Pulmonary root translocation in malposition of great arteries repair allows right ventricular outflow tract growth

Silva, José Pedro da; Silva, Luciana da Fonseca da; Lopes, Lílian Maria; Moreira, Luíz Felipe Pinho; Canêo, Luiz Fernando; Franchi, Sônia Meiken; Lianza, Alessandro Cavalcanti; Baumgratz, José Francisco; Magalhaes, Jefferson Duarte Flavio

doi:10.1016/j.jtcvs.2011.11.027

Cited by 18 publications

(13 citation statements)

References 23 publications

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“…Various techniques have been described in literature for managing the patient with ccTGA, VSD with PS. Correction of atrioventricle discordance is corrected by atrial switch and ventriculoarterial discordance can be corrected by various defined procedures such as Rastelli procedure, the REV (reparation al'etage ventriculaire) or Lecompte procedure, aortic translocation, Metras procedure, 1 and pulmonary root translocation (PRT).…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary root translocation in corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis with dextrocardia

et al. 2020

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We present 13 years old with history of cyanosis and diagnosis of congenitally corrected transposition of great arteries with ventricle septal defect and pulmonary stenosis with dextrocardia. He underwent modified Senning procedure with pulmonary root translocation. Postoperative recovery was uneventful and was extubated on postoperative day 1. Patient remained in sinus rhythm. Postoperative echocardiography showed good biventricular function with no baffle obstruction and mild pulmonary regurgitation with no significant left and right outflow tract obstruction. Patient was discharged on postoperative day 6 and remained asymptomatic on follow up at 3 months.

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Section: Discussionmentioning

confidence: 99%

“…4 Long term results reported with reintervention free survival of 82.9% at 12 years. 1 Hence PRT seems to be good alternative in-patient with ccTGA, VSD, and PS.…”

Section: Surgical Techniquementioning

confidence: 94%

Pulmonary root translocation in corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis with dextrocardia

et al. 2020

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“…Coronary artery manipulation is also not required. Long-term follow-up data demonstrated high long-term survival and adequate pulmonary root growth [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, we used an in situ autologous pericardium patch during the RVOT reconstruction because of the expected growth potential. However, a major drawback is the possible formation of aneurysmal dilatation of the pericardial hood [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Root Translocation with the Lecompte Maneuver: For Transposition of the Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis

Yoon

Kim

Shim

et al. 2015

Korean J Thorac Cardiovasc Surg

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A five-month-old boy who had undergone previously transcatheter balloon atrioseptostomy at 3 days of age for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis underwent pulmonary root translocation with the Lecompte maneuver. This operation has the advantages of maintaining pulmonary valve function, preserving the capacity for growth, and avoiding problems inherent to the right ventricular to pulmonary artery conduit. This patient progressed well for 9 months postoperatively and we report this case of pulmonary root translocation with the Lecompte maneuver.

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“…11 In this context, the translocated pulmonary valve after PRT is an ideal substitute for an RV to PA conduit especially with the potential for growth. 7,8,11…”

Section: Commentmentioning

confidence: 99%

Early Experience With Pulmonary Root Translocation in Transposition of the Great Arteries With Left Ventricular Outflow Tract Obstruction

Dharmapuram

Ramakrishnan

Goutami

et al. 2021

World J Pediatr Congenit Heart Surg

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Background: The optimal surgical management of patients with transposition of the great arteries (TGA), ventricular septal defect (VSD), and left ventricular outflow tract obstruction (LVOTO) is debatable. This is our initial experience with pulmonary root translocation (PRT), a technique that aims to preserve the pulmonary valve function. Methods: From July 2012 to October 2019, 16 patients underwent anatomical repair for TGA, VSD, and LVOTO. The median age was 12 months (range: 7 months to 13 years), and the median weight was 7.75 kg (range: 5.6-29.5 kg). Thirteen patients had a diagnosis of d-TGA and three had congenitally corrected transposition of the great arteries (cc-TGA). The surgical technique involved PRT from the left ventricle (LV) to the right ventricle and routing the LV to the aorta. The left ventricular outflow tract orifice resulting from the pulmonary root extraction was closed with a pericardial patch. In patients with cc-TGA, an atrial switch operation was added. A bidirectional Glenn was necessary in four patients with a long LV to aorta tunnel. One patient required a transannular patch to reconstruct the right ventricular outflow tract (RVOT). Results: The median follow-up was 27 months. There was one hospital death due to residual mitral regurgitation. One patient died at home four months after hospital discharge. The remaining patients are doing well with adequate RVOT function and no valve regurgitation. Conclusions: Complete correction of TGA, VSD, and LVOTO using PRT was achieved with acceptable risk in patients with pliable and nondysplastic pulmonary valve. The translocated pulmonary root performed well in this short follow-up.

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Pulmonary root translocation in malposition of great arteries repair allows right ventricular outflow tract growth

Abstract: PRT is a good surgical alternative for treatment of patients with TGA complexes, VSD, and PS, with acceptable operative risk, high long-term survivals, and few reinterventions. Most patients had adequate pulmonary root growth and performance.

Cited by 18 publications

References 23 publications

Pulmonary root translocation in corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis with dextrocardia

Pulmonary root translocation in corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis with dextrocardia

Pulmonary Root Translocation with the Lecompte Maneuver: For Transposition of the Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis

Early Experience With Pulmonary Root Translocation in Transposition of the Great Arteries With Left Ventricular Outflow Tract Obstruction

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