Aortic root translocation: the Bex-Nikaidoh procedure

Abstract

Patients with transposition of the great arteries, ventricular septal defect, and left ventricular outflow tract obstruction are managed by various techniques. Traditional techniques include intracardiac baffling with a right ventricle to pulmonary artery conduit (Rastelli procedure) and the “reparation a l’etage ventriculaire” (REV) procedure. However, other techniques such as aortic root translocation (Bex-Nikaidoh procedure), pulmonary root translocation, and double root translocation are equivalent or in fact provide better results than the traditional techniques. In this review we will have a detailed discussion about aortic root translocation which allows a more normal and 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.

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Correspondence to Vijay Agarwal.

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Agarwal, V., Vaidyanathan, S. Aortic root translocation: the Bex-Nikaidoh procedure. Indian J Thorac Cardiovasc Surg 37, 36–41 (2021). https://doi.org/10.1007/s12055-020-00956-7

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Keywords

  • Aortic root translocation
  • Nikaidoh procedure
  • Rastelli procedure
  • TGA