HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Nobuo Kitamura Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Yamagishi, M. Articles by Kitamura, N. Search for Related Content PubMed PubMed Citation Articles by Yamagishi, M. Articles by Kitamura, N. Related Collections Congenital - cyanotic

J Thorac Cardiovasc Surg 2003;125:966-968
© 2003 The American Association for Thoracic Surgery

Brief Communications

Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis

From the Division of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Received for publication July 21, 2002. Accepted for publication Aug 16, 2002. Address for reprints: Masaaki Yamagishi, MD, Division of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi, Hirokoji, Kamikyo-ku, Kyoto, 602-8566 Japan (E-mail: myama@koto.kpu-m.ac.jp).

The first 20% of the full text of this article appears below.

The Rastelli ¹ or Lecompte operations (réparation à l'étage ventriculaire) ² are commonly used for complete transposition of the great arteries (TGA) with anterior aorta, ventricular septal defect (VSD), and pulmonary stenosis (PS) or a double-outlet right ventricle with anterior aorta and a left posterior overriding pulmonary artery (PA; ie, false Taussig-Bing heart ³) with PS. However, a warped left ventricular outflow tract through a space-occupied intraventricular tunnel and a contrived right ventricular outflow tract are inevitable in these conventional operations. We developed an alternative surgical option to ensure straight and nonobstructive aortic and pulmonary ventricular outflow tracts by using an autologous half-turned truncal block that involves both semilunar valves.

Clinical summary

A girl weighing 7100 g was referred to our hospital for surgical repair. By means of echocardiography and angiocardiography, the cardiac anatomy was diagnosed as TGA with anterior aorta, VSD, and both valvular and subvalvular PS. A large muscular outlet VSD was located at a juxtapulmonary position. The infundibular septum was deviated posteriorly, and the posterior PA was overriding the interventricular septum. The pulmonary valve was bicuspid, and the pressure gradient between the left ventricle and the PA was 65 mm Hg.

At 1 year of age, surgical repair was performed through a median sternotomy. The ascending aorta was located anteriorly, and the main pulmonary artery (MPA) was located posteriorly. The coronary arterial pattern was Yacoub type A. A large right ventricular branch artery was detected at the right ventricular outflow tract. An arterial cannula was inserted into the ascending aorta, and venous return cannulas were directly inserted into the superior and inferior venae cavae. After institution of . . . [Full Text of this Article]

This article has been cited by other articles:

				M. Fang, H. Wang, H. Zhu, Z. Wang, X. Li, N. Zhang, and Y. Jin Half rotation of the truncus arteriosus plus arterial switch for transposition of the great arteries with ventricular septal defect and pulmonary outflow tract obstruction Eur J Cardiothorac Surg, September 1, 2011; 40(3): 579 - 583. [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]

				Y. Fujii, Y. Kotani, M. Takagaki, S. Arai, S. Kasahara, S.-i. Otsuki, and S. Sano The impact of the length between the top of the interventricular septum and the aortic valve on the indications for a biventricular repair in patients with a transposition of the great arteries or a double outlet right ventricle Interact CardioVasc Thorac Surg, June 1, 2010; 10(6): 900 - 905. [Abstract] [Full Text] [PDF]

				C. D. Derby, J. Kolcz, S. Gidding, and C. Pizarro Outcomes following non-valved autologous reconstruction of the right ventricular outflow tract in neonates and infants Eur J Cardiothorac Surg, October 1, 2008; 34(4): 726 - 731. [Abstract] [Full Text] [PDF]

				V. O. Morell and P. D. Wearden Nikaidoh operation for transposition of the great arteries with a ventricular septal defect and pulmonary stenosis MMCTS, January 1, 2008; 2008(0220): mmcts.2006.002337 - mmcts.2006.002337. [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]

				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., March 1, 2006; 131(3): 740 - 741.

				M. Koh, T. Yagihara, H. Uemura, K. Kagisaki, I. Hagino, T. Ishizaka, and S. Kitamura Intermediate Results of the Double-Switch Operations for Atrioventricular Discordance Ann. Thorac. Surg., February 1, 2006; 81(2): 671 - 677. [Abstract] [Full Text] [PDF]

				S. Mohammadi, E. Belli, I. Martinovic, L. Houyel, A. Capderou, J. Petit, C. Planche, and A. Serraf Surgery for right ventricle to pulmonary artery conduit obstruction: risk factors for further reoperation Eur J Cardiothorac Surg, August 1, 2005; 28(2): 217 - 222. [Abstract] [Full Text] [PDF]