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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
This summary is machine-generated.

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.