Thorac Cardiovasc Surg 2006; 54(8): 558-560
DOI: 10.1055/s-2006-924415
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Modified Nikaidoh Procedure for Transposition of Great Arteries, Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction

O. A. Sayin1 , M. Ugurlucan1 , L. Saltik2 , Z. Sungur3 , E. Tireli1
  • 1Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
  • 2Department of Pediatric Cardiology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
  • 3Department of Anesthesiology, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
Further Information

Publication History

Received March 25, 2006

Publication Date:
06 December 2006 (online)

Abstract

The surgical management of transposition of the great arteries with ventricular septal defect and left ventricle outflow tract obstruction is a real challenge in congenital heart surgery. The Rastelli operation has been used for many years with satisfactory early and late results. A newer operation described by Nikaidoh seems to take anatomy more into account and has been performed with promising outcomes. In this report, we present a patient with transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction who was successfully treated with a modification of the Nikaidoh procedure.

References

  • 1 Morell V O, Jacobs J P, Quintessenza J A. Aortic translocation in the management of transposition of the great arteries with ventricular septal defect and pulmonary stenosis: results and follow-up.  Ann Thorac Surg. 2005;  79 2089-2093
  • 2 Lee J R, Lim H G, Kim Y J, Rho J R, Bae E J, Noh C I, Yun Y S, Ahn C. Repair of transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction.  Eur J Cardiothorac Surg. 2004;  25 735-741
  • 3 Nikaidoh H. Aortic translocation and biventricular outflow tract reconstruction. A new surgical repair for transposition of the great arteries associated with ventricular septal defect and pulmonary stenosis.  J Thorac Cardiovasc Surg. 1984;  88 365-372
  • 4 Dearani J A, Danielson G K, Puga F J, Mair D D, Schleck C D. Late results of the Rastelli operation for transposition of the great arteries.  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2001;  4 3-15
  • 5 Yeh T, Ramaciotti C, Leonard S R, Nikaidoh H. Superior preservation of the left ventricular outlet after the aortic translocation (Nikaidoh) procedure. Presented at the Fourth World Congress of Pediatric Cardiology and Cardiac Surgery. 2005

MD Omer Ali Sayin

Department of Cardiovascular Surgery
Istanbul University Istanbul Medical Faculty

Millet Caddesi, 34390 Capa/Fatih

Istanbul

Turkey

Phone: + 90 2 12 41 42 00 03 12 66

Fax: + 90 21 25 34 22 32

Email: oasayin@hotmail.com

    >