Almanac of Clinical MedicineAlmanac of Clinical Medicine2072-05052587-9294Moscow Regional Research and Clinical Institute (MONIKI)108010.18786/2072-0505-2019-47-027Surgical treatment for the single ventricle with subaortic obstruction. Clinical case of the Damus-Kaye-Stansel procedureBykovS. E.<p>Sergey E. Bykov - Cardiac Surgeon, Department of Cardiac Surgery No 1.</p><p>151 Moskovskiy prospekt, Voronezh, 394066</p>bykov_s@bk.ruhttps://orcid.org/0000-0002-7516-0207KovalevS. A.<p>Sergey A. Kovalev - MD, PhD, Professor, Head of Department of Cardiac Surgery No 2; Chair of Hospital Therapy, Faculty of Medicine.</p><p>151 Moskovskiy prospekt, Voronezh, 394066; 10 Studencheskaya ul., Voronezh, 394036</p><p>n</p>kovalev@okb.vrn.ruhttps://orcid.org/0000-0001-8200-0351GryaznovD. Yu.<p>Denis Yu. Gryaznov - Cardiac Surgeon, Department of Cardiac Surgery No 11.</p><p>151 Moskovskiy prospekt, Voronezh, 394066</p>fuflomycin@gmail.comhttps://orcid.org/0000-0002-3224-1680KorosanE. I.<p>Elena I. Korosan - MD, PhD, Pediatric Cardiologist, Department of Cardiac Surgery No 1.</p><p>151 Moskovskiy prospekt, Voronezh, 394066</p>el_ko2004@mail.ruhttps://orcid.org/0000-0003-2196-811XNovickW. M.<p>William M. Novick - MD, Pediatric Cardiac Surgeon3</p><p>62 South Dunlap, Memphis, TN 38163, Tennessee</p>bill.novick@cardiac-alliance.orghttps://orcid.org/0000-0002-4506-6113Voronezh Regional Hospital No 1Voronezh State Medical University named after
N.N. BurdenkoUniversity of Tennessee Health Science Center160920194743763792307201923072019Copyright © 2019, Bykov S.E., Kovalev S.A., Gryaznov D.Y., Korosan E.I., Novick W.M.2019<p>We present a case of hemodynamic correction for the single ventricle combined with subaortic obstruction and coarctation in an infant. The Damus-Kaye-Stansel procedure with modified double-barrel technique was performed. The pulmonary flow was provided with modified Blalock-Taussig shunt. The early postoperative period was characterized by multiple organ failure. Subsequently, the infant underwent the next stages of hemodynamic correction with good long-term results.</p>single ventriclesubaortic obstructionDamus-Kaye-Stansel procedureединый желудочек сердцасубаортальная обструкцияпроцедура Damus -Kaye - Stansel[1. Fujii Y, Kasahara S, Kotani Y, Takagaki M, Arai S, Otsuki S, Sano S. Double-barrel Damus-Kaye-Stansel operation is better than end-to-side Damus-Kaye-Stansel operation for preserving the pulmonary valve function: the importance of preserving the shape of the pulmonary sinus. J Thorac Cardiovasc Surg. 2011;141(1): 193–9. doi: 10.1016/j.jtcvs.2010.06.007.][2. McElhinney DB, Reddy VM, Silverman NH, Hanley FL. Modified Damus-Kaye-Stansel procedure for single ventricle, subaortic stenosis, and arch obstruction in neonates and infants: midterm results and techniques for avoiding circulatory arrest. J Thorac Cardiovasc Surg. 1997;114(5): 718–25. doi: 10.1016/S0022-5223(97)70075-8.][3. Alsoufi B. Management of the single ventricle and potentially obstructive systemic ventricular outflow tract. J Saudi Heart Assoc. 2013;25(3): 191–202. doi: 10.1016/j.jsha.2013.05.003.][4. Simon BV, Swartz MF, Alfieris GM. Damus-Kaye-Stansel procedure avoids coronary obstruction in complex D-transposition. J Card Surg. 2018;33(11): 756–8. doi: 10.1111/jocs.13937.][5. Fukuchi S, Uemura S, Tsuruta Y, Matsukawa R, Tateno S, Hamada H, Ohta F. Damus-Kaye-Stan-sel procedure following Van Praagh (PA-descending Ao shunt) for complete transposition of the great arteries, hypoplastic aortic arch and coarctation. Kyobu Geka. 1994;47(3): 182–6.][6. Parvathy U, Balakrishnan KR, Ranjith MS. Bi-directional Glenn with a modified Damus-Kaye-Stansel procedure – an alternative technique for transposition of great arteries, intact ventricular septum with left ventricular outflow tract obstruction. Indian Heart J. 1998;50(5): 554–6.][7. Yang CK, Jang WS, Choi ES, Cho S, Choi K, Nam J, Kim WH. The clinical outcomes of Damus-Kaye-Stansel procedure according to surgical technique. Korean J Thorac Cardiovasc Surg. 2014;47(4): 344–9. doi: 10.5090/kjtcs.2014.47.4.344.][8. Kalfa D, Vergnat M, Baruteau AE, Belli E. Damus anastomosis associated with REV/Rastelli procedure allows to extend indications for anatomical repair in complex transposition of great arteries. Interact Cardiovasc Thorac Surg. 2014;18(6): 844–6. doi: 10.1093/icvts/ivu049.][9. Зеленикин МА, Волков СС, Гущин ДК. Опыт выполнения операции Фонтена после процедуры Damus–Kaye–Stansel. Детские болезни сердца и сосудов. 2013;(3): 55–8.][10. Корноухов ОЮ, Ильин ВН. Эффективность метода Damus-Stensel-Kaye у пациентов с унивентрикулярной гемодинамикой и подаортальной обструкцией. Российский вестник перинатологии и педиатрии. 2016;61(3): 151.][11. Alsoufi B, Al-Wadai A, Khan M, Al-Ahmadi M, Kalloghlian A, Bulbul Z, Al-Fayyadh M, Al-Halees Z. Outcomes of Damus-Kaye-Stansel anastomosis at time of cavopulmonary connection in single ventricle patients at risk of developing systemic ventricular outflow tract obstruction. Eur J Cardiothorac Surg. 2014;45(1): 77–82. doi: 10.1093/ejcts/ezt251.][12. Lee MG, Brizard CP, Galati JC, Iyengar AJ, Rakhra SS, Konstantinov IE, Pflaumer A, d'Udekem Y. Outcomes of patients born with single-ventricle physiology and aortic arch obstruction: the 26-year Melbourne experience. J Thorac Cardiovasc Surg. 2014;148(1): 194–201. doi: 10.1016/j.jtcvs.2013.07.076.][13. Fiore AC, Rodefeld M, Vijay P, Turrentine M, Seithel C, Ruzmetov M, Brown JW. Subaortic obstruction in univentricular heart: results using the double barrel Damus-Kaye Stansel operation. Eur J Cardiothorac Surg. 2009;35(1): 141–6. doi: 10.1016/j.ejcts.2008.09.037.]