Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow.

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Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction  Sheng-shou Hu, MD, PhD, Shou-jun Li, MD, PhD, Xin Wang, MD, PhD, Li-qing Wang, MD, PhD, Hui Xiong, MD, PhD, Li-huan Li, MD, Fu-xia Yan, MD, Xu Wang, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 133, Issue 4, Pages 1090-1092 (April 2007) DOI: 10.1016/j.jtcvs.2006.04.058 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Diagram of the modification of the Nikaidoh procedure. A, The ascending aorta and the pulmonary trunk were transected. The coronary arteries were detached. The aortic and pulmonary roots were dissected out. B, The ventricular septal defect (VSD) was closed, and the aortic root was translocated to the left ventricular outflow tract (LVOT). The anteriorly translocated pulmonary root was enlarged. C, In a patient with atrioventricular discordance, the anterior part of the pulmonary annuli was untouched, and only the posterior part of the pulmonary root was dissected. RVOT, Right ventricular outflow tract. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1090-1092DOI: (10.1016/j.jtcvs.2006.04.058) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions