Why the study?
Aortic root translocation offers potential surgical advantages for combinations of TGA, PS, and VSD.
Does performing the Nikaidoh procedure on a beating heart reduce cross-clamp time and mortality in patients with TGA, PS, and VSD?
Does performing the Nikaidoh procedure on a beating heart reduce cross-clamp time and mortality in patients with TGA, PS, and VSD?
Performing the Nikaidoh procedure on a beating heart is a feasible technical modification that may reduce cross-clamp time and prevent coronary malposition in patients with complex congenital heart disease.
May support beating-heart aortic translocation in select TGA/PS/VSD cases; hypothesis-generating and leaves open need for comparative data.
Aortic root translocation is a surgical choice offering potential advantages for combinations of transposition of the great arteries (TGA), pulmonary stenosis (PS), and ventricular septal defect (VSD). Six patients were included in this analysis. All of them were diagnosed with TGA, PS, and VSD and all of them underwent the Nikaidoh procedure. In 2 of these 6 cases (33.3%), aortic translocation was performed on a beating heart. Performing aortic root translocation on a beating heart is probably useful in reducing the cross-clamp time and the mortality rate, as well as preventing coronary malposition.
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Recep et al. (2022) studied this question.
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