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The expanding indications for the Lecompte maneuver
Sachin Talwar1, Subramanian Muthukkumaran, Shiv Kumar Choudhary
1Department of Cardiothoracic & Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
World Journal for Pediatric & Congenital Heart Surgery
|March 27, 2014
Summary
The Lecompte maneuver, a surgical technique for repositioning pulmonary arteries, has seen expanding indications since 1981. This review explores its physiological basis and evolving uses in cardiac surgery.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiac Surgery
- Congenital Heart Disease
Background:
- The Lecompte maneuver involves anterior translocation of the pulmonary arteries relative to the aorta.
- First described in 1981, this surgical technique has a history of application in complex congenital heart defects.
Purpose of the Study:
- To review the physiological principles underlying the Lecompte maneuver.
- To discuss the expanding clinical indications for this surgical approach.
Main Methods:
- Literature review of studies and case reports on the Lecompte maneuver.
- Analysis of physiological data related to pulmonary artery translocation.
Main Results:
- The Lecompte maneuver is adaptable to various congenital heart conditions.
- Its application has broadened beyond initial indications, demonstrating versatility.
Conclusions:
- The Lecompte maneuver remains a valuable surgical option with a growing range of applications.
- Understanding its physiological basis is crucial for optimizing patient outcomes.

