Language

English

Publication Date

3-1-2026

Journal

Annals of Thoracic Surgery Short Reports

DOI

10.1016/j.atssr.2025.07.016

PMID

42027485

PMCID

PMC13100757

PubMedCentral® Posted Date

8-20-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Double-outlet right ventricle (DORV) with a doubly committed juxtaarterial ventricular septal defect (VSD) presents significant surgical challenges. We report a neonate with DORV, a hypoplastic aortic arch, and a patent ductus arteriosus. Virtual reality (VR) imaging provided detailed visualization, confirming the VSD's position beneath both great arteries. Intraventricular rerouting was unfeasible given the patient's small systemic structures and tricuspid valve chordae. The patient underwent successful VSD closure through a transarterial approach, arterial switch operation, and arch repair. This case highlights the utility of VR-based planning in optimizing surgical strategy for complex congenital heart defects.

Published Open-Access

yes

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