| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 103, 428-436, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
PR Vouhe, D Tamisier, F Leca, R Ouaknine, F Vernant and JY Neveux
During a 10-year period (1980 to 1990), 62 patients underwent complete
repair for transposition of the great arteries, ventricular septal defect,
and pulmonary outflow tract obstruction. Twenty-two patients (35%) (mean
age 8.1 +/- 7.2 years) underwent the Rastelli operation: The ventricular
septal defect was enlarged anteriorly in eight patients, and right
ventricular-pulmonary artery continuity was established with an
extracardiac valved (9/22) or nonvalved (13/22) conduit. Forty patients
(65%) (mean age 3.3 +/- 3.2 years) underwent the Lecompte modifications:
The conal septum was extensively excised when present (30/40), anterior
translocation of the pulmonary bifurcation was performed in 32 patients,
and right ventricular- pulmonary artery continuity was established by
direct anastomosis without a prosthetic conduit. There were seven early
deaths (11%; 70% confidence limits, 7% to 17%): two after the Rastelli
procedure (9%; 70% confidence limits, 3% to 20%) and five after the
Lecompte operation (12.5%; 70% confidence limits, 7% to 20%). Four patients
were lost to follow-up, yielding a 93% complete follow-up (mean follow-up
55 months). There were two late deaths (one in each group). Actuarial
probability of survival (+/- standard error) at 5 years was 83% +/- 9%
after the Rastelli operation and 84% +/- 6% after the Lecompte procedure.
All long-term survivors (except one in the Rastelli group) were in
functional class I. Five patients in the Rastelli group underwent late
reoperation for obstruction of the extracardiac conduit (28%; 70%
confidence limits, 16% to 42%). Three late reoperations (10%; 70%
confidence limits, 4% to 19%) were required after the Lecompte operation
(one for residual ventricular septal defect and two for residual pulmonary
outflow tract obstruction). At most recent examination, residual pulmonary
outflow tract obstruction was present in seven patients of the Rastelli
group (39%; 70% confidence limits, 26% to 53%) and in six patients of the
Lecompte group (19%; 70% confidence limits, 12% to 29%). The combined
likelihood of reoperation for pulmonary outflow tract obstruction and
residual pulmonary outflow tract obstruction was significantly higher in
the Rastelli group (67% versus 26%; p = 0.005). Both procedures provide
satisfactory early and late results. The Lecompte operation allows complete
repair in infancy, is feasible in patients with anatomic contraindications
to the Rastelli operation, and may reduce the need for reoperation and the
prevalence of residual pulmonary outflow tract obstruction.
ARTICLES
Transposition of the great arteries, ventricular septal defect, and pulmonary outflow tract obstruction. Rastelli or Lecompte procedure?
Department of Thoracic and Cardiovascular Surgery, Laennec Hospital, Paris, France.
This article has been cited by other articles:
|
|
 |
|
  D. Metras, V. Fouilloux, L. Mace, A. Fraisse, and B. Kreitmann Right ventricular outflow repair: the aortic autograft technique procures the best late results in the transposition complex Eur J Cardiothorac Surg, September 1, 2011; 40(3): 614 - 618. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Di Carlo, B. Tomasco, L. Cohen, P. Vouhe, and Y. Lecompte Long-term results of the REV (reparation a l'etage ventriculaire) operation J. Thorac. Cardiovasc. Surg., August 1, 2011; 142(2): 336 - 343. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Miyaji, K. Itatani, N. Inoue, and M. Ishii Half-turned truncal switch operation for transposition of great arteries with ventricular septal defect and pulmonary regurgitation Interact CardioVasc Thorac Surg, August 1, 2011; 13(2): 217 - 219. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Brown, M. Ruzmetov, D. Huynh, M. D. Rodefeld, M. W. Turrentine, and A. C. Fiore Rastelli Operation for Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis Ann. Thorac. Surg., January 1, 2011; 91(1): 188 - 194. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. G. Hazekamp, A. A. Gomez, D. R. Koolbergen, V. Hraska, D. R. Metras, I. P. Mattila, W. Daenen, H. E. Berggren, J.-E. Rubay, G. Stellin, et al. Surgery for transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction: European Congenital Heart Surgeons Association multicentre study Eur J Cardiothorac Surg, December 1, 2010; 38(6): 699 - 706. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Weyand, C. Haun, H. Blaschczok, N. Goetz-Toussaint, J. Photiadis, N. Sinzobahamvya, B. Asfour, and V. Hraska Surgical Treatment of Transposition of Great Arteries With Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction: Midterm Results World Journal for Pediatric and Congenital Heart Surgery, July 1, 2010; 1(2): 163 - 169. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Di Carlo, Y. Lecompte, B. Tomasco, L. Cohen, and P. Vouhe Surgery for malposition of the great arteries: the REV procedure MMCTS, January 1, 2009; 2009(0123): mmcts.2007.003046 - mmcts.2007.003046. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Leobon, E. Belli, M. Ly, C. Kortas, E. Le Bret, A. Sigal-Cinqualbre, R. Roussin, and A. Serraf Left ventricular outflow tract obstruction after arterial switch operation Eur J Cardiothorac Surg, November 1, 2008; 34(5): 1046 - 1050. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Hazekamp, F. Portela, and M. Bartelings The optimal procedure for the great arteries and left ventricular outflow tract obstruction. An anatomical study Eur J Cardiothorac Surg, May 1, 2007; 31(5): 879 - 887. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Yeh Jr, C. Ramaciotti, S. R. Leonard, L. Roy, and H. Nikaidoh The aortic translocation (Nikaidoh) procedure: Midterm results superior to the Rastelli procedure J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 461 - 469. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. R. Lee and H. G. Lim Reply to Di Carlo REV (Lecompte) procedure: how much better than the Rastelli operation? Eur J Cardiothorac Surg, December 1, 2004; 26(6): 1227 - 1228. [Full Text] [PDF]
|
|
|
|
|
|
D. Di Carlo REV (Lecompte) procedure: how much better than the Rastelli operation? Eur J Cardiothorac Surg, December 1, 2004; 26(6): 1226 - 1227. [Full Text] [PDF]
|
|
|
|
|
|
Y. Isomatsu, T. Shin'oka, M. Aoki, M. Terada, T. Takeuchi, S. Hoshino, Y. Takanashi, Y. Imai, and H. Kurosawa Establishing right ventricle-pulmonary artery continuity by autologous tissue: an alternative approach for prosthetic conduit repair Ann. Thorac. Surg., July 1, 2004; 78(1): 173 - 180. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. R. Lee, H. G. Lim, Y. J. Kim, J. R. Rho, E. J. Bae, C. I. Noh, Y. S. Yun, and C. Ahn Repair of transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction Eur J Cardiothorac Surg, May 1, 2004; 25(5): 735 - 741. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Yamagishi, K. Shuntoh, T. Matsushita, K. Fujiwara, T. Shinkawa, T. Miyazaki, and N. Kitamura Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis J. Thorac. Cardiovasc. Surg., April 1, 2003; 125(4): 966 - 968. [Full Text] [PDF]
|
|
|
|
|
|
Y. Lecompte Rastelli repair for transposition of the great arteries: Still the best choice? J. Thorac. Cardiovasc. Surg., January 1, 2002; 123(1): 192 - 193. [Full Text]
|
|
|
|
|
|
Y. J. Kim, J.-J. Park, J. R. Lee, J. R. Rho, Y. S. Yun, J. Y. Choi, and C. I. Noh Modified Lecompte procedure for the anomalies of ventriculoarterial connection Ann. Thorac. Surg., July 1, 2001; 72(1): 176 - 180. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pretre, G. Gendron, D. Tamisier, F. Vernant, D. Sidi, and P. Vouhe Results of the Lecompte procedure in malposition of the great arteries and pulmonary obstruction Eur J Cardiothorac Surg, March 1, 2001; 19(3): 283 - 289. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Kreutzer, J. De Vive, G. Oppido, J. Kreutzer, K. Gauvreau, M. Freed, J. E. Mayer Jr, R. Jonas, and P. J. del Nido Twenty-five-year experience with Rastelli repair for transposition of the great arteries J. Thorac. Cardiovasc. Surg., August 1, 2000; 120(2): 211 - 223. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. L. Walters III, C. Mavroudis, C. I. Tchervenkov, J. P. Jacobs, F. Lacour-Gayet, and M. L. Jacobs Congenital Heart Surgery Nomenclature and Database Project: double outlet right ventricle Ann. Thorac. Surg., April 1, 2000; 69(4): S249 - S263. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. D. Black, V. Shukla, and R. M. Freedom Direct neonatal ventriculo-arterial connections (REV): early results and future implications Ann. Thorac. Surg., April 1, 1999; 67(4): 1137 - 1141. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Metras, B. Kreitmann, A. Riberi, J.-G. Yao, E. El-Khoury, F. Wernert, and A. Pannetier-Mille 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., November 1, 1997; 114(5): 746 - 754. [Abstract] [Full Text]
|
|
|
|
|
|
M. Ando, Y. Imai, Y. Takanashi, S. Hoshino, K. Seo, and M. Terada Fate of Trileaflet Equine Pericardial Extracardiac Conduit Used for the Correction of Anomalies Having Pulmonic Ventricle-Pulmonary Arterial Discontinuity Ann. Thorac. Surg., July 1, 1997; 64(1): 154 - 158. [Abstract] [Full Text]
|
|
|
|
|
|
G. B. Luciani and A. Mazzucco Rastelli Procedure for Repair of Transposition of the Great Arteries {S, D, L} Complex Ann. Thorac. Surg., April 1, 1997; 63(4): 1152 - 1155. [Abstract] [Full Text]
|
|
|
|
|
|
J. L. Myers Transposition of the Great Arteries Ann. Thorac. Surg., March 1, 1997; 63(3): 895 - 898. [Full Text]
|
|
|
|
|
|
R. E. Delius, M. A. Rademecker, M. R. de Leval, M. J. Elliott, and J. Stark IS A HIGH-RISK BIVENTRICULAR REPAIR ALWAYS PREFERABLE TO CONVERSION TO A SINGLE VENTRICLE REPAIR? J. Thorac. Cardiovasc. Surg., December 1, 1996; 112(6): 1561 - 1569. [Abstract] [Full Text]
|
|
|
|
|
|
L. Houyel, R. Van Praagh, F. Lacour-Gayet, A. Serraf, J. Petit, J. Bruniaux, and C. Planche Transposition of the great arteries {S, D, L}Pathologic anatomy, diagnosis, and surgical management of a newly recognized complex J. Thorac. Cardiovasc. Surg., September 1, 1995; 110(3): 613 - 624. [Abstract] [Full Text]
|
|
|
|
|
|
H. Niinami, Y. Imai, K. Sawatari, S. Hoshino, K. Ishihara, and M. Aoki Surgical management of tricuspid malinsertion in the Rastelli operation: Conal flap method Ann. Thorac. Surg., June 1, 1995; 59(6): 1476 - 1480. [Abstract] [PDF]
|
|
|
|
|
|
Y. J. Kim, H. Song, J. R. Lee, J. R. Rho, and K. P. Suh Lecompte procedure for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis Ann. Thorac. Surg., April 1, 1994; 57(4): 876 - 879. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
