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Yong Jin Kim
Hyun Song
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Kyung Phill Suh
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Ann Thorac Surg 1994;57:876-879
© 1994 The Society of Thoracic Surgeons


Articles

Lecompte procedure for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis

Yong Jin Kim, MD*, Hyun Song, MD, Jeong Ryul Lee, MD, Joon Ryang Rho, MD, Kyung Phill Suh, MD

Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University, Seoul, Korea

Accepted for publication July 15, 1993.

* Address reprint requests to Dr Kim, Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 28, Yongon-Dong, Chongno-Gu, Seoul 110–744, Korea.

From December 1968 to February 1993, 19 patients were treated by the Lecompte procedure for complete transposition of the great arteries associated with a ventricular septal defect and pulmonary stenosis. The mean age at operation was 3.1 ± 0.8 years (mean ± standard error). This technique consisted of resecting the outlet septum, constructing a tunnel that connected the left ventricle to the aorta, closing the proximal pulmonary arterial stump, pulling the distal pulmonary artery down to the right ventriculotomy site directly, and covering anteriorly with the fixed autologous pericardium. Operative mortality was 5.3%. The mean follow-up was 24.2 ± 3 months, with no late death. One reoperation was performed because of residual right ventricular outflow tract obstruction. All survivors were studied by echocardiography at intervals of 6 months to 1 year. In all survivors (except for 1 child who underwent reoperation), the estimated pressure gradient between the right ventricle and the pulmonary artery, the structure of the left ventricular outflow tract, left ventricular function, and right ventricular contractility were all satisfactory.




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