We report a long-term survivor with Uhl's anomaly who underwent one and a half ventricle repair combined with a partial right ventriculectomy in infancy, followed by successful total cavopulmonary conversion with right ventricular exclusion 5 years later. The combination of total cavopulmonary connection and right ventricular exclusion could be the optimal surgical option for a critically ill infant with Uhl's anomaly.
UhlHS. A previously undescribed congenital malformation of the heart: almost total absence of the myocardium of the right ventricle. Bull Johns Hopkins Hosp1952; 91: 197–209
2.
IkariNMAzekaEAielloVDAtikEBarbero-MarcialMEbaidM. Uhl's anomaly. Differential diagnosis and indication for cardiac transplantation in an infant. Arq Bras Cardiol2001; 77: 69–76
3.
YoshiiSSuzukiSHosakaSOsawaHTakahashiWTakizawaKA case of Uhl anomaly treated with one and a half ventricular repair combined with partial right ventriculectomy in infancy. J Thorac Cardiovasc Surg2001; 122: 1026–8
4.
HoffmanDSistoDFraterRNikolicS. Left-to-right ventricular interaction with a noncontracting right ventricle. J Thorac Cardiovasc Surg1994; 107: 1496–502
TanoueYKadoHShiokawaY. Uhl's anomaly complicated with critical ventricular arrhythmia in a 2-month-old infant. Eur J Cardiothorac Surg2003; 24: 1040–2
7.
SanoSIshinoKKawadaMKasaharaSKohmotoTTakeuchiMTotal right ventricular exclusion procedure: An operation for isolated congestive right ventricular failure. J Thorac Cardiovasc Surg2002; 123: 640–7