Surgical Treatment of Complete Transposition of Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

DU Xinwei , XU Zhiwei

Department of Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center, Medical College of Shanghai Jiaotong University, Shanghai 200127, P.R.China.E-mail: windcatcher32@gmail.com;

Corresponding author：

Keywords：

Complete transposition of great arteries; Ventricular septal defect; Pulmonary stenosis; Surgical treatment

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Surgical treatment of complete transposition of great arteries with ventricular septal defect and pulmonary stenosis (TGA/VSD,PS) consists of Rastelli procedure, Lecompte procedure, Nikaidoh procedure, Yamagishi procedure and Ross-Konno switch procedure. Rastelli procedure and Lecompte procedure cause less myocardial lesion but more late complications. Nikaidoh procedure and Yamagishi procedure achieve better anatomical repair but involve more myocardial lesion. Ross-Konno switch procedure has a narrow surgical indication. So for patients with TGA/VSD,PS, different surgical methods should be used according to surgical indications and individual conditions. In this paper, the advantages and disadvantages, indication, contraindication, outcome and prospect of them are reviewed.

Citation： DU Xinwei,XU Zhiwei. Surgical Treatment of Complete Transposition of Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2007, 14(6): 461-. doi: Copy

1.	Karl TR, Cochrane A, Brizard CP. Arterial switch operation. Surgical solutions to complex problems. Tex Heart Inst J, 1997, 24(4):322-333.
2.	Rastelli GC. A new approach to "anatomic" repair of transposition of the great arteries. Mayo Clin Proc, 1969,44(1):1-12.
3.	Lecompte Y, Batisse A, Di Carlo D. Double-outlet right ventricle: a surgical synthesis. Adv Card Surg, 1993,4(1):109-136.
4.	Lecompte Y, Vouhe P. Réparation a l′etage ventriculaire (REV Procedure): not a Rastelli procedure without conduit. Operative Techniques in Thorac Cardiovasc Surg, 2003, 8(3):150-159.
5.	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): 365-372.
6.	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):2089-2093.
7.	Kandeel M, Kumar N, Prabhakar G, et al. Aortic translocation for D-TGA associated with LVOTO and VSD. Ann Thorac Surg, 1995,59(2):515-518.
8.	Bautista-Hernandez V, Marx GR, Bacha EA,et al. 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):485-490.
9.	Morell VO, Jacobs JP, Quintessenza JA. The role of aortic translocation in the management of complex transposition of the great arteries. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2004, 7(1): 80-84.
10.	Yeh T Jr, 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): 461-469.
11.	Yamagishi M, Shuntoh K, Matsushita T, et al. Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis. J Thorac Cardiovasc Surg, 2003,125(4):966-968.
12.	Mair R, Sames-Dolzer E, Vondrys D, et al. En bloc rotation of the truncus arteriosus--an option for anatomic repair of transposition of the great arteries, ventricular septal defect, and left ventricular outflow tract obstruction. J Thorac Cardiovasc Surg, 2006,131(3):740-741.
13.	Kreutzer C, DeVive 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):211-223.
14.	Dearani JA, Danielson GK, Puga FJ, et al, Late results of the Rastelli operation for transposition of the great arteries. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2001,4(1):3-15.
15.	Hopkins A, Reyes A 2nd, Imperato DA. Ventricular outflow tract reconstructions with cryopreserved cardiac valve homografts. A single surgeon’s 10-year experience. Ann Surg, 1996,223(5): 544-553.
16.	Prtre 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):283-289.
17.	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):735-741.
18.	da Silva JP, Baumgratz JF, da Fonseca L. Pulmonary root translocation in transposition of great arteries repair. Ann Thorac Surg, 2000, 69(2): 643-645.
19.	da Fonseca L, Baumgratz JF, de Castro RM. Late results of pulmonary root translocation in the correction of transposition of the great arteries. Rev Bras Cir Cardiovasc, 2003, 18(4): 326-331.
20.	Metras D, Kreitmann B, Riberi A, et al. Extending the concept of the autograft for complete repair of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction: a report of ten cases of a modified procedure. J Thorac Cardiovasc Surg, 1997, 114(5):746-754.
21.	Forbess JM. Conduit selection for right ventricular outflow tract reconstruction: contemporary options and outcomes. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2004, 7(1):115-124.
22.	Kreutzer C, Blunda C, Kreutzer G,et al. The autologous pericardial valved conduit for right ventricular outflow tract reconstruction. Operative Techniques in Thorac Cardiovasc Surg, 2003, 8(3):146-149.

1. 　Karl TR, Cochrane A, Brizard CP. Arterial switch operation. Surgical solutions to complex problems. Tex Heart Inst J, 1997, 24(4):322-333.
2. 　Rastelli GC. A new approach to "anatomic" repair of transposition of the great arteries. Mayo Clin Proc, 1969,44(1):1-12.
3. 　Lecompte Y, Batisse A, Di Carlo D. Double-outlet right ventricle: a surgical synthesis. Adv Card Surg, 1993,4(1):109-136.
4. 　Lecompte Y, Vouhe P. Réparation a l′etage ventriculaire (REV Procedure): not a Rastelli procedure without conduit. Operative Techniques in Thorac Cardiovasc Surg, 2003, 8(3):150-159.
5. 　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): 365-372.
6. 　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):2089-2093.
7. 　Kandeel M, Kumar N, Prabhakar G, et al. Aortic translocation for D-TGA associated with LVOTO and VSD. Ann Thorac Surg, 1995,59(2):515-518.
8. 　Bautista-Hernandez V, Marx GR, Bacha EA,et al. 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):485-490.
9. 　Morell VO, Jacobs JP, Quintessenza JA. The role of aortic translocation in the management of complex transposition of the great arteries. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2004, 7(1): 80-84.
10. 　Yeh T Jr, 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): 461-469.
11. 　Yamagishi M, Shuntoh K, Matsushita T, et al. Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis. J Thorac Cardiovasc Surg, 2003,125(4):966-968.
12. 　Mair R, Sames-Dolzer E, Vondrys D, et al. En bloc rotation of the truncus arteriosus--an option for anatomic repair of transposition of the great arteries, ventricular septal defect, and left ventricular outflow tract obstruction. J Thorac Cardiovasc Surg, 2006,131(3):740-741.
13. 　Kreutzer C, DeVive 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):211-223.
14. 　Dearani JA, Danielson GK, Puga FJ, et al, Late results of the Rastelli operation for transposition of the great arteries. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2001,4(1):3-15.
15. 　Hopkins A, Reyes A 2nd, Imperato DA. Ventricular outflow tract reconstructions with cryopreserved cardiac valve homografts. A single surgeon’s 10-year experience. Ann Surg, 1996,223(5): 544-553.
16. 　Prtre 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):283-289.
17. 　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):735-741.
18. 　da Silva JP, Baumgratz JF, da Fonseca L. Pulmonary root translocation in transposition of great arteries repair. Ann Thorac Surg, 2000, 69(2): 643-645.
19. 　da Fonseca L, Baumgratz JF, de Castro RM. Late results of pulmonary root translocation in the correction of transposition of the great arteries. Rev Bras Cir Cardiovasc, 2003, 18(4): 326-331.
20. 　Metras D, Kreitmann B, Riberi A, et al. Extending the concept of the autograft for complete repair of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction: a report of ten cases of a modified procedure. J Thorac Cardiovasc Surg, 1997, 114(5):746-754.
21. 　Forbess JM. Conduit selection for right ventricular outflow tract reconstruction: contemporary options and outcomes. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2004, 7(1):115-124.
22. 　Kreutzer C, Blunda C, Kreutzer G,et al. The autologous pericardial valved conduit for right ventricular outflow tract reconstruction. Operative Techniques in Thorac Cardiovasc Surg, 2003, 8(3):146-149.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Surgical Treatment of Complete Transposition of Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis

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