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Aortic translocation procedure: Early outcomes from a single center
Author(s) -
Korun Oktay,
Yurdakök Okan,
Çiçek Murat,
Altın Fırat Hüsnü,
Selçuk Arif,
Kılıç Yiğit,
Kudsioğlu Şefika Türkan,
Bulut Mustafa Orhan,
Erdem Hasan,
Aydemir Numan Ali,
Şaşmazel Ahmet
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14188
Subject(s) - medicine , ventricular outflow tract obstruction , interquartile range , surgery , double outlet right ventricle , great arteries , ventricle , cardiology , mitral valve
Background/Aim The data on the Nikaidoh procedure is limited in the literature. This study presents our experiential findings with aortic translocation (Nikaidoh) procedure and its modifications. Methods We retrospectively reviewed the data of all the patients who underwent aortic translocation in our institution. Results Between September 2014 and November 2018, eight patients underwent aortic translocation surgery. The median age was 3.2 years (14 months and 9 years). The diagnosis was transposition of the great arteries (TGA), ventricular septal defect (VSD), and left ventricular outflow tract obstruction (LVOTO) in five patients (63%); double‐outlet right ventricle (DORV), VSD, and LVOTO in two patients (25%) and DORV and remote VSD in one patient (12%). Additionally, two patients had tricuspid straddling. In terms of surgical procedures, six patients underwent standard Nikaidoh procedures, while one patient underwent double root translocation and one patient underwent a half‐turned truncal switch operation. Hospital mortality was recorded for one patient (12.5%). Median intensive care and hospital stay duration was 3 days (interquartile range [IQR]: 2‐5 days) and 11 days (IQR: 8‐17 days). Median follow‐up duration was 10 months (IQR: 10‐24 months). One of the patients, who underwent standard Nikaidoh procedure, died in the late follow‐up. Conclusions Aortic translocation procedure is an option for TGA, VSD, and LVOTO patients with a distal VSD or tricuspid straddling and DORV patients with a small VSD. Avoiding the use of a conduit through modifications, such as double root translocation and half‐turned truncal switch operation, may decrease the risk of long‐term recurrent interventions.