Repair of transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction

Lee, Jeong Ryul; Lim, Hong Gook; Kim, Yong Jin; Rho, Jeong Ok; Bae, Eun Jung; Noh, Chung Il; Yun, Yong Soo; Ahn, Curie

doi:10.1016/j.ejcts.2004.01.001

Cited by 46 publications

(46 citation statements)

References 21 publications

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“…Hörer et al reported a 5-year freedom from RVOT re-operation of 49%; freedom from reoperation for LVOTO was 93% [2]. The overall freedom from re-operation (mainly for RVOTO) as reported by Lee et al was 40% at 5 years [12]. Although the results of the Rastelli procedure were slightly better in our own study, at 15 years, freedom from RVOT re-intervention was also no more than 21%.…”

Section: Discussionmentioning

confidence: 68%

Surgery for transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction: European Congenital Heart Surgeons Association multicentre study

Hazekamp

Gómez

Koolbergen

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Section: Discussionmentioning

confidence: 68%

Surgery for transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction: European Congenital Heart Surgeons Association multicentre study

Hazekamp

Gómez

Koolbergen

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…In fact, Rastelli operation was associated with a greater risk of reintervention due to left ventricular outflow tract obstruction, and extracardiac conduit problems such as obstruction, requiring eventual replacement. However, similar early and late mortalities were reported [43,44]. The Nikaidoh's procedure is also an option in the setting of discordant ventriculoarterial connections, ventricular septal defect and left outflow tract obstruction, especially if inadequate anatomy for a REV or Rastelli is present [45].…”

Section: Corrective Treatmentmentioning

confidence: 80%

Surgical Technique and Hemostasis

Jonas¹

2014

Comprehensive Surgical Management of Congenital Heart Disease

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Transposition of the great arteries (TGA), also referred to as complete transposition, is a congenital cardiac malformation characterised by atrioventricular concordance and ventriculoarterial (VA) discordance. The incidence is estimated at 1 in 3,500-5,000 live births, with a male-to-female ratio 1.5 to 3.2:1. In 50% of cases, the VA discordance is an isolated finding. In 10% of cases, TGA is associated with noncardiac malformations. The association with other cardiac malformations such as ventricular septal defect (VSD) and left ventricular outflow tract obstruction is frequent and dictates timing and clinical presentation, which consists of cyanosis with or without congestive heart failure. The onset and severity depend on anatomical and functional variants that influence the degree of mixing between the two circulations. If no obstructive lesions are present and there is a large VSD, cyanosis may go undetected and only be perceived during episodes of crying or agitation. In these cases, signs of congestive heart failure prevail. The exact aetiology remains unknown. Some associated risk factors (gestational diabetes mellitus, maternal exposure to rodenticides and herbicides, maternal use of antiepileptic drugs) have been postulated. Mutations in growth differentiation factor-1 gene, the thyroid hormone receptor-associated protein-2 gene and the gene encoding the cryptic protein have been shown implicated in discordant VA connections, but they explain only a small minority of TGA cases.The diagnosis is confirmed by echocardiography, which also provides the morphological details required for future surgical management. Prenatal diagnosis by foetal echocardiography is possible and desirable, as it may improve the early neonatal management and reduce morbidity and mortality. Differential diagnosis includes other causes of central neonatal cyanosis. Palliative treatment with prostaglandin E1 and balloon atrial septostomy are usually required soon after birth. Surgical correction is performed at a later stage. Usually, the Jatene arterial switch operation is the procedure of choice. Whenever this operation is not feasible, adequate alternative surgical approach should be implemented. With the advent of newer and improved surgical techniques and post operative intensive care, the long-term survival is approximately 90% at 15 years of age. However, the exercise performance, cognitive function and quality of life may be impaired. Disease name and synonymsTransposition of the great arteries; physiologically uncorrected transposition; complete transposition; atrioventricular concordance with ventriculoarterial discordance. The European paediatric cardiac code for this disease is 01.05.01.

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“…2 We modified the Lecompte procedure without applying the Lecompte maneuver. We reported early and midterm results for the modified Lecompte procedure, [12][13][14] which was also compared with the Rastelli procedure, 14 but its long-term results have not been reported. 15 We started to apply the modified Lecompte procedure in 1988.…”

Section: Resultsmentioning

confidence: 99%

Twenty-five years' experience of modified Lecompte procedure for the anomalies of ventriculoarterial connection with ventricular septal defect and pulmonary stenosis

Lim

Lee

Kim

2014

The Journal of Thoracic and Cardiovascular Surgery

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Repair of transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction

Abstract: The Lecompte procedure and Rastelli repair provide satisfactory early and late results. However, substantial late morbidity is more associated with conduit obstruction, and LVOTO in Rastelli repair rather than Lecompte procedure.

Cited by 46 publications

References 21 publications

Surgery for transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction: European Congenital Heart Surgeons Association multicentre study

Surgery for transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction: European Congenital Heart Surgeons Association multicentre study

Surgical Technique and Hemostasis

Twenty-five years' experience of modified Lecompte procedure for the anomalies of ventriculoarterial connection with ventricular septal defect and pulmonary stenosis

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