RT Journal Article
T1 Aortic root translocation and en bloc rotation of the outflow tracts surgery for complex forms of transposition of the great arteries and double outlet right ventricle: A multicenter study.
A1 Stoica, Serban
A1 Kreuzer, Michaela
A1 Dorobantu, Dan-Mihai
A1 Kostolny, Martin
A1 Nosal, Matej
A1 Hosseinpour, Amir-Reza
A1 Martinez, Fernando Laviana
A1 Generali, Tommaso
A1 Hasan, Asif
A1 Mair, Rudolf
A1 Hazekamp, Mark
K1 Nikaidoh
K1 double outlet right ventricle
K1 double-root rotation
K1 en bloc rotation
K1 transposition of the great arteries
AB There are several choices for the correction of complex transposition of the great arteries and double outlet right ventricle not amenable to the Rastelli-type surgery, but outcome data are limited to small series. This study aims to report results after the aortic root translocation and en bloc rotation of the outflow tract procedures. This is a retrospective, multicentric, observational study. Clinical, anatomy, procedural, and detailed follow-up data (median, 4.43 years) were collected. A total of 70 patients (62.9% male; median age, 1 year; range 4 days to 12.4 years) were included: n = 43 in the aortic root translocation group and n = 27 in the en bloc rotation group. Those in the aortic root translocation group were older (P = .01) and more likely to have had previous procedures (P  Both aortic root translocation and en bloc rotation are valuable surgical options for the treatment of complex transposition of the great arteries and double outlet right ventricle. In the en bloc rotation group, there was better freedom from right ventricular outflow tract reinterventions, but a higher probability of aortic valve regurgitation. Identifying the main driving forces for these observed differences requires further study of these procedures.
YR 2022
FD 2022-07-20
LK http://hdl.handle.net/10668/22340
UL http://hdl.handle.net/10668/22340
LA en
DS RISalud
RD Apr 5, 2025