Rastelli

Rastelli procedure is a surgical procedure used to correct certain congenital heart defects in children. Named after its developer, Giancarlo Rastelli, the procedure is typically used to treat conditions such as d-TGA with ventricular septal defect and pulmonary stenosis.

Procedure

The Rastelli procedure involves the use of a conduit to redirect the flow of oxygen-rich blood from the left ventricle to the aorta. A patch is also used to close the ventricular septal defect and redirect the oxygen-poor blood from the right ventricle to the pulmonary artery. This effectively separates the circulations and allows the oxygen-rich blood to be delivered to the body and the oxygen-poor blood to be sent to the lungs for oxygenation.

Indications

The Rastelli procedure is indicated for patients with d-TGA with ventricular septal defect and pulmonary stenosis. It may also be used in patients with double outlet right ventricle and pulmonary stenosis.

Risks and Complications

Like all surgical procedures, the Rastelli procedure carries risks. These may include bleeding, infection, arrhythmia, and heart failure. The conduit and patch used in the procedure may also need to be replaced in the future as the child grows.

See Also

• Congenital heart defect
• Cardiac surgery
• Giancarlo Rastelli

References

Rastelli Resources
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