新川　武史
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Original article
Language English
Peer review Non peer reviewed
Title Long-term surgical results of transposition of the great arteries with left ventricular outflow tract obstruction.
Journal Formal name：Journal of cardiothoracic surgery
Abbreviation：J Cardiothorac Surg
ISSN code：17498090/17498090
Domestic / ForeginForegin
Volume, Issue, Page 17(1),pp.111
Author and coauthor Furuta Akihisa†, Yamagishi Masaaki, Matsumura Goki, Shinkawa Takeshi, Niinami Hiroshi
Publication date 2022/05/11
Summary OBJECTIVE:The objective of this study was to evaluate the long-term surgical results of transposition of the great arteries with left ventricular outflow tract obstruction.METHODS:We conducted a retrospective study of patients with transposition of the great arteries or double outlet right ventricle with left ventricular outflow tract obstruction undergoing biventricular repair between 1980 and 2017.RESULTS:One hundred and eleven patients were enrolled and classified into five groups: atrial switch (n = 20), arterial switch (n = 12), Nikaidoh (n = 7), Rastelli (n = 48), and REV operation groups (n = 24). Early mortality was highest in Nikaidoh group (29%). Median follow-up was 18.2 years. Long-term survival was by far lowest in Nikaidoh group and comparable among the other 4 groups. Freedom from reoperation at 20 years was lowest in Rastelli group (32.1%) due to right ventricular outflow tract-related reoperations. While having no recurrence of left ventricular outflow tract obstruction, the arterial switch operation group had a high proportion of substantial neo-aortic regurgitation (29%).CONCLUSIONS:The long-term survival was satisfactory regardless of the surgical technique except Nikaidoh group. The surgical option for transposition of the great arteries with left ventricular outflow tract obstruction should be selected based on the features of the respective procedures.
DOI 10.1186/s13019-022-01869-9
PMID 35546242