| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2005;79:2089-2093
© 2005 The Society of Thoracic Surgeons
a Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania
b The Congenital Heart Institute of Florida, University of South Florida, Tampa, Florida
Accepted for publication November 17, 2004.
* Address reprint requests to Dr Morell, Division of Cardiothoracic Surgery, Children’s Hospital of Pittsburgh, University of Pittsburgh, Room 2820, 3705 Fifth Ave, Pittsburgh, PA 15213 (E-mail: victor.morell{at}chp.edu).
Presented at the Fiftieth Annual Meeting of the Southern Thoracic Surgical Association, Bonita Springs, FL, Nov 13–15, 2003.
BACKGROUND: The surgical management of patients with transposition of the great arteries, ventricular septal defect, and pulmonary stenosis remains a challenge. The Rastelli operation is the preferred surgical procedure, but its long-term results are not optimal. The objective in this retrospective study was to review our experience using aortic translocation and biventricular outflow tract reconstruction as an alternative surgical procedure for the management of these patients.
METHODS: Since January 1996, 12 patients have undergone aortic translocation and biventricular outflow tract reconstruction for the management of transposition of the great arteries, ventricular septal defect, and pulmonary stenosis at our institution. All patients had ventriculoarterial discordance; 9 had atrioventricular concordance and 3 atrioventricular discordance. Associated lesions included a straddling atrioventricular valve in 3 patients. An inlet ventricular septal defect was present in 4 patients. The median age at operation was 2 years. Eight patients had previous palliative procedures. The surgical technique used was a modification of the Nikaidoh procedure. The 3 patients with atrioventricular discordance required a Senning procedure.
RESULTS: There was one hospital death (8.3%) as a result of a massive cerebrovascular accident. The median intensive care unit and hospital stays were 15 and 18 days, respectively. At a median follow-up of 33 months, all patients are alive. Four late reoperations occurred in 3 patients, including two reoperations for conduit obstruction.
CONCLUSIONS: Aortic translocation and biventricular outflow tract reconstruction is a valuable surgical option for the surgical management of patients with transposition of the great arteries, ventricular septal defect, and pulmonary stenosis, especially in the presence of "inadequate anatomy" for a Rastelli repair.
This article has been cited by other articles:
|
|
 |
|
  B. Alsoufi, A. Awan, A. Al-Omrani, M. Al-Ahmadi, C. C. Canver, Z. Bulbul, A. Kalloghlian, and Z. Al-Halees The rastelli procedure for transposition of the great arteries: resection of the infundibular septum diminishes recurrent left ventricular outflow tract obstruction risk. Ann. Thorac. Surg., July 1, 2009; 88(1): 137 - 142. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Di Carlo, Y. Lecompte, B. Tomasco, L. Cohen, and P. Vouhe Surgery for malposition of the great arteries: the REV procedure MMCTS, January 23, 2009; 2009(0123): 3046. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Ando and Y. Takahashi Ten-year experience with handmade trileaflet polytetrafluoroethylene valved conduit used for pulmonary reconstruction. J. Thorac. Cardiovasc. Surg., January 1, 2009; 137(1): 124 - 131. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Davies, G. Oppido, J. L. Wilkinson, and C. P. Brizard Aortic translocation, Senning procedure and right ventricular outflow tract augmentation for congenitally corrected transposition, ventricular septal defect and pulmonary stenosis Eur. J. Cardiothorac. Surg., May 1, 2008; 33(5): 934 - 936. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. O. Morell and P. D. Wearden Nikaidoh operation for transposition of the great arteries with a ventricular septal defect and pulmonary stenosis MMCTS, February 20, 2008; 2008(0220): 2337. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.-S. Hu, Z.-G. Liu, S.-J. Li, X.-d. Shen, X. Wang, J.-p. Liu, F.-X. Yan, L.-q. Wang, and Y.-q. Li Strategy for biventricular outflow tract reconstruction: Rastelli, REV, or Nikaidoh procedure? J. Thorac. Cardiovasc. Surg., February 1, 2008; 135(2): 331 - 338. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Hraska Anatomic Correction of Corrected Transposition {I,D,D} Using an Atrial Switch and Aortic Translocation Ann. Thorac. Surg., January 1, 2008; 85(1): 352 - 353. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.-s. Hu, S.-j. Li, X. Wang, L.-q. Wang, H. Xiong, L.-h. Li, F.-x. Yan, and X. Wang Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction J. Thorac. Cardiovasc. Surg., April 1, 2007; 133(4): 1090 - 1092. [Full Text] [PDF]
|
|
|
|
|
|
T. Yeh Jr, C. Ramaciotti, S. R. Leonard, L. Roy, and H. Nikaidoh The aortic translocation (Nikaidoh) procedure: Midterm results superior to the Rastelli procedure J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 461 - 469. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Bautista-Hernandez, G. R. Marx, E. A. Bacha, and P. J. del Nido Aortic Root Translocation Plus Arterial Switch for Transposition of the Great Arteries With Left Ventricular Outflow Tract Obstruction: Intermediate-Term Results J. Am. Coll. Cardiol., January 30, 2007; 49(4): 485 - 490. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. P. Graham Jr The Year in Congenital Heart Disease J. Am. Coll. Cardiol., June 20, 2006; 47(12): 2545 - 2553. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
