Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis

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

“…Yamagishi proposed a new method for biventricular outflow tract reconstruction by using an autologous halfturned truncal block that involved both semilunar valves [7]. The addition of the autograft half rotation, the arterial switch, the Lecopmpte maneuver, and preserved pulmonary valves are the main technical features that differentiate from the Nikaidoh procedure.…”

“…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]. Although technically challenging, this approach preserved the competence and grow potential of the pulmonary valve and acquired a better longterm result of the reconstructed biventricular outflow tract.…”

Surgery for right ventricle to pulmonary artery conduit obstruction: risk factors for further reoperation☆

“…Furthermore, transcatheter interventions such as balloon dilatation or stent implantation when indicated, may prolong the RV-PA conduit lifespan [5,[15][16][17] and delay the first reoperation for conduit obstruction. Thirdly, use of an autologous alternative like 'Reparation à l'étage Ventriculaire' (REV procedure) of Lecompte [18] or other technical options [19,20] may be helpful. In these operations, RVOT reconstructions with the patient's own tissue during the first operation appear to defer RVOT reoperations.…”

Outcomes following non-valved autologous reconstruction of the right ventricular outflow tract in neonates and infants

“…In all of these techniques, it is presumed that the autologous tissue pathway will grow with the patient and, therefore, limit reintervention secondary to somatic outgrowth. The reparation a l'etage ventriculaire (REV procedure), Nikaidoh aortic translocation, and the 'half-turned truncal switch' of Yamagishi et al are all Rastelli alternatives that can be accomplished without the use of a valved conduit [19][20][21]. Reid et al and Barbero-Marcial et al introduced non-conduit reconstructions in patients with TAC by establishing a direct connection of the PA confluence to the ventriculotomy or by utilizing flaps of native tissue to create an autologous posterior floor [4,6].…”