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

Fang, Minhua; Wang, Huishan; Zhu, Huanzhang; Wang, Zengwei; Li, Xinmin; Zhang, Nan-bin; Jin, Yan

doi:10.1016/j.ejcts.2010.10.041

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…The early mortality in this study was 4% (1/28), and it was similar to the other published large studies, where the mortality rate of ASO has been reported between 1.6 and 11%8-12). In addition, like the other reports13,14), half-turned truncal switch operation showed a good result for the complete TGA with VSD and PS (the mortality rate in group III, 0%).…”

Section: Discussionsupporting

confidence: 90%

Clinical features and surgical outcomes of complete transposition of the great arteries

et al. 2012

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PurposeThis single-center study aimed to assess the clinical features and surgical approaches and outcomes of complete transposition of the great arteries (TGA).MethodsTGA patients who had undergone surgical correction at the Kyungpook National University Hospital from January 2000 to December 2010, were retrospectively evaluated for patient characteristics, clinical manifestation, preoperative management, intraoperative findings, postoperative progress, and follow-up status.ResultsTwenty-eight patients (17 boys and 11 girls, mean age=10.6±21.5 days) were included and were categorized as follows: group I, TGA with intact ventricular septum (n=13); group II, TGA with ventricular septal defect (VSD, n=12); and group III, TGA/VSD with pulmonary stenosis (n=3). Group I underwent the most intensive preoperative management (balloon atrial septostomy and prostaglandin E1 medication). Group II showed the highest incidence of heart failure (P<0.05). Usual and unusual coronary anatomy patterns were observed in 20 (71%) and 8 patients, respectively. Arterial and half-turned truncal switch operations were performed in 25 and 3 patients (Group III), respectively. Postoperative complications included cardiac arrhythmias (8 patients), central nervous system complications (3 patients), acute renal failure (1 patient), infections (3 patients), and cardiac tamponade (1 patient), and no statistically significant difference was observed between the groups. Group II showed the mildest aortic regurgitation on follow-up echocardiograms (P<0.05). One patient underwent reoperation, and 1 died. The overall mortality rate was 4%.ConclusionOur study showed favorable results in all the groups and no significant difference in postoperative complication, reoperation, and mortality among the groups. However, our results were inadequate to evaluate the risk factors for reoperation and mortality owing to the small number of patients and short follow-up duration.

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Section: Discussionsupporting

confidence: 90%

Clinical features and surgical outcomes of complete transposition of the great arteries

et al. 2012

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“…5) In 1984, Nikaidoh introduced the procedure of aortic translocation. 6) After that, many modified procedures were developed, 7,8) such as double root translocation, which overcame the deficiencies of the Rastelli procedure and the REV procedure, 9) but the development of double root translocation was limited in many cardiac centers as it is a complex procedure with too many surgical processes, long aortic clamping time, long CPB time, and hemostasis difficulty.…”

Section: Discussionmentioning

confidence: 99%

Summary of Clinical Experience of Modified Double Root Translocation in the Management of Complete Transposition of Great Arteries With Left Ventricular Outflow Tract Obstruction

Yang

Zhou

et al. 2016

Int. Heart J.

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To summarize the therapeutic effects of modified double root translocation (MDRT) in the management of congenital heart disease-transposition of great arteries (TGA) with ventricular septum defect (VSD) and left ventricular outflow tract obstruction (LVOTO). From May 2013 to March 2015, we treated 6 patients (4 males, 2 females, aged from 1 year and 8 months old to 5 years old) with complete transposition of great arteries with left ventricular outflow tract obstruction, SaO2 54 ± 7.3%; the outflow velocity of the left ventricular or pulmonary valve measured by Doppler was 4.46 ± 0.15 m/s, and the Nakata index was 217 ± 32 cm(2)/m(2). We carried out a double root translocation operation on these 6 patients.One patient developed low cardiac output syndrome 4 hours after the operation. Extracorporeal membrane oxygenation (ECMO) was performed, but the patient died of multiple organ failure. The other 5 patients all recovered and were discharged from the hospital. During the 3-month to 2-year follow-up period, these 5 patients all demonstrated NYHA Class I or NYHA Class II LVEF (65 ± 2.7) %; 4 had mild pulmonary regurgitation, 1 moderate pulmonary regurgitation; 3 no aortic regurgitation, and 2 micro aortic regurgitation, SaO2 99 ± 0.4%.Modified double root translocation is an effective treatment method in the management of complete transposition of great arteries with left ventricular outflow tract obstruction.

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“…Also, exposure of the VSD was superb and greatly simplified the repair even with straddling tricuspid cords [6]. The only other biventricular repair option reported for (S,D,L)TGA-VSD-PS is en bloc rotation of the truncus arteriosus with coronary reimplantation [8]. In a series of 11 patients undergoing this procedure, 2 patients had (S,D,L)TGA-VSD-PS without ventricular malposition [8].…”

Section: Commentmentioning

confidence: 99%

“…The only other biventricular repair option reported for (S,D,L)TGA-VSD-PS is en bloc rotation of the truncus arteriosus with coronary reimplantation [8]. In a series of 11 patients undergoing this procedure, 2 patients had (S,D,L)TGA-VSD-PS without ventricular malposition [8]. In the presence of superior-inferior ventricular malposition, the pulmonary root is inferior to the aortic root (Fig 2 ); thus, rotation of the truncus to position the aortic root over the LVOT would necessarily place the pulmonary root too inferiorly into the RV cavity.…”

Section: Commentmentioning

confidence: 99%

Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis

Reeves

Montesa

Fonseca

et al. 2016

The Annals of Thoracic Surgery

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

Cited by 3 publications

References 12 publications

Clinical features and surgical outcomes of complete transposition of the great arteries

Clinical features and surgical outcomes of complete transposition of the great arteries

Summary of Clinical Experience of Modified Double Root Translocation in the Management of Complete Transposition of Great Arteries With Left Ventricular Outflow Tract Obstruction

Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis

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