ニイナミ　ヒロシ   NIINAMI Hiroshi   新浪　博    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読なし
表題	Long-term surgical results of transposition of the great arteries with left ventricular outflow tract obstruction.
掲載誌名	正式名：Journal of cardiothoracic surgery 略　 称：J Cardiothorac Surg ISSNコード：17498090/17498090
掲載区分	国外
巻・号・頁	17(1),pp.111
著者・共著者	Furuta Akihisa†, Yamagishi Masaaki, Matsumura Goki, Shinkawa Takeshi, Niinami Hiroshi
発行年月	2022/05/11
概要	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