Aortic translocation procedure: Early outcomes from a single center.
Oktay Korun1, Okan Yurdakök1, Murat Çiçek1
1Department of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
Journal of Cardiac Surgery
|July 30, 2019
Summary
The Nikaidoh procedure, or aortic translocation, offers a surgical option for complex congenital heart defects like TGA, VSD, and LVOTO. Modifications may reduce the need for future interventions.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Limited literature exists on the Nikaidoh procedure.
- This study details institutional experience with aortic translocation and its modifications.
Purpose of the Study:
- To present experiential findings with the aortic translocation (Nikaidoh) procedure.
- To evaluate the outcomes of modified Nikaidoh procedures.
Main Methods:
- Retrospective review of patients undergoing aortic translocation.
- Analysis of surgical procedures, patient demographics, and outcomes.
Main Results:
- Eight patients underwent aortic translocation between 2014-2018.
- Common diagnoses included TGA, VSD, and LVOTO; DORV was also present.
- Hospital mortality was 12.5%, with one late death; median follow-up was 10 months.
Conclusions:
- Aortic translocation is a viable option for specific complex heart defects.
- Modifications like double root translocation may decrease long-term intervention risks.
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