Skip to main content

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

  • Chapter
  • First Online:
Surgery of Conotruncal Anomalies

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  CAS  PubMed  Google Scholar 

  3. 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.

    CAS  PubMed  Google Scholar 

  4. 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.

    Article  CAS  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. 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.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    CAS  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. 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.

    Article  PubMed  Google Scholar 

  13. 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.

    Article  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shengshou Hu MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23057-3_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23056-6

  • Online ISBN: 978-3-319-23057-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics