The aortic translocation (Nikaidoh) procedure: Midterm results superior to the Rastelli procedure

Yeh, Thomas; Ramaciotti, Claudio; Leonard, Steven; Roy, Lindsay E.; Nikaidoh, Hisashi

doi:10.1016/j.jtcvs.2006.10.016

Cited by 116 publications

(94 citation statements)

References 25 publications

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“…(3) The growth incapability and the inevitable calcification of the extracardiac conduit that require reoperation is the third concern [5]. Yeh and colleagues [6] have reported five patients had undergone seven RVOT reoperations (six owing to obstruction and one owing to pulmonary insufficiency) after the Nikaidoh procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The aortic translocation procedure (Nikaidoh procedure) which was called 'aortic translocation and biventricular outflow tract reconstruction', as an alternative to the Rastelli procedure, obtains a superior anatomic repair that results in more normally aligned right and left ventricular outflow tracts and a better cardiac flow dynamics [5]. However, some drawbacks, such as coronary insufficiency, grow incapability, and inevitable calcification of the extracardiac conduit, are still main problems that require reoperation [5,6]. In 2003, Yamagishi reported a novel modification of aortic translocation for anatomic repair in a one-year-old patient with TGA, VSD, and PS, in which half rotation of the truncus arteriosus plus arterial switch were applied to preserve the native pulmonary valve [7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Half rotation of the truncus arteriosus plus arterial switch for transposition of the great arteries with ventricular septal defect and pulmonary outflow tract obstruction

Fang¹,

Wang²,

Zhu³

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Half rotation of the truncus arteriosus plus arterial switch, as a modification of the Nikaidoh procedure, is a good alternative treatment for complete anatomic repair for TGA, VSD, and PS or DORV with malposition of great arteries and PS. The technique might allow to reconstruct biventricular outflow tract, preserve competence and growth potential of the pulmonary root with valves and decrease the probability of reoperation. Its long-term benefits need to be evaluated with a large number of patients and longer follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Half rotation of the truncus arteriosus plus arterial switch for transposition of the great arteries with ventricular septal defect and pulmonary outflow tract obstruction

Fang¹,

Wang²,

Zhu³

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…6,7 These findings have prompted increased utilization of aortic translocation for patients with TGA/LVOTO, and this study confirms a lower incidence of LVOT reintervention in aortic translocation compared to Rastelli. 8,9 The low incidence of LVOT reintervention after aortic translocation is likely attributable to the positioning of the aortic valve over the true anatomic LV outflow, resulting in subaortic outflow unencumbered by conus or septal muscle. 10 Although previous reports have suggested a high incidence of LVOTO after Rastelli, none has examined PV z-score as a risk factor for reintervention.…”

Section: Discussionmentioning

confidence: 99%

Outcomes After Anatomic Repair for D-Transposition of the Great Arteries With Left Ventricular Outflow Tract Obstruction

et al. 2009

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Background-D-transposition of the great arteries (TGA) with left ventricular outflow tract obstruction (LVOTO) may be treated with arterial switch operation (ASO) with or without LVOT intervention, as well as non-ASO anatomic repairs, such as aortic translocation or Rastelli procedure. We evaluated midterm results of repair for TGA/LVOTO at our institution. Methods and Results-Eighty-eight patients with TGA/LVOTO who underwent anatomic repair were retrospectively reviewed. LVOTO was defined as pulmonary valve (PV) z-score ՅϪ2.0 or LVOT gradient Ն20 mm Hg in the presence of anatomic subvalvar stenosis. Risk factors for LVOT reintervention were determined by logistic regression. There was no hospital mortality and 1 late mortality. Patients undergoing Rastelli procedure were more likely to require surgical reintervention for LVOTO compared to the other groups (Pϭ0.015). Patients undergoing ASO alone had a higher rate of late LVOT reintervention compared to those who had concomitant ASO/LVOT intervention (PϭNS). In those undergoing Rastelli, a larger PV z-score was a predictor of LVOT reintervention (Pϭ0.012). PV z-scores significantly decreased before repair in patients undergoing delayed repair (Pϭ0.005); however, they increased significantly after neonatal ASO (PϽ0.001). Conclusions-Patients

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“…The major handicaps of this approach are its technical difficulty, as well as a relatively high rate of reoperation due to right ventricular outflow tract obstruction and pulmonary insufficiency; moreover, unusual coronary patterns may also represent an additional problem. Despite all these disadvantages, a recent study comparing REV, Rastelli and Nikaidoh's performances has highlighted the superiority of Nikhaidoh's approach in obtaining a better physiologic cardiac haemodynamics [46] (Table 1) [47][48][49]. Further studies are however necessary to perfectly establish the role of this surgical approach in transposition correction.…”

Section: Corrective Treatmentmentioning

confidence: 99%

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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The aortic translocation (Nikaidoh) procedure: Midterm results superior to the Rastelli procedure

Cited by 116 publications

References 25 publications

Half rotation of the truncus arteriosus plus arterial switch for transposition of the great arteries with ventricular septal defect and pulmonary outflow tract obstruction

Half rotation of the truncus arteriosus plus arterial switch for transposition of the great arteries with ventricular septal defect and pulmonary outflow tract obstruction

Outcomes After Anatomic Repair for D-Transposition of the Great Arteries With Left Ventricular Outflow Tract Obstruction

Surgical Technique and Hemostasis

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