Damus anastomosis associated with REV/Rastelli procedure allows to extend indications for anatomical repair in complex transposition of great arteries. (4th March 2014)

• Record Type: Journal Article
• Authors: Kalfa, David; Vergnat, Mathieu; Baruteau, Alban-Elouen; Belli, Emre
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 18:Number 6(2014:Jun.)
• Page Start: 844
• Page End: 846
• Publication Date: 2014-03-04
• Subjects: Biventricular repair -- Complex congenital heart disease -- Damus–Kay–Stansel anastomosis -- Rastelli procedure -- Réparation à l'Etage Ventriculaire -- Transposition of great arteries; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivu049
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: We report here the indications and the results of a surgical option associating a Damus procedure with a 'Réparation à l'Etage Ventriculaire' (REV)/Rastelli procedure, for anatomical repair of patients presenting with complex transposition of great arteries (TGA), restrictive/remote ventricular septal defect (VSD) and pulmonary stenosis (PS). Five consecutive patients (median age: 11 months (range: 20 days to 15 years)) presenting with complex TGA–VSD–PS and anatomical lesions resulting in a contraindication to a Nikaidoh procedure were included. Two of them presented with a postoperative restrictive left ventricle-to-aorta baffle and secondarily underwent a modified Damus procedure a few days after the REV or Rastelli procedure. In the other 3 patients, the Damus procedure was primarily performed at the time of the REV or Rastelli procedure. No death occurred. At the last follow-up (mean: 31 ± 37 months), all patients displayed an excellent functional status and an unobstructed left ventricular outflow tract in echocardiography. Associating a Damus procedure with a REV/Rastelli procedure can be considered as an effective and low-risk surgical option to extend the indications for anatomical repair in patients with complex TGA–VSD–PS and anatomical findings precluding other surgical options.