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J Thorac Cardiovasc Surg 2008;136:1384-1386
© 2008 The American Association for Thoracic Surgery

Brief Communication

Lecompte operation: Is it still a viable option for truncus arteriosus?

Chun Soo Park, MDa, Won-Kyoung Jhang, MDa, Jae-Kon Ko, MDb, Young-Hwue Kim, MDb, Tae-Jin Yun, MD, PhDa,*

a Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea
b Division of Pediatric Cardiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea

Received for publication November 1, 2007; revisions received December 17, 2007; accepted for publication December 22, 2007.

* Address for reprints: Tae-Jin Yun, MD, PhD, Divisional Head, Division of Pediatric Cardiac Surgery, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul, Republic of Korea, 138-736. (Email: tjyun@amc.seoul.kr).

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

The Lecompte operation is not widely adopted for patients with truncus arteriosus because the anteriorly translocated pulmonary trunk may be compressed by the large truncal artery. Two babies (6 and 37 days old) with type I truncus arteriosus (Figure E1, A) underwent the Lecompte operation with technical modifications to overcome this problem.

Technique

Under moderate hypothermic cardiopulmonary bypass, the truncal artery and both pulmonary arteries were dissected extensively, and the pulmonary arteries were occluded with snares. The truncal artery was crossclamped and blood cardioplegic solution was delivered antegradely. A vertical incision was made on the anterior wall of the right ventricle, and the ventricular septal defect was closed with a Dacron patch through this incision (Figure E2, A). The truncal artery was transected at the level of the upper margin of the pulmonary arterial origin, and a cylindrical segment incorporating the pulmonary trunk was cut off the truncal artery with direct vision of the sinotubular junction of the truncal artery (Figure 1, A). After the Lecompte maneuver, the divided ends of the truncal . . . [Full Text of this Article]






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