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Rastelli Palliative Procedure

The operation is based on a redirection of ventricular outflows using an intracardiac baffle that tunnels the left ventricle to the aorta and an external valved conduit that connects the right ventricle and the pulmonary trunk.

Indications include:
Dextro-transposition of the great arteries (d-TGA) associated with ventricular septal defect (VSD) and some degree of left ventricular outflow tract (LVOT) obstruction.
Cardiac lesions characterized by two ventricles and an overriding aorta with pulmonary outflow tract obstruction pulmonary atresia with VSD (PA-VSD).
Truncus Arteriosus
Tetralogy of Fallot
Double outlet right ventricle with pulmonary stenosis or atresia.