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Methods Between 2008 and 2013 seven patients underwent modified Bex-Nikaidoh at median (M) age of 7.5 months (CI 25-75% [4.2; 26.4]). The conal septum was divided in 4 (CI 25-75% [44.4; 68.9]) patients including 1 patient with the surgical creation of outflow tract of the left ventricle due to pulmonary atresia. Modified technique of aortic root translocation included replantation of coronary arteries and placement into the ortotopic position of “oversized” pulmonary ventricle–pulmonary artery conduit. The evaluation of conduit performance was based on transthoracic and transesophageal echocardiogram and computed tomography.

Bex-Nikaidoh concept for repair of d-transposition of the great arteries with ventricular septal defect and pulmonary stenosis or pulmonary atresia