Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-28T18:20:04.815Z Has data issue: false hasContentIssue false
  • English
  • Français

Surgical outcome of Yasui procedure for preserving biventricular function: single centre experience

Part of: Surgery

Published online by Cambridge University Press:  15 November 2021

Omar Alhadi Open the ORCID record for Omar Alhadi [Opens in a new window] ,
Mohamed S. Kabbani Open the ORCID record for Mohamed S. Kabbani [Opens in a new window] ,
Fahad Alhabshan Open the ORCID record for Fahad Alhabshan [Opens in a new window] ,
Mohammed Alamer ,
Ahmed Alomrani Open the ORCID record for Ahmed Alomrani [Opens in a new window]  and
Hussam Hamadah Open the ORCID record for Hussam Hamadah [Opens in a new window]
Omar Alhadi
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Mohamed S. Kabbani*
Affiliation:
King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia Department of Cardiac Sciences, Section of Pediatric Cardiac Intensive Care Unit, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
Fahad Alhabshan
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Mohammed Alamer
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Ahmed Alomrani
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Hussam Hamadah
Affiliation:
King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia Department of Cardiac Sciences, Section of Pediatric Cardiac Intensive Care Unit, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
*
Author for correspondence: Dr M. S. Kabbani, Pediatric Cardiac Intensive Care Unit, Department of cardiac sciences, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, P.O. Box 22490, Riyadh11426, Saudi Arabia. Tel: +966506485027; Fax: +966118011111, ext: 16773. E-mail: Kabbanim@ngha.med.sa
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Yasui procedure is surgical repair intended to preserve biventricular function for patients with left ventricle outflow tract obstruction associated with aortic arch lesions and ventricular septal defect.

Methods:

Retrospective chart review analysis of all patients who had Yasui procedure (2008–2020) comparing midterm outcome of one versus two stage repair.

Results:

Twenty patients (70% female) underwent Yasui procedure in our center. Eight patients (40%) had left ventricle outflow tract obstruction /interrupted aortic arch, 7 patients (35%) had left ventricle outflow tract obstruction /coarctation of aorta, 3 patients (15%) had double outlet ventricle and ventricular septal defect that were unattainable for tunneling to one of the semilunar valves without creating obstruction, and 2 patients (10%) had aortic atresia with hypoplastic aortic arch. All patients had associated ventricular septal defect. Fifteen patients (75%) had one-stage repair and 5 patients (25%) had two-stage repair. Means age and weight for one and two-stage repair were 1.3 ± 2 months, 13.4 ± 11.5 months and 3.3 ± 0.6 kg, 7.8 ± 3.4 kg, respectively. During follow up, 8 patients (40%) required re- intervention, mainly for right ventricle–pulmonary artery conduit either dilation or replacement. The average duration of follow up was 5 years with nil mortality.

Conclusion:

Yasui procedure is effective approach for children who have left ventricle outflow tract obstruction associated with aortic arch anomalies and ventricular septal defect. Survival rate with single or staged repair is comparably good. During the first 5 year of follow up, nearly 40% of operated patients required re-intervention.

Keywords

Yasui procedureleft ventricular outflow tract obstructionbiventricular repair
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 10 , October 2022 , pp. 1570 - 1574
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Yasui, H, Kado, H, Nakano, E, et al. Primary repair of interrupted aortic arch and severe aortic stenosis in neonates. J Thorac Cardiovasc Surg 1987; 93: 39–45.CrossRefGoogle ScholarPubMed
Carrillo, SA, Mainwaring, RD, Schaffer, JM, et al. Contemporaneous comparison of the Yasui and Norwood procedures at a single institution. J Thorac Cardiovasc Surg 2015; 149: 508–513. DOI 10.1016/j.jtcvs.2014.09.120.CrossRefGoogle ScholarPubMed
Nakano, T, Kado, H, Tatewaki, H, et al. The Yasui operation for patients with adequate-sized ventricles and ventricular septal defect associated with obstructions of the aortic arch and left ventricular outflow tract. Eur J Cardiothorac Surg 2014; 45: e166–72. DOI 10.1093/ejcts/ezt658.CrossRefGoogle ScholarPubMed
Jacobs, ML, Chin, AJ, Rychik, J, Steven, JM, Nicolson, SC, Norwood, WI. Impact of subaortic stenosis on management and outcome. Circulation 1995; 92: II128–31.CrossRefGoogle ScholarPubMed
Kanter, KR, Miller, BE, Cuadrado, AG, Vincent, RN. Successful application of the Norwood procedure for infants without hypoplastic left heart syndrome. Ann Thorac Surg 1995; 59: 301–304.CrossRefGoogle ScholarPubMed
Erez, E, Tam, VK, Kanter, KR, Fyfe, DA. Successful biventricular repair after initial Norwood operation for interrupted aortic arch with severe left ventricular outflow tract obstruction. Ann Thorac Surg 2001; 71: 1974–1977.CrossRefGoogle ScholarPubMed
Pearl, JM, Cripe, LW, Manning, PB. Biventricular repair after Norwood palliation. Ann Thorac Surg 2003; 75: 132–136.CrossRefGoogle ScholarPubMed
Ohye, RG, Kagisaki, K, Lee, LA, Mosca, RS, Goldberg, CS, Bove, EL. Biventricular repair for aortic atresia or hypoplasia and ventricular septal defect. J Thorac Cardiovasc Surg 1999; 118: 648–653.CrossRefGoogle ScholarPubMed
Rychik, J, Murdison, KA, Chin, AJ, Norwood, WI. Surgical management of severe aortic outflow obstruction in lesions other than the hypoplastic left heart syndrome: use of a pulmonary artery to aorta anastomosis. J Am Coll Cardiol 1991; 18: 809–816.CrossRefGoogle Scholar
Kanter, KR, Kirshbom, PM, Kogon, BE. Biventricular repair with the Yasui operation (Norwood/Rastelli) for systemic outflow tract obstruction with two adequate ventricles. Ann Thorac Surg 2012; 93: 1999–2006.CrossRefGoogle ScholarPubMed
Gruber, PJ, Fuller, S, Cleaver, KM, et al. Early results of single-stage biventricular repair of severe aortic hypoplasia or atresia with ventricular septal defect and normal left ventricle. J Thorac Cardiovasc Surg 2006; 132: 260–263.CrossRefGoogle ScholarPubMed