in Truncus Arteriosus and TGA/VSD with pulmonary stenosis. The procedure involves repairing the previous palliative procedure (if there has been one - eg. closing a BT shunt in pulmonary atresia/VSD) and then the VSD is closed and the pulmonary artery connected to the right ventricle using a a homograft (cadaver valve) or, more recently, a bovine vein graft has been used as an alternative. The homograft wears out eventually and so requires replacement.
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This page was last edited 14/2/2004 |
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