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Related Experiment Video

Updated: Nov 17, 2025

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Aortic root translocation: the Bex-Nikaidoh procedure.

Vijay Agarwal1, Swaminathan Vaidyanathan2

  • 1Department of Pediatric Cardiac Surgery, Fortis Memorial Research Institute, Gurgaon, India.

Indian Journal of Thoracic and Cardiovascular Surgery
|February 19, 2021
PubMed
Summary

Congenital heart defect repair for transposition of the great arteries involves various surgical techniques. Aortic root translocation offers improved outcomes but presents surgical challenges, particularly coronary translocation.

Keywords:
Aortic root translocationNikaidoh procedureRastelli procedureTGA

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Area of Science:

  • Pediatric Cardiac Surgery
  • Congenital Heart Disease
  • Cardiovascular Surgery

Background:

  • Transposition of the great arteries (TGA) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) requires complex surgical management.
  • Traditional surgical approaches include the Rastelli procedure and the "reparation a l'etage ventriculaire" (REV) procedure.

Purpose of the Study:

  • To review and discuss surgical techniques for TGA, VSD, and LVOTO.
  • To provide a detailed discussion on aortic root translocation (Bex-Nikaidoh procedure) as an alternative surgical strategy.

Main Methods:

  • Review of existing literature and surgical techniques for managing TGA, VSD, and LVOTO.
  • Detailed examination of the aortic root translocation (Bex-Nikaidoh) procedure, including its advantages and challenges.

Main Results:

  • Aortic root translocation (Bex-Nikaidoh procedure) and other translocation techniques may offer equivalent or superior results compared to traditional methods.
  • Aortic root translocation facilitates a more anatomically aligned left ventricular outflow tract.

Conclusions:

  • Aortic root translocation is a promising surgical option for TGA, VSD, and LVOTO, potentially leading to better patient outcomes.
  • The technical demands of aortic root translocation, especially coronary translocation, remain significant challenges for successful implementation.