Open AccessOptions for coronary translocation and other considerations in aortic root translocation (Bex-Nikaidoh procedure)
Author(s) -
Swaminathan Vaidyanathan,
Marathe Supreet,
Marathe Shilpa,
Nelson Alphonso,
Vijay Agarwal
Publication year - 2019
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_183_18
Subject(s) - medicine , chromosomal translocation , cardiology , ventricle , great arteries , intracardiac injection , aorta , aortic root , pulmonary artery , ventricular outflow tract obstruction , stenosis , ventricular outflow tract , surgery , mitral valve , biochemistry , chemistry , gene
The surgical options for patients with transposition of the great arteries (TGA), ventricular septal defect (VSD), and left ventricular outflow tract obstruction include intracardiac baffling with the right ventricle to pulmonary artery (PA) conduit (Rastelli procedure), " reparation a l'etage ventriculaire " or aortic root translocation (Bex-Nikaidoh procedure). The Bex-Nikaidoh procedure allows a more normal, anatomically aligned left ventricular outflow tract. However, the operation is technically demanding, and coronary translocation remains one of the major challenges for successful root translocation.