Korean J Thorac Cardiovasc Surg.  2009 Feb;42(1):87-91.

Modified Nikaidoh Procedure for Patient with TGA, Restrictive VSD, and PS

• Jeon JH
• Seong YW
• Kim WH
• Chang HW
• Chung ES
• Kwak JG

Abstract

The surgical management of complete transposition of the great arteries, ventricular septal defect, and pulmonary stenosis still remain a significant challenge. The Rastelli (REV procedure) remains the most widely applied procedure for surgical repair of these lesions. Although the Rastelli procedure can be performed with good early results, the intermediate- and long-term results have been less than satisfactory because of deterioration of the hemodynamic performance of the LVOT or RVOT. We performed a modified Nikaidoh procedure as an alternative surgical procedure in a 19-month-old boy weighing 10.4 kg with this anomaly. Aortic translocation with biventricular outflow tract reconstruction resulted in a more "normal" anatomic repair and postoperative echocardiography showed straight, direct, and unobstructed ventricular outflow.

Keyword

Congenital heart disease; Transposition of the great vessels; Cardiac septal and ventricular defects; Pulmonary artery stenosis

MeSH Terms

Arteries
Echocardiography
Heart Septal Defects, Ventricular
Hemodynamics
Humans
Infant
Pulmonary Valve Stenosis