Procedure

Nikaidoh operation for transposition of the great arteries with a ventricular septal defect and pulmonary stenosis

Section of Pediatric Cardiothoracic Surgery of the Heart, Lung and Esophageal Surgical Institute, University of Pittsburgh Medical School, Children's Hospital of Pittsburgh, Room 2820, 3705 Fifth Avenue, Pittsburgh, PA 15213, USA

^* Corresponding author: ^* Tel.: +1-412-692 5218; fax: +1-412-692 5817 E-mail:victor.morell{at}chp.edu

The optimal surgical management of patients with transposition of the great arteries with a ventricular septal defect and pulmonary stenosis remains challenging. When compared to other surgical options, the Nikaidoh procedure results in a ‘more normal’ anatomic result, with better alignment of the right and left ventricular outflow tracts. Also, the pulmonary outflow is less likely to be compressed by the sternum, a major issue associated with the Rastelli repair. This technique is especially useful in the presence of an inlet or restrictive ventricular septal defect, a hypoplastic right ventricle, a straddling atrioventricular valve and/or anomalous coronary anatomy interfering with a distal right ventricular outflow tract incision.

Key Words: Aortic translocation • Nikaidoh procedure • Rastelli repair • Transposition of the great arteries