my daughter has tetralogy of fallots which was correct in 1998 when she was 7 mths. She is now waiting for a date to have another operation. She has to have a resection of her RVOT obstruction and right ventricle to pulmonary artery conduit. Could you tell me if this means she will have the "Rastelli" procedure.
A "Rastelli" operation is a specific set of procedures done at one open heart surgery: a patch is placed to close a ventricular septal defect (VSD) and channel the blood from the left ventricle to the aorta (wherever that is located) and a conduit (tube graft) is placed between the right ventricle and the pulmonary artery branches. Sometimes a Rastelli is done at the initial repair of tetralogy of fallot, but only under certain circumstances. If your daughter is having a reoperation for a recurrent muscle bundle in the right ventricle (RVOT obstruction) and a revision of a true conduit, then she likely had a Rastelli at 7 months of age. This reoperation would not be considered a Rastelli, because the VSD is already closed. It is common for this to happen once children outgrow the conduit that was put in when they were very young.
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