Rastelli operation
Pronunciation: /ras-TEL-ee/
A surgical procedure to repair truncus arteriosus using a conduit to establish continuity between the right ventricle and pulmonary arteries.
Full Definition
The Rastelli operation is the standard surgical repair for truncus arteriosus, involving closure of the ventricular septal defect to direct left ventricular output to the aorta, disconnection of the pulmonary arteries from the truncal vessel, and placement of a valved conduit between the right ventricle and pulmonary arteries. The procedure effectively separates the systemic and pulmonary circulations. The Rastelli operation typically requires conduit replacement as the child grows, and long-term complications include conduit stenosis, regurgitation, and arrhythmias. The operation is named after Italian cardiac surgeon Giancarlo Rastelli.
Usage
Usage note: Specific to truncus arteriosus repair; conduit replacement typically needed as child grows.
In Context
- "The Rastelli operation was performed using a 16mm pulmonary homograft conduit." — Operative note
- "Conduit replacement was required 8 years after the initial Rastelli operation." — Surgical consultation