Abstract
The abnormal connection of the ventricle and great arteries is a commonly seen congenital heart disease. It becomes even more clinically complicated when combined with pulmonary stenosis (PS) and ventricular septal defect (VSD). DORV with non-committed ventricular septal defect (DORVncVSD) represents the extreme end of DORV anatomical spectrum. There are problems for classic Rastelli (or REV) or Nikaidoh operations, such as long-term obstruction of left and right ventricle outflow tract and problems due to narrowing of the left ventricle to aorta tunnel. In 2004, double root translocation (DRT) was initially performed in Fuwai Hospital. It aims at retrieving the normal geometry of the left and right ventricle outflow tract, while at the same time maximally preserving function and growth potential of the aortic and pulmonary valves. Until May, 2013, 100 patients have undergone DRT operation in Fuwai Hospital and the early and late results were satisfactory.
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References
Hazekamp M, Portela F, Bartelings M. The optimal procedure for the great arteries and left ventricular outflow tract obstruction. An anatomical study. Eur J Cardiothorac Surg. 2007;31(5):879–87.
Rastelli GC, Wallace RB, Ongley PA. Complete repair of transposition of the great arteries with pulmonary stenosis. A review and report of a case corrected by using a new surgical technique. Circulation. 1969;39(1):83–95.
Rastelli GC, McGoon DC, Wallace RB. Anatomic correction of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis. J Thorac Cardiovasc Surg. 1969;58(4):545–52.
Kreutzer C, De Vive J, Oppido G, et al. Twenty-five-year experience with rastelli repair for transposition of the great arteries. J Thorac Cardiovasc Surg. 2000;120(2):211–23.
Lee JR, Lim HG, Kim YJ, et al. Repair of transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction. Eur J Cardiothorac Surg. 2004;25(5):735–41.
Pretre R, Gendron G, Tamisier D, et al. Results of the Lecompte procedure in malposition of the great arteries and pulmonary obstruction. Eur J Cardiothorac Surg. 2001;19(3):283–9.
Nikaidoh H. Aortic translocation and biventricular outflow tract reconstruction. A new surgical repair for transposition of the great arteries associated with ventricular septal defect and pulmonary stenosis. J Thorac Cardiovasc Surg. 1984;88(3):365–72.
Yeh Jr T, Ramaciotti C, Leonard SR, et al. The aortic translocation (Nikaidoh) procedure: midterm results superior to the Rastelli procedure. J Thorac Cardiovasc Surg. 2007;133(2):461–9.
Belli E, Serraf A, Lacour-Gayet F, et al. Double-outlet right ventricle with non-committed ventricular septal defect. Eur J Cardiothorac Surg. 1999;15:747–52.
Hu S, Xie Y, Li S, et al. Double-root translocation for double-outlet right ventricle with noncommitted ventricular septal defect or double-outlet right ventricle with subpulmonary ventricular septal defect associated with pulmonary stenosis: an optimized solution. Ann Thorac Surg. 2010;89(5):1360–5.
Hu SS, Li SJ, Wang X, et al. Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction. J Thorac Cardiovasc Surg. 2007;133(4):1090–2.
Hu SS, Liu ZG, Li SJ, et al. Strategy for biventricular outflow tract reconstruction: rastelli, REV, or Nikaidoh procedure? J Thorac Cardiovasc Surg. 2008;135(2):331–8.
Walters HL, Mavroudis C, Tchervenkov CI, Jacobs JP, Lacour Gayet F, Jacobs ML. Congenital heart surgery nomenclature and data base project: double outlet right ventricle. Ann Thorac Surg. 2000;69(Suppl):249–63.
Morell VO, Jacobs JP, Quintessenza JA. Aortic translocation in the management of transposition of the great arteries with ventricular septal defect and pulmonary stenosis: results and follow-up. Ann Thorac Surg. 2005;79(6):2089–92; discussion 2092–3.
Bautista-Hernandez V, Marx G, Bacha EA, del Nido PJ. Aortic root translocation plus arterial switch for transposition of the great arteries with left ventricular outflow tract obstruction: intermediate-term results. J Am Coll Cardiol. 2007;49(4):485–90.
Honjo O, Yasuhiro K, Bharucha T, Mertens L, Caldarone CA, Redington AN, Van Arsdell G. Anatomical factors determining surgical decision-making in patients with transposition of the great arteries with left ventricular outflow tract obstruction. Eur J Cardiothorac Surg. 2013;44(6):1085–94; discussion 1094.
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Hu, S. (2016). Double Root Translocation Operation for Complete Transposition of Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis & Double-Outlet Right Ventricle with Non-committed Ventricular Septal Defect and Pulmonary Stenosis. In: Lacour-Gayet, F., Bove, E., Hraška, V., Morell, V., Spray, T. (eds) Surgery of Conotruncal Anomalies. Springer, Cham. https://doi.org/10.1007/978-3-319-23057-3_21
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DOI: https://doi.org/10.1007/978-3-319-23057-3_21
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