Lecompte operation: Is it still a viable option for truncus arteriosus? Chun Soo Park, MD, Won-Kyoung Jhang, MD, Jae-Kon Ko, MD, Young-Hwue Kim, MD, Tae-Jin.

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Lecompte operation: Is it still a viable option for truncus arteriosus? Chun Soo Park, MD, Won-Kyoung Jhang, MD, Jae-Kon Ko, MD, Young-Hwue Kim, MD, Tae-Jin Yun, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 136, Issue 5, Pages 1384-1386.e2 (November 2008) DOI: 10.1016/j.jtcvs.2007.12.074 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, A cylindrical segment of truncal artery incorporating the pulmonary trunk is cut off the truncal artery along the dotted lines. B, The pulmonary trunk is translocated anteriorly, and the divided ends of the truncal artery (neoaorta) are reanastomosed. The cylindrical segment is cut in the middle along the dotted line. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1384-1386.e2DOI: (10.1016/j.jtcvs.2007.12.074) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Flap a is cut off along the dotted line, and flap b is directly sutured to the back wall of the pulmonary trunk. The ventricular septal defect is closed with a Dacron patch (c). B, Flap a is sutured to flap b, forming the posterior wall of the pulmonary trunk. This newly reconstructed pulmonary trunk is approximated and secured to the superior margin of the right ventriculotomy. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1384-1386.e2DOI: (10.1016/j.jtcvs.2007.12.074) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

A, Preoperative cardiac computerized tomographic volume rendering images of case 1 showing type 1 truncus arteriosus. B, Postoperative images of case 1 showing posteriorly displaced neoaortic root and anteriorly translocated neopulmonary trunk. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1384-1386.e2DOI: (10.1016/j.jtcvs.2007.12.074) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

A, A right ventriculotomy is made along the dotted line A, A right ventriculotomy is made along the dotted line. B, The right ventricular outflow tract is depicted after the completion of the procedure. A pulmonary allograft monocusp patch is placed as an anterior patch of the right ventricular outflow tract. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1384-1386.e2DOI: (10.1016/j.jtcvs.2007.12.074) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions