Anatomic Repair for Corrected Transposition With Left Ventricular Outflow Tract Obstruction Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Aya Miyazaki,

Slides:

Advertisements

Similar presentations

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura, MD,

Advertisements

Clinical Outcomes of Mitral Valve Replacement With the 16-mm ATS Advanced Performance Valve in Neonates and Infants Jiyong Moon, MD, Takaya Hoashi, MD,

Junya Sugiura, MD, Toshihide Nakano, MD, Hideaki Kado, MD

Wenrui Ma, MD, Wei Zhang, MD, Wei Shi, MD, Ye Kong, MD, Xinyu Ma, MS

Reply The Annals of Thoracic Surgery

Outcomes of Reintervention on the Autograft After Ross Procedure

Can Fontan Conversion for Patients Without Late Fontan Complications be Justified? Akihiko Higashida, MD, Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Masatoshi.

Yasui Conversion for Repair After Left Ventricular Outflow Tract Obstruction Satoshi Fujita, MD, PhD, Toshihide Nakano, MD, PhD, Shinichiro Oda, MD, PhD,

Clinical Outcomes of Mitral Valve Replacement With the 16-mm ATS Advanced Performance Valve in Neonates and Infants Jiyong Moon, MD, Takaya Hoashi, MD,

Repair of Atrioventricular Septal Defect Associated With Tetralogy of Fallot or Double- Outlet Right Ventricle: 30 Years of Experience Jeremy Ong, BMedSci,

Late Assessment After Biventricular Repair for Isomerism Heart

Incidence and Predictors for Postoperative Thrombotic Complications in Children With Surgical and Nonsurgical Heart Disease David Faraoni, MD, PhD, Katherine.

Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis Justin G. Reeves,

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura,

Biventricular Repair for Right Atrial Isomerism

Operative Results and Outcomes in Children With Shone's Anomaly

Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava

Surgical Ventricular Restoration for Advanced Congestive Heart Failure: Should Pulmonary Hypertension Be a Contraindication? Nishant D. Patel, BA, Jason.

Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects Bahaaldin Alsoufi,

Results of Primary Repair Versus Shunt Palliation in Ductal Dependent Infants With Pulmonary Atresia and Ventricular Septal Defect Bahaaldin Alsoufi,

Surgical outcomes of 380 patients with double outlet right ventricle who underwent biventricular repair Shoujun Li, MD, Kai Ma, MD, PhD, Shengshou Hu,

Partial Anomalous Pulmonary Venous Connection to the Superior Vena Cava Atsushi Nakahira, MD, Toshikatsu Yagihara, MD, Koji Kagisaki, MD, Ikuo Hagino,

Biventricular Conversion After Single-Ventricle Palliation in Unbalanced Atrioventricular Canal Defects Meena Nathan, MD, Hua Liu, MS, Frank A. Pigula,

Long-Term Outcomes of the Mosaic Bioprosthesis

Jeffery Shuhaiber, MD, Andrew Y. Shin, MD, Jeffrey G

Interrupted Aortic Arch Repair: Aortic Arch Advancement Without a Patch Minimizes Arch Reinterventions David L.S. Morales, MD, Peter T. Scully, Brandi.

Expanding Indications for Valve-Sparing Aortic Root Reconstruction: Early and Midterm Results Johanna Valo, BM, Janne J. Jokinen, MD, PhD, Markku Kaarne,

Andreas Zierer, MD, Rochus K. Voeller, MD, Karen E

Application of Cone Reconstruction for Neonatal Ebstein Anomaly or Tricuspid Valve Dysplasia Masanori Mizuno, MD, PhD, Takaya Hoashi, MD, PhD, Heima.

Promising Outcome of Anatomic Correction of Corrected Transposition of the Great Arteries Viktor Hraska, MD, PhD, Mathieu Vergnat, MD, Peter Zartner,

Long-term outcomes after definitive repair for tetralogy of Fallot with preservation of the pulmonary valve annulus Takaya Hoashi, MD, PhD, Koji Kagisaki,

Early Results of the Bovine Jugular Vein Graft Used for Reconstruction of the Right Ventricular Outflow Tract Hitendu H. Dave, MD, Alexander Kadner,

Impact of Age at Fontan Completion on Postoperative Hemodynamics and Long-Term Aerobic Exercise Capacity in Patients With Dominant Left Ventricle Shuichi.

Yasutaka Hirata, MD, Jonathan M. Chen, MD, Jan M

Freddy Vermeulen, MD, Ben Swinkels, MD, Wim Jan van Boven, MD

Outcome of Surgical Correction of Congenital Supravalvular Aortic Stenosis With Two- and Three-Sinus Reconstruction Techniques Peter Kramer, MD, Daniel.

Rates of Interventions in Isolated Coarctation Repair in Neonates Versus Infants: Does Age Matter? Rinske IJsselhof, MD, Hua Liu, MS, Frank Pigula, MD,

Revisitation of Double-Inlet Left Ventricle or Tricuspid Atresia With Transposed Great Arteries Won Kyoun Park, MD, Jae Suk Baek, MD, Bo Sang Kwon, MD,

Left Ventricular Function After Repair of Totally Anomalous Pulmonary Venous Connection Yuji Nakamura, MD, Takaya Hoashi, MD, PhD, Tomohiro Nakata, MD,

Junya Sugiura, MD, Toshihide Nakano, MD, Hideaki Kado, MD

Impact of the Evolution of the Fontan Operation on Early and Late Mortality: A Single- Center Experience of 405 Patients Over 3 Decades Hideo Ohuchi,

Long-Term Survival and Freedom From Reoperation After Placement of a Pulmonary Xenograft Valved Conduit George M. Alfieris, MD, Michael F. Swartz, PhD,

Optimal Timing for Elective Early Primary Repair of Tetralogy of Fallot: Analysis of Intermediate Term Outcomes Michael E.A. Cunningham, MD, Mary T.

The Rastelli Procedure for Transposition of the Great Arteries: Resection of the Infundibular Septum Diminishes Recurrent Left Ventricular Outflow Tract.

Repair of Partial Atrioventricular Septal Defect: Age and Outcomes

Nikaidoh Procedure: How I Teach It

Successful Biventricular Conversion Late After Primary One and One-Half Ventricle Repair Takaya Hoashi, MD, PhD, Masataka Kitano, MD, Koji Kagisaki,

Surgical Repair of Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collaterals With Absent Intrapericardial Pulmonary Arteries

Surgical Strategy for Atrioventricular Septal Defect and Tetralogy of Fallot or Double- Outlet Right Ventricle Vijayakumar Raju, MD, Harold M. Burkhart,

Arterial Switch Operation: Operative Approach and Outcomes

Correction of Tetralogy of Fallot and of Pulmonary Atresia with Ventricular Septal Defect in Adults Jürgen Hörer, MD, Julia Friebe, MD, Christian Schreiber,

Damus-kaye-stansel procedure for left ventricular outflow tract obstruction late after modified fontan operation in patients with double-inlet left ventricle:

Advancing Cor Triatriatum in Fontan Circulation

Aortic Translocation in the Management of Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Results and Follow-Up

Superior Vena Cava to Pulmonary Artery Anastomosis as an Adjunct to Biventricular Repair: 38-Year Follow-Up Siho Kim, MD, Osman Al-Radi, MD, Mark K.

Outcomes of Biventricular Repair for Congenitally Corrected Transposition of the Great Arteries Hong-Gook Lim, MD, PhD, Jeong Ryul Lee, MD, PhD, Yong.

Surgical results in patients with double outlet right ventricle: a 20-year experience John W Brown, MD, Mark Ruzmetov, MD, Yuji Okada, MD, Palaniswamy.

Left-Sided Reoperations After Arterial Switch Operation: A European Multicenter Study Vladimiro L. Vida, MD, PhD, Lorenza Zanotto, MD, Lucia Zanotto,

Sanjiv K Gandhi, MD, Ralph D Siewers, MD, Frank A Pigula, MD

Long-Term Follow-Up of the Conal Flap Method for Tricuspid Malinsertion in Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary.

Takaaki Suzuki, MD, Edward L. Bove, MD, Eric J

Isolated Reoperative Minimally Invasive Tricuspid Valve Operations

Influence of Prosthesis–Patient Mismatch on Diastolic Heart Failure After Aortic Valve Replacement Shahab Nozohoor, MD, Johan Nilsson, MD, PhD, Carsten.

Outcomes of the Arterial Switch Operation for Transposition of the Great Arteries: 25 Years of Experience Tyson A. Fricke, BMedSc, Yves d'Udekem, MD,

John M. Stulak, MD, Harold M. Burkhart, MD, Joseph A

Justin P. V. Zachariah, MD, Frank A. Pigula, MD, John E

Hilum-to-Hilum Gore-Tex Tube Replacement of Central Pulmonary Arteries

Long-Term Results of Apical Aortic Conduits in Children With Complex Left Ventricular Outflow Tract Obstruction John W. Brown, MD, Mark Ruzmetov, MD,

Predictive Value of Intraoperative Diagnosis of Residual Ventricular Septal Defects by Transesophageal Echocardiography Baher M. Hanna, Ahmed A. El-Hewala,

Repair of Left Ventricular Inflow Tract Lesions in Shone's Anomaly: Valve Growth and Long-Term Outcome Eva Maria B. Delmo Walter, MD, PhD, Richard Van.

Presentation transcript:

Anatomic Repair for Corrected Transposition With Left Ventricular Outflow Tract Obstruction Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Aya Miyazaki, MD, Kenichi Kurosaki, MD, Isao Shiraishi, MD, PhD, Toshikatsu Yagihara, MD, Hajime Ichikawa, MD, PhD The Annals of Thoracic Surgery Volume 96, Issue 2, Pages 611-620 (August 2013) DOI: 10.1016/j.athoracsur.2013.03.095 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flow chart of surgically treated patients with congenitally corrected transportation of great arteries (ccTGA) with left ventricular outflow tract obstruction (LVOTO) and ventricular septal defect (VSD). (CDH = congenital diaphragm hernia; DORV = double outlet right ventricle.) The Annals of Thoracic Surgery 2013 96, 611-620DOI: (10.1016/j.athoracsur.2013.03.095) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Size of ventricular septal defect (VSD, ■) area and left ventricular outflow tract (LVOT, □) area in patients undergoing additional Damus-Kaye-Stansel anastomosis (n = 9). Both VSD area and LVOT area were expressed as % of normal aortic valve (AV) area. Patients 1 and 2 concomitantly underwent VSD enlargement. The Annals of Thoracic Surgery 2013 96, 611-620DOI: (10.1016/j.athoracsur.2013.03.095) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Overall survival rate estimated by the Kaplan-Meyer method. (B) No mortality has been observed in 21 consecutive patients since 1997 (Log-rank: p = 0.006). The Annals of Thoracic Surgery 2013 96, 611-620DOI: (10.1016/j.athoracsur.2013.03.095) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Freedom from (A) reoperation rate, (B) pacemaker implantation (PMI) rate, and (C) reoperation for right ventricular outflow tract (RVOT) rate estimated by the Kaplan-Meyer method. (D) No reoperation cases have been observed in 14 consecutive patients that underwent our tailor-made RVOT reconstruction (log-rank: p = 0.18). (RVOTR = right ventricular outflow tract reconstruction). The Annals of Thoracic Surgery 2013 96, 611-620DOI: (10.1016/j.athoracsur.2013.03.095) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 (A) Freedom from reintervention for caval obstruction rate estimated by the Kaplan-Meyer method. (B) No patient undergoing Senning developed caval obstruction. (C) Coexisted apicocaval juxtaposition (ACJ), or (D) double-sided superior vena cavae (SVC) was not a risk factor. (bSVC = both sided superior vena cavae). The Annals of Thoracic Surgery 2013 96, 611-620DOI: (10.1016/j.athoracsur.2013.03.095) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 (A) Changes of right ventricular end-diastolic volume (RVEDV) before and 1 year after the operation. (B) Correlation between RVEDV and postoperative right ventricular end-diastolic pressure (RVEDP) or (C) the cardiac index (CI) 1 year after the operation. The Annals of Thoracic Surgery 2013 96, 611-620DOI: (10.1016/j.athoracsur.2013.03.095) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions