Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspective
Background: Several surgical techniques have been developed for the management of complex transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction (TGA/VSD/LVOTO). Aortic root translocation, or the Nikaidoh operation, offers the most anatomic...
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| Language: | English |
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Elsevier
2023-12-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250723003863 |
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| author | Emile A. Bacha, MD Stephanie N. Nguyen, MD Rachel Vanderlaan, MD, PhD Damian J. LaPar, MD Andrew B. Goldstone, MD, PhD David M. Kalfa, MD, PhD |
| author_facet | Emile A. Bacha, MD Stephanie N. Nguyen, MD Rachel Vanderlaan, MD, PhD Damian J. LaPar, MD Andrew B. Goldstone, MD, PhD David M. Kalfa, MD, PhD |
| author_sort | Emile A. Bacha, MD |
| collection | DOAJ |
| description | Background: Several surgical techniques have been developed for the management of complex transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction (TGA/VSD/LVOTO). Aortic root translocation, or the Nikaidoh operation, offers the most anatomic biventricular repair in these patients. However, the Nikaidoh operation commonly has been limited to patients with “typical” anatomy, including a conoventricular VSD and usual coronary anatomy. We sought to describe a single surgeon’s experience with aortic root translocation for complex TGA/VSD/LVOTO. Methods: We present a series of 12 patients with complex anatomy who underwent the Nikaidoh operation over the last 13 years. Results: We report good mid- to long-term results, excellent performance of the reconstructed left ventricular outflow tract, aortic valve competence, and no coronary insufficiency. Conclusions: Our experience suggests that the Nikaidoh operation is a valid option even for patients with complex TGA/VSD/LVOTO. |
| format | Article |
| id | doaj-art-cda99f2936944b5d835b853f102794b3 |
| institution | DOAJ |
| issn | 2666-2507 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-cda99f2936944b5d835b853f102794b32025-08-20T03:04:53ZengElsevierJTCVS Techniques2666-25072023-12-012224325010.1016/j.xjtc.2023.10.006Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspectiveEmile A. Bacha, MD0Stephanie N. Nguyen, MD1Rachel Vanderlaan, MD, PhD2Damian J. LaPar, MD3Andrew B. Goldstone, MD, PhD4David M. Kalfa, MD, PhD5Address for reprints: Emile A. Bacha, MD, Section of Pediatric and Congenital Cardiac Surgery, New York-Presbyterian-Morgan Stanley Children’s Hospital, 3959 Broadway, Babies N, Suite 274, New York, NY 10032.; Section of Pediatric and Congenital Cardiac Surgery, New York Presbyterian-Morgan Stanley Children’s Hospital, Columbia University Irving Medical Center, New York, NYSection of Pediatric and Congenital Cardiac Surgery, New York Presbyterian-Morgan Stanley Children’s Hospital, Columbia University Irving Medical Center, New York, NYSection of Pediatric and Congenital Cardiac Surgery, New York Presbyterian-Morgan Stanley Children’s Hospital, Columbia University Irving Medical Center, New York, NYSection of Pediatric and Congenital Cardiac Surgery, New York Presbyterian-Morgan Stanley Children’s Hospital, Columbia University Irving Medical Center, New York, NYSection of Pediatric and Congenital Cardiac Surgery, New York Presbyterian-Morgan Stanley Children’s Hospital, Columbia University Irving Medical Center, New York, NYSection of Pediatric and Congenital Cardiac Surgery, New York Presbyterian-Morgan Stanley Children’s Hospital, Columbia University Irving Medical Center, New York, NYBackground: Several surgical techniques have been developed for the management of complex transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction (TGA/VSD/LVOTO). Aortic root translocation, or the Nikaidoh operation, offers the most anatomic biventricular repair in these patients. However, the Nikaidoh operation commonly has been limited to patients with “typical” anatomy, including a conoventricular VSD and usual coronary anatomy. We sought to describe a single surgeon’s experience with aortic root translocation for complex TGA/VSD/LVOTO. Methods: We present a series of 12 patients with complex anatomy who underwent the Nikaidoh operation over the last 13 years. Results: We report good mid- to long-term results, excellent performance of the reconstructed left ventricular outflow tract, aortic valve competence, and no coronary insufficiency. Conclusions: Our experience suggests that the Nikaidoh operation is a valid option even for patients with complex TGA/VSD/LVOTO.http://www.sciencedirect.com/science/article/pii/S2666250723003863Nikaidoh operationaortic root translocationtransposition of the great arteriesbiventricular repair |
| spellingShingle | Emile A. Bacha, MD Stephanie N. Nguyen, MD Rachel Vanderlaan, MD, PhD Damian J. LaPar, MD Andrew B. Goldstone, MD, PhD David M. Kalfa, MD, PhD Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspective JTCVS Techniques Nikaidoh operation aortic root translocation transposition of the great arteries biventricular repair |
| title | Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspective |
| title_full | Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspective |
| title_fullStr | Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspective |
| title_full_unstemmed | Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspective |
| title_short | Aortic root translocation (Nikaidoh) procedure for complex transposition of the great arteries with left ventricular outflow tract obstructionCentral MessagePerspective |
| title_sort | aortic root translocation nikaidoh procedure for complex transposition of the great arteries with left ventricular outflow tract obstructioncentral messageperspective |
| topic | Nikaidoh operation aortic root translocation transposition of the great arteries biventricular repair |
| url | http://www.sciencedirect.com/science/article/pii/S2666250723003863 |
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