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J Thorac Cardiovasc Surg 2007;133:1090-1092
© 2007 The American Association for Thoracic Surgery

Brief Communication

Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction

Sheng-shou Hu, MD, PhD*, Shou-jun Li, MD, PhD, Xin Wang, MD, PhD, Li-qing Wang, MD, PhD, Hui Xiong, MD, PhD, Li-huan Li, MD, Fu-xia Yan, MD, Xu Wang, MD, PhD

Department of Cardiovascular Surgery, Cardiovascular Institute and Fu-Wai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Received for publication February 18, 2006; revisions received April 7, 2006; accepted for publication April 11, 2006.

* Address for reprints: Sheng-shou Hu, MD, PhD, Department of Cardiovascular Surgery, Cardiovascular Institute and Fu-Wai Hospital, Beijing 100037, P. R. China. (Email: huss@163bj.com; xinwang_2002@hotmail.com).

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


Figure 1
Dr Hu


The Nikaidoh procedure, as an alternative to the Rastelli operation for dealing with transposition of the great arteries (TGA) with ventricular septal defect (VSD) and pulmonary stenosis (PS), could obtain a superior anatomic result.1,2Go However, the extracardiac conduit is unable to grow and is inevitably calcified; thereafter, the patients required reoperation. We report our experience with a novel modification in which the native pulmonary valve was preserved to address these problems.

Clinical Summary

Since December 2004, 4 boys underwent surgical repair of TGA with VSD and PS at our heart center. The patients’ demographic characteristics and clinical findings are presented in Table 1. All the patients had follow-up.


View this table:



  		TABLE 1 The patients’ demographic characteristics and clinical findings
 
Definitive repair was carried out during moderate hypothermia with cardiopulmonary bypass. The ascending aorta and the pulmonary trunk were transected above the sinotublar conjunction. The coronary arteries were mobilized and detached. The aortic root and pulmonary root, including the semilunar valves, were excised beneath the annular level from the ventricles (. . . [Full Text of this Article]




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