@Article{schd.2026.078290,
AUTHOR = {Kai Luo, Jinghao Zheng, Yanjun Pan, Zhongqun Zhu, Xiaomin He, Hao Zhang},
TITLE = {One-and-a-Half Ventricle Repair with Hemi-Mustard/Bidirectional Glenn/Rastelli Procedure in a Patient with Double Outlet Right Ventricle and Atrioventricular Discordance: A Case Report},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {21},
YEAR = {2026},
NUMBER = {2},
PAGES = {0--0},
URL = {http://www.techscience.com/schd/v21n2/67586},
ISSN = {3071-1738},
ABSTRACT = {Background Double outlet right ventricle (DORV) is a complex congenital heart disease with significant anatomical variations. Patients with atrioventricular discordance have traditionally been managed with univentricular palliation strategies. However, advances in surgical concepts and techniques have enabled biventricular or one-and-a-half ventricle repair in selected patients, even after prior palliation. Case presentation We report a case of a 32-year-old woman with DORV and atrioventricular discordance who successfully underwent conversion to a one-and-a-half ventricle circulation using a combined Hemi-Mustard/Rastelli procedure with preservation of a pre-existing bidirectional Glenn shunt, performed 18 years after initial palliation. Conclusion This case provides insight into the surgical decision-making and technical considerations for managing similarly complex congenital anomalies.},
DOI = {10.32604/schd.2026.078290}
}