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Modified Nikaidoh procedure in a patient with transposition of the great arteries, ventricular septal defect, and left ventricular outflow tract obstruction with unusual coronary anatomy

Published online by Cambridge University Press:  27 June 2011

Murat Ugurlucan ,
Omer A. Sayin  and
Emin Tireli
Murat Ugurlucan
Affiliation:
Cardiovascular Surgery Clinic, Duzce Ataturk State Hospital, Duzce, Turkey
Omer A. Sayin
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
Emin Tireli*
Affiliation:
Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
*
Correspondance to: Dr E. Tireli, Professor, MD, Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Millet Caddesi, Capa, 34390 Fatih/Istanbul, Turkey. Tel: +90 542 234 28 65; Fax: +90 212 534 22 32; E-mail: emintireli@yahoo.com; muratugurlucan@yahoo.com
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Abstract

The Rastelli operation has been the most common procedure for the repair of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction. A relatively recent approach is the Nikaidoh procedure. Despite the fact that it seems promising, the operation lacks long-term follow-up data. It has been postulated that patients with anomalous coronary arteries are high-risk candidates for the Nikaidoh procedure and its modifications. In this report, we present the case of a patient with transposition of the great arteries with remote restrictive ventricular septal defect and left ventricular outflow tract obstruction with coronary anomaly – with the right coronary artery originating from the left anterior descending coronary artery and crossing the right ventricular outflow tract – who underwent successful modified Nikaidoh operation.

Keywords

Paediatric cardiac surgeryRastelli procedureRéparation à l'Etage ventriculaireNikaidoh procedure
Type
Brief Reports
Information
Cardiology in the Young , Volume 21 , Issue 6 , 28 October 2011 , pp. 703 - 706
Copyright
Copyright © Cambridge University Press 2011

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