PMID- 27083244
OWN - NLM
STAT- MEDLINE
DCOM- 20170328
LR  - 20170817
IS  - 1552-6259 (Electronic)
IS  - 0003-4975 (Linking)
VI  - 102
IP  - 1
DP  - 2016 Jul
TI  - Long-Term Follow-Up of the Conal Flap Method for Tricuspid Malinsertion in 
      Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary 
      Stenosis.
PG  - 186-91
LID - S0003-4975(16)00068-0 [pii]
LID - 10.1016/j.athoracsur.2016.01.055 [doi]
AB  - BACKGROUND: Rastelli and reparation a l'etage ventriculaire (REV) procedures have 
      been applied for biventricular repair of transposition of great arteries with 
      ventricular septal defects and pulmonary stenosis (TGA III). In some patients 
      with TGA III, whose tricuspid valve (TV) chordae tendineae are attached to the 
      infundibular septum, abnormal TV chorda insertion may cause intracardiac 
      rerouting obstruction. For such cases, we performed a conal flap" (CF) procedure 
      involving mobilization of the infundibular septum including TV chordae as a 
      pedicled flap. This study evaluated the long-term outcomes of this CF method. 
      METHODS: Between October 1985 and December 1999, 17 consecutive patients with TGA 
      III underwent a Rastelli-type or an REV-type procedure using CF. Median age at 
      operation was 4.8 years (range, 1.5 to 14.0 years). RESULTS: The mean follow-up 
      period was 17.8 +/- 7.2 years. One hospital death and one late death occurred. The 
      freedom from death rates were 94.1%, 94.1%, and 85.6% at 5, 10, and 15 years, 
      respectively. The freedom from death or reoperation rates were 94.1%, 55.8%, and 
      46.5% at 5, 10, and 15 years, respectively. No reoperations were performed for 
      the left ventricular outflow tract (LVOT) or TV. The average LVOT maximum flow 
      velocity was 1.26 +/- 0.50 m/s. TV regurgitation was greater than mild in 3 
      patients (20%) and trivial to mild in 12 patients (80%). Thirteen patients were 
      in New York Heart Association (NYHA) functional class I, and 2 patients were in 
      NYHA functional class II. CONCLUSIONS: The long-term outcomes, including the 
      daily life activities, LVOT pressure gradients, and TV regurgitation grades, were 
      excellent in patients who underwent Rastelli-type and REV-type procedures using 
      CF for TGA III.
CI  - Copyright (c) 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All 
      rights reserved.
FAU - Fuchigami, Tai
AU  - Fuchigami T
AD  - Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's 
      Medical University Hospital, Tokyo, Japan. Electronic address: 
      taifuchigami@yahoo.co.jp.
FAU - Nagashima, Mitsugi
AU  - Nagashima M
AD  - Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's 
      Medical University Hospital, Tokyo, Japan.
FAU - Hiramatsu, Takeshi
AU  - Hiramatsu T
AD  - Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's 
      Medical University Hospital, Tokyo, Japan.
FAU - Matsumura, Goki
AU  - Matsumura G
AD  - Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's 
      Medical University Hospital, Tokyo, Japan.
FAU - Tateishi, Minori
AU  - Tateishi M
AD  - Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's 
      Medical University Hospital, Tokyo, Japan.
FAU - Yamazaki, Kenji
AU  - Yamazaki K
AD  - Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's 
      Medical University Hospital, Tokyo, Japan.
LA  - eng
PT  - Journal Article
DEP - 20160412
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Abnormalities, Multiple
MH  - Adolescent
MH  - Cardiac Surgical Procedures/*methods
MH  - Child
MH  - Child, Preschool
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Septal Defects, Ventricular/diagnosis/*surgery
MH  - Humans
MH  - Infant
MH  - Male
MH  - Pulmonary Valve Stenosis/diagnosis/*surgery
MH  - Retrospective Studies
MH  - *Surgical Flaps
MH  - Time Factors
MH  - Transposition of Great Vessels/diagnosis/*surgery
MH  - Treatment Outcome
MH  - Tricuspid Valve/diagnostic imaging/*surgery
MH  - Tricuspid Valve Insufficiency/diagnosis/*surgery
EDAT- 2016/04/17 06:00
MHDA- 2017/03/30 06:00
CRDT- 2016/04/17 06:00
PHST- 2015/10/15 00:00 [received]
PHST- 2016/01/06 00:00 [revised]
PHST- 2016/01/11 00:00 [accepted]
PHST- 2016/04/17 06:00 [entrez]
PHST- 2016/04/17 06:00 [pubmed]
PHST- 2017/03/30 06:00 [medline]
AID - S0003-4975(16)00068-0 [pii]
AID - 10.1016/j.athoracsur.2016.01.055 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2016 Jul;102(1):186-91. doi: 10.1016/j.athoracsur.2016.01.055. 
      Epub 2016 Apr 12.