Intermediate results after a modified Yasui procedure with the Lecompte maneuver

Area of Science:

• Cardiovascular Surgery
• Pediatric Cardiology
• Congenital Heart Disease

Background:

• Complex congenital heart defects pose significant surgical challenges.
• Ventricular septal defect, obstructed aortic arch, and valvular aortic stenosis require multi-stage surgical interventions.
• The Yasui procedure offers a potential solution for certain complex cyanotic heart diseases.

Purpose of the Study:

• To evaluate the efficacy of a modified Yasui procedure in treating patients with a specific combination of congenital heart defects.
• To assess the long-term outcomes and safety of this surgical modification.
• To determine the incidence of progressive lesions and the need for reoperation after the procedure.

Main Methods:

• A modified Yasui procedure was performed on three patients.
• The surgical technique included Norwood-type aortic reconstruction, intraventricular rerouting, and Lecompte maneuver.
• Patients were followed for up to 60 months post-surgery.

Main Results:

• All three patients demonstrated excellent clinical outcomes.
• No progressive cardiac lesions were observed during the follow-up period.
• No reoperations were required in any of the patients.

Conclusions:

• The modified Yasui procedure provides a safe and effective treatment option for complex congenital heart defects.
• This surgical approach can lead to excellent long-term results without the need for reintervention.
• Further studies with larger cohorts are warranted to confirm these findings.