Double-root inversion for complex malposition of the great arteries with tricuspid valve straddling

Article Article scientifique Article vidéo Double-root inversion for complex malposition of the great arteries with tricuspid valve straddling eng 2021-03-08 2021-03-08 author Nalecz Tomasz Cardiovascular Surgery, Geneva University Hospitals & Faculty of Medicine, Geneva, Switzerland. author De Ferm Alexe Cardiovascular Surgery, Geneva University Hospitals & Faculty of Medicine, Geneva, Switzerland. 948710 author Pelouze Alexandre Division of Cardiovascular Surgery Department of Surgery Geneva University Hospitals & Faculty of Medicine Geneva, Switzerland. 891097 author Beghetti Maurice Children's University Hospital 6 rue Willy Donzé 1211 Geneva 14 Switzerland. 31865 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Pretre René University Hospital Lausanne - Switzerland University Hospital Geneva - Switzerland. 27945 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Sologashvili Tornike University Hospital of Geneva University Hospital of Laussane Switzerland. 807807 Département de chirurgie (CHIRU) 10.1510/mmcts.2021.016 33904267 1813-9175 https://mmcts.org/tutorial/1638 Dextro-transposition of the great vessels associated with pulmonary stenosis, double-outlet right ventricle, and straddling of the tricuspid valve is an uncommon condition. Several treatment options are available for this malformation, but most of them are not optimal. For patients with transposition of the great vessels, the gold standard procedure, which is an arterial switch procedure, would usually be performed, whereas for patients with pulmonary stenosis, a Rastelli operation or a Nikaidoh procedure would be proposed. Both of these methods have several advantages and disadvantages. Selected patients can qualify for the double-root rotation procedure, which is limited by the function of the pulmonary and aortic valves, the position of the coronary arteries, and the skill of the surgeon[1]. After a thorough analysis of all the preoperative test results, our patient qualified for a surgical correction of the malformation. Due to preexisting pulmonary regurgitation and severe dilation of the pulmonary root, the patient was not considered a good candidate for the arterial switch operation. Therefore, it was decided that the double-root inversion was the best option. Introduction The double-root inversion gives the patient the possibility of avoiding a reoperation. If the patient were to have the Nikaidoh or the Rastelli procedure, we know that the pulmonary graft would eventually have to be replaced. For this reason, we would like to share our experience with the double-root inversion method. DORV Double root inversion D-TGA Abnormalities, Multiple / surgery Aorta, Thoracic / abnormalities Aorta, Thoracic / surgery Cardiac Surgical Procedures / methods Double Outlet Right Ventricle / surgery Humans Infant Male Pulmonary Valve Stenosis / congenital Pulmonary Valve Stenosis / surgery Tricuspid Valve / abnormalities Tricuspid Valve / surgery Dewey 617 Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 57 Département de chirurgie 222 false 179 L'hypertension pulmonaire (pédiatrie) 228 Multimedia manual of cardiothoracic surgery 2021 56d027cd-7577-4057-8513-d39f7a93ec28 Article (Published version) Restricted MMCTS.pdf 1266677 application/pdf 339ac10c4b427d6e1577ce0ee00cba7f8fc43d9fdb470a3749a78a57c2b243e4 restrictedAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Double-root inversion for complex malposition of the great arteries with tricuspid valve straddling	Multimedia manual of cardiothoracic surgery			2021	119	0

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De Ferm, Alexe