Related Experiment Video
Updated: Jun 30, 2026
15:04
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
The Damus-Stansel-Kaye procedure: anatomical determinants and modifications
S Y DeLeon1, M N Ilbawi, K Tubeszewski
1Division of Pediatric Cardiac Surgery, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois.
The Annals of Thoracic Surgery
|September 11, 1991
Summary
The Damus-Stansel-Kaye procedure is a safe and effective option for complex congenital heart defects like transposition of the great arteries and Taussig-Bing anomalies. This surgical approach offers a viable solution when standard arterial switch operations are not feasible.
Area of Science:
- Pediatric Cardiac Surgery
- Congenital Heart Disease
- Cardiovascular Surgery
Background:
- Anatomical correction for transposition of the great arteries (TGA) and Taussig-Bing anomalies (TBA) typically involves the arterial switch (AS) procedure.
- Certain complex anatomies, including difficult coronary patterns and subaortic stenosis, can preclude standard AS or Rastelli procedures.
Purpose of the Study:
- To evaluate the safety and efficacy of the Damus-Stansel-Kaye (DSK) procedure in patients with TGA and TBA without pulmonary stenosis.
- To identify the specific indications and outcomes associated with the DSK procedure in this complex patient cohort.
Main Methods:
- Retrospective review of 7 patients who underwent the DSK procedure as part of anatomical correction for TGA and TBA.
- Analysis of patient demographics, surgical indications, procedural modifications, and postoperative outcomes.
Main Results:
- The DSK procedure was performed in 7 patients (0.5-5 years old) with TGA, TBA, or corrected transposition.
- Indications included difficult coronary anatomy, single coronary system, and subaortic stenosis.
- Complications included postoperative bleeding and heart block; two patients required aortic outflow closure for insufficiency. One late death occurred due to conduit obstruction.
Conclusions:
- The Damus-Stansel-Kaye procedure has a defined role in the surgical management of complex TGA and TBA.
- It can be safely performed in selected patients when standard arterial switch or Rastelli procedures are not suitable.
