Nikaidoh procedure: a perspective

Nikaidoh, Hisashi

doi:10.1093/ejcts/ezw333

Cited by 14 publications

(5 citation statements)

References 26 publications

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“…Complex forms of transposition of the great arteries (TGA) or double outlet right ventricle (DORV) accompanied by left ventricular outflow tract (LVOT) obstruction were rarely amenable to anatomic biventricular repair until the introduction of the Rastelli operation. 1 Although a good solution in most such cases, it has some shortcomings: The left ventricle-aortic valve connection is often curved and vulnerable to stenosis; the right ventricular outflow tract (RVOT) reinterventions are common due to the use of a right ventricle to pulmonary artery (RV-PA) conduit; in addition, it cannot be done when remote/small ventricular septal defect (VSD) or a straddling atrioventricular valve is present. 2 Another option is the R eparation a l'Etage Ventriculaire (REV), but still with the need for an LVOT tunnel, although less prone to stenosis.…”

Section: Central Messagementioning

confidence: 99%

“…This has led to other techniques aiming to restore anatomy closer to the normal biventricular circulation. The Nikaidoh procedure (aortic root translocation [ART]) 1 aligns the LVOT and the aorta; only the aortic annulus is preserved and RVOT reconstruction is with an RV-PA conduit or patch. Likewise, the en bloc rotation (EBR) of the outflow tracts or double root rotation modification 3,4 creates a straight systemic ejection pathway and preserves at least part of the pulmonary annulus and its growth potential.…”

Section: Central Messagementioning

confidence: 99%

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Aortic root translocation and en bloc rotation of the outflow tracts surgery for complex forms of transposition of the great arteries and double outlet right ventricle: A multicenter study

Stoica

Kreuzer

Dorobantu

et al. 2022

The Journal of Thoracic and Cardiovascular Surgery

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Section: Central Messagementioning

confidence: 99%

Section: Central Messagementioning

confidence: 99%

Aortic root translocation and en bloc rotation of the outflow tracts surgery for complex forms of transposition of the great arteries and double outlet right ventricle: A multicenter study

Stoica

Kreuzer

Dorobantu

et al. 2022

The Journal of Thoracic and Cardiovascular Surgery

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“…Other authors perform corrective surgery at a much younger age and prefer to avoid aortopulmonary shuts. 12,13…”

Section: Posterior Aortic Translocation and "En Bloc Rotation" Technimentioning

confidence: 99%

Nikaidoh vs Réparation à l'Etage Ventriculaire vs Rastelli

Hazekamp

Nevvazhay

2018

Seminars in Thoracic and Cardiovascular Surgery: Pediatric Card

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This review describes the different surgical options for transposition of the great arteries, ventricular septal defect (VSD), and left ventricular outflow tract obstruction. When the pulmonary valve can be used, an arterial switch operation with VSD closure and resection of pulmonary stenosis may be possible. This is not the scope of our review: we focus on the Rastelli, REV (Réparation à l'Etage Ventriculaire), and Nikaidoh techniques, and we also describe the "en bloc rotation" technique. Each of these procedures has a different history, and these techniques have not been used uniformly around the world. We describe the advantages and disadvantages of each technique together with their outcomes as reported in the literature. Some forms of transposition of the great arteries, VSD, and left ventricular outflow tract obstruction can only be corrected by the Nikaidoh operation, although this operation can be definitely contraindicated in other instances. Surgical eras and length of follow-up are not the same for all procedures, and there has been surgical bias in choosing 1 technique over another. This makes comparison between techniques difficult, although certain trends are observed.

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“…The Nikaidoh operation 1,2 shows excellent early results; however, long-term changes in the aortic wall remain undefined. We have recently reported the structure and function of the aortic and pulmonary outflows in a patient 12 years after the Nikaidoh operation 3 .…”

Section: Introductionmentioning

confidence: 99%

Structural aortic wall abnormalities following the Nikaidoh operation, which could be reversible and include a healing process

Yacoub,

Afifi,

Hosny

et al. 2023

gcsp

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The Nikaidoh operation continues to be used for patients with transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction. We recently reported structural and functional changes in the aortic root during the follow-up of a patient who underwent the Nikaidoh operation. These changes necessitated re-operation. The pathophysiology of these changes and their potential for reversibility have not yet been studied. In this communication, we describe the extensive structural changes in the aortic wall of the same patient.

show abstract

Nikaidoh procedure: a perspective

Cited by 14 publications

References 26 publications

Aortic root translocation and en bloc rotation of the outflow tracts surgery for complex forms of transposition of the great arteries and double outlet right ventricle: A multicenter study

Aortic root translocation and en bloc rotation of the outflow tracts surgery for complex forms of transposition of the great arteries and double outlet right ventricle: A multicenter study

Nikaidoh vs Réparation à l'Etage Ventriculaire vs Rastelli

Structural aortic wall abnormalities following the Nikaidoh operation, which could be reversible and include a healing process

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