Postoperative appearance after réparation à l’etage
ventriculaire (REV procedure) for treatment of dextrotransposition of
the great arteries, ventricular septal defect, and pulmonary stenosis in
a 26-year-old man. (A) Sagittal oblique maximum intensity
projection (MIP) CT image shows a small pseudoaneurysm (black arrow)
arising from the LV outflow tract. (B) Sagittal oblique MIP
CT image shows mildly dilated RV and RVOT. (C)
Volume-rendered image shows direct implantation of the MPA on the RV
lying anterior to the aorta. The REV procedure is similar to Rastelli
repair, except the pulmonary artery is directly connected with the RV,
avoiding the RV-MPA conduit. Ao = aorta, LV = left ventricle, MPA = main
pulmonary artery, RA = right atrium, RV = right ventricle, RVOT = right
ventricular outflow tract, T = tunnel.