Nikaidoh vs Réparation à l'Etage Ventriculaire vs Rastelli

Hazekamp, Mark G.; Nevvazhay, Timofey

doi:10.1053/j.pcsu.2017.10.001

Cited by 27 publications

(16 citation statements)

References 25 publications

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“…The intervention was ASO with or without the Lecompte manoeuvre (avoidance of the use of a prosthetic conduit in the reconstruction of the pulmonary outflow tract [ 18 ]), with or without ventricular septal defect closure, atrial septal defect or patent foramen ovale closure and ductus arteriosus ligation. We excluded studies in which ASO was used as corrective therapy for prior operations, atrial switch operations (Mustard and Senning) [ 19 ], Rastelli operation [ 20 ], and complex d-TGA repairs (reparation a l'etage ventriculaire or Nikaidoh procedures) [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

et al. 2020

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Background Dextro-transposition of the great arteries (d-TGA) is the most frequent cyanotic congenital heart pathology in neonates. Surgical correction of this condition is possible using the arterial switch operation (ASO) which was first performed by Jatene in 1975. Objectives The aim of this study was to summarise the evidence on short- (less than 1 year), medium- (1–20 years), and long-term (more than 20 years) outcomes of children with d-TGA treated with the ASO. The primary outcome was survival. Secondary outcomes were freedom from cardiac reoperations, occurrence of aortic insufficiency, pulmonary stenosis, coronary artery anomalies, neuropsychological development problems and quality of life. Methods We searched MEDLINE, EMBASE, CINAHL, LILACS, and reference lists of included articles for studies reporting outcomes after ASO for d-TGA. Screening, data extraction and risk of bias assessment were done independently by two reviewers. We pooled data using a random-effects meta-analysis of proportions and, where not possible, outcomes were synthesized narratively. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to assess the certainty of the evidence for each outcome. Main results Following ASO for TGA, short-term survival was 92.0% (95% CI 91.0–93.0%; I2 = 85.8%, 151 studies, 30,186 participants; moderate certainty evidence). Medium-term survival was 90.0% (95% CI 89.0–91.0%; I2 = 84.3%, 133 studies; 23,686 participants, moderate certainty evidence), while long-term survival was 87.0% (95% CI 80.0–92.0 %; I2 = 84.5%, 4 studies, 933 participants, very low certainty evidence). Evaluation of the different secondary outcomes also showed satisfactory results in the short, medium and long term. Subgroup analysis suggests slightly higher survival following ASO for TGA in the second surgical era (1998 to 2018) than in the first surgical era (1975 to 1997) in the short and medium term [93.0% (95% CI 92.0–94.0) vs 90.0% (95% CI 89.0–92.0) and 93.0% (95% CI 91.0–94.0) vs 88.0% (87.0–90.0%) respectively] but not in the long term [81.0% (95% CI 76.0–86.0%) vs 89.0% (80.0–95.0%)]. Conclusions Pooled data from many sources suggests that the ASO for d-TGA leads to high rates of survival in the short, medium, and long term.

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Section: Methodsmentioning

confidence: 99%

Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

et al. 2020

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“…The conventional approach to anatomic surgical repair in patients with DORV (TGA type) or TGA with VSD, and PS is the Rastelli or Lecompte procedure. However, these procedures have several serious drawbacks related to an earlier need for reinterventions or reoperation of the RVOT and a higher incidence of subaortic tunnel obstruction [1,9]. To overcome these drawbacks, Nikaidoh reported a successful anatomic repair of the aortic root translocation without individual coronary artery transfer and biventricular outflow reconstruction for these patients in 1984, and thereafter, other modified operative methods of the aortic root translocation have been proposed [10].…”

Section: Discussionmentioning

confidence: 99%

Half-turned truncal switch operation after single ventricle palliation in a patient with borderline left heart hypoplasia

Jung

Cho

et al. 2020

J Cardiothorac Surg

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Background The optimal surgical strategy for the correction of double outlet right ventricle (DORV, transposition of the great arteries [TGA] type) or TGA with ventricular septal defect (VSD), pulmonary stenosis (PS), and borderline small left ventricle (LV) is still controversial. The half-turned truncal switch operation (HTTSO) introduced by Yamagishi and colleagues is a good option, but it is still challenging in a patient with borderline small LV. We aimed to describe our experience of a case of HTTSO conversion from single ventricle palliation. Case presentation A 5-year-old girl with single ventricle physiology was referred to our hospital from Kazakhstan for a Fontan operation. At the time of birth, she was diagnosed with DORV (TGA type), PS, and situs inversus totalis, with moderate valvar and subvalvar stenosis and a relatively small LV cavity. Her LV volume was not adequate to support the systemic circulation; therefore, doctors in Kazakhstan selected the single ventricle palliation course of treatment for the infant. At 4 months of age, she underwent left-sided modified Blalock-Taussig shunt, patent ductus arteriosus ligation, and atrial septectomy. At 2 years of age, shunt takedown, left bidirectional cavopulmonary shunt, and main pulmonary artery division were performed. Annual echocardiography of the patient showed that the LV size was growing too adequately to persist with the single ventricle palliation course of treatment. Via a multidisciplinary approach, we considered her LV to be suitable for biventricular repair and HTTSO was planned. The operation and postoperative course were uneventful. The patient was discharged on postoperative day 6 and went back to Kazakhstan. Conclusions Based on our successful surgical outcome, in patients diagnosed with DORV (TGA type) or TGA with VSD, PS, and borderline LV, HTTSO after achieving adequate LV growth by single ventricle palliation may be considered a good alternative to conventional operations in patients at a high risk for initial biventricular repair.

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“…[910] The advantages of the Nikaidoh procedure include a straight-line connection between the LV and aorta, much less reduction in RV volume and the placement of an RV-PA conduit in an orthotopic position. [12] However, the procedure is technically demanding, with risks of destabilizing the aortic valve and/or kinking/compressing the proximal coronary arteries. [13]…”

Section: Discussionmentioning

confidence: 99%

Options for coronary translocation and other considerations in aortic root translocation (Bex-Nikaidoh procedure)

et al. 2019

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Introduction: The surgical options for patients with transposition of the great arteries (TGA), ventricular septal defect (VSD), and left ventricular outflow tract obstruction include intracardiac baffling with the right ventricle to pulmonary artery (PA) conduit (Rastelli procedure), “ reparation a l’etage ventriculaire ” or aortic root translocation (Bex-Nikaidoh procedure). The Bex-Nikaidoh procedure allows a more normal, anatomically aligned left ventricular outflow tract. However, the operation is technically demanding, and coronary translocation remains one of the major challenges for successful root translocation. Methods: All patients who underwent aortic root translocation in a single institute over a period of 2 years from January 2015 to December 2017 were included in the study. Surgical technique and early outcomes are described with specific focus on the different observed coronary artery patterns and surgical strategies for translocation. Results: Fourteen patients underwent aortic root translocation. The coronary artery patterns observed could be categorized into four different patterns based on the size of the pulmonary annulus and the relative position of the PA relative to the aorta. Successful translocation of the coronary arteries was achieved in every patient. Mean follow-up was 18.42 ± 9.22 months. There was no mortality and no reoperation during the follow-up period. Conclusion: The Bex-Nikaidoh procedure is a promising surgical option for TGA, VSD, and pulmonary stenosis. Good outcomes are achievable despite wide variations in anatomy using a tailored approach for coronary translocation.

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Nikaidoh vs Réparation à l'Etage Ventriculaire vs Rastelli

Cited by 27 publications

References 25 publications

Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

Half-turned truncal switch operation after single ventricle palliation in a patient with borderline left heart hypoplasia

Options for coronary translocation and other considerations in aortic root translocation (Bex-Nikaidoh procedure)

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