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The '''Rastelli procedure''' is an [[open heart surgery|open heart]] [[surgical]] procedure developed by [[Italian people|Italian]] [[physician]] and [[cardiac]] surgery [[research]]er, [[Giancarlo Rastelli]], which is used to correct certain combinations of [[congenital]] [[congenital heart defect|heart defects]] ('''CHD'''s):
#[[dextro-Transposition of the great arteries]] ('''d-TGA'''), ''or'' [[overriding aorta]], ''or'' [[double outlet right ventricle]] ('''DORV'''); '''''and'''''
#[[Ventricular septal defect]] ('''VSD'''); '''''and'''''
#[[Right ventricular outflow tract obstruction]] ('''RVOTO'''):
::*[[pulmonary atresia]]; ''or''
::*[[pulmonary]] [[stenosis]]; ''or''
::*[[sub-|sub]]pulmonary stenosis.

==Timing==
The Rastelli procedure is typically performed between one and two years of age. Since d-TGA, overriding aorta, and DORV are [[cyanotic heart defect]]s, the child is palliated with a [[Blalock-Taussig shunt]] in the meantime.

==Method==
A [[Gore-Tex]] patch is used to direct [[oxygen]]ated [[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 [[wikt:conduit|conduit]] and valve are constructed from the [[pulmonary bifurcation]] to the [[right ventricle]], allow oxygen depleted blood to travel to the lungs for reoxygenation.

==References==
===External links===
*[http://www.chw.org/display/PPF/DocID/21367/router.asp Children's Hospital of Wisconsin: Rastelli Procedure]
*[http://heart.healthcentersonline.com/pediatricheartsurgery/rastelliprocedure.cfm HeartCenterOnline: Rastelli Procedure]
{{surgery-stub}}
{{Cardiac surgery procedures}}
[[Category:Surgery]]
[[Category:Cardiology]]
[[Category:2Fix]]