Browse > Article

Modified Nikaidoh Procedure for Patient with TGA, Restrictive VSD, and PS  

Jeon, Jae-Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine)
Seong, Yong-Won (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine)
Kim, Woong-Han (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine)
Chang, Hyoung-Woo (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine)
Chung, Eui-Suk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Kwak, Jae-Gun (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital)
Publication Information
Journal of Chest Surgery / v.42, no.1, 2009 , pp. 87-91 More about this Journal
Abstract
The surgical management of complete transposition of the great arteries, ventricular septal defect, and pulmonary stenosis still remain a significant challenge. The Rastelli (REV procedure) remains the most widely applied procedure for surgical repair of these lesions. Although the Rastelli procedure can be performed with good early results, the intermediate- and long-term results have been less than satisfactory because of deterioration of the hemodynamic performance of the LVOT or RVOT. We performed a modified Nikaidoh procedure as an alternative surgical procedure in a 19-month-old boy weighing 10.4 kg with this anomaly. Aortic translocation with biventricular outflow tract reconstruction resulted in a more "normal" anatomic repair and postoperative echocardiography showed straight, direct, and unobstructed ventricular outflow.
Keywords
Congenital heart disease; Transposition of the great vessels; Cardiac septal and ventricular defects; Pulmonary artery stenosis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Nikaidoh H. Aortic translocation and biventricular outflow tract reconstruction. A new surgical repair for transposition of the great arteries associated with ventricular septal defect and pulmonary stenosis. J Thorac Cardiovasc Surg 1984; 88:365-72
2 Morell VO, Jacobs JP, Quintessenza JA. The role of aortic translocation in the management of complex transposition of the great arteries. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2004:7;80-4   DOI   ScienceOn
3 Nido PJ. Aortic root translocation plus arterial switch for transposition of the great arteries with left ventricular outflow tract obstructionand arterial switch procedure for the management of d-transposition and left ventricular outflow obstruction. J Am Coll Cardiol 2007;49:485-90   DOI   ScienceOn
4 Lecompte Y, Neveux JY, Leca F, et al. Reconstruction of the pulmonary outflow tract without a prosthetic conduit. J Thorac Cardiovasc Surg 1982;84:727-33
5 Rychik J, Jacobs ML, Norwood WI. Early changes in ventricular geometry and ventricular septal defect size following Rastelli operation or intraventricular baffle repair for conotruncal anomaly: a cause for development of subaortic stenosis. Circulation 1994;90(Suppl):II13-9
6 Kreutzer C, De Vive J, Oppido G, et al. Twenty-five-year experience with Rastelli repair for transposition of the great arteries. J Thorac Cardiovasc Surg 2000;120:211-23   DOI   ScienceOn
7 Van Son JAM, Sim EKW. Lecompte operation with preservation of the pulmonary valve for anomalies of ventriculoarterial connection with ventricular septal defect and subpulmonary stenosis. Eur J Cardiothorac Surg 1996;10: 585-9   DOI   ScienceOn
8 Yeh T Jr, Ramaciotti C, Leonard SR, Roy L, Nikaidoh H. The aortic translocation (Nikaidoh) procedure: midterm results superior to the Rastelli procedure. J Thorac Cardiovasc Surg 2007;133:461-9   DOI   ScienceOn