Surgical Repair of Double-Outlet Right Ventricle With Doubly Committed Juxtaarterial Ventricular Septal Defect: The Role of Virtual Reality.

Fumiya Yoneyama, Jonathan Awori, Shagun Sachdeva, Kaimal A Jayakumar, Javier Brenes, Jeffery S Heinle

Abstract readCase Reports

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Article in Annals of thoracic surgery short reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Fumiya YoneyamaDepartment of Congenital Heart Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Jonathan AworiDepartment of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Shagun SachdevaDepartment of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Kaimal A JayakumarDepartment of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Javier BrenesDepartment of Congenital Heart Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Jeffery S HeinleDepartment of Congenital Heart Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Identifiers

PMID42027485

DOI10.1016/j.atssr.2025.07.016

PMCPMC13100757

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