TABLE 3

7 Children Who Had a Ladd Procedure

Patient No.Heterotaxy TypePrimary Cardiac DiagnosisScreened for IRAReason for UGISymptomsAge at Symptoms, dUGI ResultsAge at Ladd Procedure, dReason for Ladd ProcedureDegree of MalrotationPresence of VolvulusComplications After Ladd Procedure
A1LIUAVSD, d-TGA, PA, interrupted IVCYesRoutine screeningPositive22ProphylacticIncomplete rotationNoNone
E2RIUAVSD, PS, TAPVRYesSymptomsAbdominal distention5Nonrotation5EmergentNonrotationNoNone
E4RIUAVSD, DORV, PAYesRoutine screeningNonrotation966Prophylactic, combined procedure with GTNonrotationNoNone
E7RIAVSD, DORV, aorta anterior and to the right of pulmonary artery, PS, TAPVRYesSymptomsNot tolerating feeds46Nonrotation95Prophylactic, combined procedure with PDCIncomplete rotationNoNone
S3LIDORV, LAVV atresia, interrupted IVCYesSymptomsBilious vomiting23Nonrotation64EmergentNonrotationNoNone
S5LIDextrocardia, AVSD, hypoplastic arch, interrupted IVCNoAXR suggested free intraperitoneal air2020Prophylactic, combined procedure with emergent laparotomy for query NECNonrotationNoNone
S6RIUAVSD, DORV, PA, obstructed TAPVRYesRoutine screening18Positive18EmergentIncomplete rotationNoNone
  • AVSD, atrioventricular septal defect; AXR, abdominal x-ray; DORV, double outlet right ventricle; d-TGA, dextro-transposition of the great arteries; GT, gastrostomy tube; IVC, inferior vena cava; LAVV; left atrioventricular valve; NEC, necrotizing enterocolitis; PA, pulmonary atresia; PDC, peritoneal dialysis catheter; PS, pulmonary stenosis; TAPVR, total anomalous pulmonary venous return; UAVSD, unbalanced atrioventricular septal defect; —, not applicable.