Results of the Damus-Stansel-Kaye Procedure for Transposition of the Great Arteries and for Double-Outlet Right Ventricle with Subpulmonary Ventricular Septal Defect

Ceithaml, Eric L.; Puga, Francisco J.; Danielson, Gordon K.; Ritter, Donald G.

doi:10.1016/s0003-4975(10)64180-x

Cited by 37 publications

(7 citation statements)

References 22 publications

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“…The surgical treatment of these patients is challenging 2,3 . In patients with D‐TGA with double‐outlet right ventricle or Taussig‐Bing anomaly, the surgical outcome depends largely on the uneventful coronary arteries transfer to the neoaorta 4,5 . Kumar et al 6 reported the DKS‐Rastelli operation to tackle a complex TGA variant with double‐outlet right ventricle, subpulmonic VSD, side‐by‐side great vessels, and abnormal anatomy of coronary artery involving a common origin of the right coronary artery and the left anterior descending artery.…”

Section: Discussionmentioning

confidence: 99%

“…A, hypoplastic ascending aorta involved in DKS; B, main pulmonary artery (neoaorta); C, RV-PA conduit (Contegra); D, VSD Gortex patch; E, stitch closure of subaortic area; F, aortic arch reconstruction by equine pericardium. DKS, Damus-Kaye-Stansel; PA, pulmonary artery; RV, right ventricle; VSD, ventricular septal defect or Taussig-Bing anomaly, the surgical outcome depends largely on the uneventful coronary arteries transfer to the neoaorta 4,5. Kumar et al6 reported the DKS-Rastelli operation to tackle a complex TGA variant with double-outlet right ventricle, subpulmonic VSD, side-by-side great vessels, and abnormal anatomy of coronary artery involving a common origin of the right coronary artery and the left anterior descending artery.…”

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Arterial‐level repair of transposition of great arteries without coronary artery transfer

et al. 2020

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Hypoplastic ascending aorta and interrupted aortic arch (IAA) are rarely associated with dextro-transposition of the great arteries (D-TGA). Severe hypoplastic ascending aorta may preclude coronary artery transfer making arterial switch operation problematic. We report a case of D-TGA with a large subpulmonic ventricular septal defect, IAA, and hypoplastic ascending aorta that underwent successful biventricular surgical repair without coronary artery transfer. K E Y W O R D S DKS, D-TGA, hypoplastic ascending aorta, interrupted aortic arch, transposition of great arteries

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Arterial‐level repair of transposition of great arteries without coronary artery transfer

et al. 2020

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“…The arterial switch for Taussig-Bing heart was first reported in 1981 [64]. The issue of great artery anatomy was first addressed by Yacoub and Radley-Smith [65] and many surgeons have thought that the side-by-side great arteries are most suitable for intraventricular repair (Kawashima repair) [66] [67], which is also applicable to unusual coronary artery anatomy or a pulmonary valve that is not considered adequate to function as a systemic valve. The antero-posterior great arteries are most suitable for arterial switch with a closure of VSD.…”

Section: Surgical Therapymentioning

confidence: 99%

Rheumatic “Taussig-Bing Heart”: A Case Report

Muthiah¹

2018

CRCM

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Aim: To report a case of acyanotic Taussig-Bing heart, anatomically consistent with L-transposition and rheumatic Left AV valve regurgitation associated with complete AV block in an adolescent male. Introduction: TaussigBing heart is one of the conotruncal malformation, characterized by doubleoutlet right ventricle (DORV) and a subpulmonary VSD. Embryologically, abnormal cardiac looping with malalignment of conotruncal septum result its complexity and great artery relationships. Case Report: A 14-year old acyanotic boy presented with severe left-sided AV valve regurgitation and bradycardia. ECG revealed left sided morphologic right ventricular hypertrophy (RVH) as evidenced by a loss of septal Q waves in left precordial leads suggesting ventricular inversion. X-ray chest revealed a straight upper right cardiac border due to loss of normal relationship of great vessels and cardiomegaly due to both left atrial and morphologic right ventricular enlargements suggesting a left-sided regurgitant lesion. Echocardiography revealed the ventricular inversion, primary origin of both L-transposed great arteries from the left-sided morphologic right ventricle suggesting a "double-outlet morphologic right ventricle" with "double discordance" and a subpulmonary VSD of Taussig-Bing type. The left-sided morphologic tricuspid valve is severely regurgitant due to rheumatic process resulting in heart failure which was improved with anti-failure measures and penicillin prophylaxis. Conclusion: The presence of left-sided regurgitation associated with bradycardia is a suspicion of "double discordance" and "double switch" procedure remains the mainstay of its surgical correction. Left AV valve replacement with intraventricular repair is preferred in this child since the malformation is consistent with Taussing-Bing type of DORV with L-transposition.

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“…As experience with the Jatene operation, Lecompte maneuver, and coronary artery transfer proliferated, however, the DKS repair of TGA quickly fell out of favor, because complete anatomic repair of TGA could be achieved safely in most instances without the lifelong morbidity of a right ventricle-pulmonary artery conduit. 1 In the current issue of the Journal, Kumar and colleagues 2 have cleverly resurrected an old technique ( Figure 1) to tackle a complex TGA variant with doubleoutlet right ventricle, subpulmonic ventricular septal defect, side-by-side great vessels, and a previously unreported coronary artery pattern involving a common origin of the right coronary artery and the left anterior descending artery from the nonfacing sinus. Kumar and colleagues 2 did not consider coronary transfer was feasible in this case given the distance of the coronary artery from the neo-aorta, as well as the depth of the coronary ostia within the nonfacing sinus.…”

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confidence: 99%

“…Damus-Kaye-Stansel: an old technique finds new life for repair of complex transposition. Reprinted with permission 1. …”

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confidence: 99%

Switching strategies in complex transposition: Sometimes an arterial switch is not the answer

Andersen

Turek

2018

The Journal of Thoracic and Cardiovascular Surgery

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Results of the Damus-Stansel-Kaye Procedure for Transposition of the Great Arteries and for Double-Outlet Right Ventricle with Subpulmonary Ventricular Septal Defect

Cited by 37 publications

References 22 publications

Arterial‐level repair of transposition of great arteries without coronary artery transfer

Arterial‐level repair of transposition of great arteries without coronary artery transfer

Rheumatic “Taussig-Bing Heart”: A Case Report

Switching strategies in complex transposition: Sometimes an arterial switch is not the answer

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