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KMID : 0364020090420010087
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 1 p.87 ~ p.91
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Modified Nikaidoh Procedure for Patient with TGA, Restrictive VSD, and PS
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Jun Jae-Hyun
Kwak Jae-Gun
Seong Yong-Won
Kim Yoong-Han
Chung Eui-Suk
Chang Hyong-Woo
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Abstract
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The surgical management of complete transposition of the great arteries, ventricular septal defect, and pulmonary stenosis still remain a significant challenge. The Rastelli (REV procedure) remains the most widely applied procedure for surgical repair of these lesions. Although the Rastelli procedure can be performed with good early results, the intermediate- and long-term results have been less than satisfactory because of deterioration of the hemodynamic performance of the LVOT or RVOT. We performed a modified Nikaidoh procedure as an alternative surgical procedure in a 19-month-old boy weighing 10.4 kg with this anomaly. Aortic translocation with biventricular outflow tract reconstruction resulted in a more "normal" anatomic repair and postoperative echocardiography showed straight, direct, and unobstructed ventricular outflow. (Korean J Thorac Cardiovasc Surg 2009;42:87-91)
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KEYWORD
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Congenital heart disease, Transposition of the great vessels, Cardiac septal and ventricular defects, Pulmonary artery stenosis
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