Rastelli procedure in transposition of the great arteries associated with ventricular septal defect and pulmonary stenosis: A report of 3 consecutive cases in Cho Ray hospital

Le Thanh Khanh Van, Le Quoc Dat, Hoang Ngoc Vi, Doan Van Phung, Bui Quoc Thang

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Tóm tắt

Transposition of the great arteries (TGA) is a complex cyanotic congenital heart disease, and only 10% of children with TGA can be alive through infancy. Rastelli operation is a standard surgical method for patient with TGA associated with ventricular septal defect (VSD) and pulmonary stenosis (PS). The aim of this report was to show short-term outcome of Rastelli operation in TGA; 3 patients (aged from 3 months to 4 years) were diagnosed TGA, VSD, atrial septal defect (ASD) and PS (2 severe pulmonary stenosis, 1 pulmonary atresia) with cyanosis, failure to thrive, baseline oxygen saturation values of 62% to 75%. All of 3 was performed Rastelli procedure and hospital discharged after 14 – 17 days postoperatively with saturation > 95%, no early complication, reoperation or death. Rastelli procedure in TGA  associated with VSD, ASD and PS is initially well performed at the department of Pediatric Cardiac Surgery, Cho Ray hospital with satisfactory short-time outcome

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Tài liệu tham khảo

[1] Talner CN. Report of the New England Regional Infant Cardiac Program, by Donald C. Fyler, MD, Pediatrics, 1980;65(suppl):375-461. Pediatrics. 1998;102(1 Pt 2):258-9.
[2] Baruteau AE, Vergnat M, Kalfa D, Delpey JG, Ly M, Capderou A, et al. Long-term outcomes of the arterial switch operation for transposition of the great arteries and ventricular septal defect and/or aortic arch obstruction. Interact Cardiovasc Thorac Surg. 2016;23(2):240-6.
[3] Vida VL, Zanotto L, Zanotto L, Triglia LT, Bellanti E, Castaldi B, et al. Arterial switch operation for transposition of the great arteries: A single-centre 32-year experience. J Card Surg. 2019;34(11):1154-61.
[4] Rastelli GC. A new approach to "anatomic" repair of transposition of the great arteries. Mayo Clin Proc. 1969;44(1):1-12.
[5] Rastelli GC, McGoon DC, Wallace RB. Anatomic correction of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis. J Thorac Cardiovasc Surg. 1969;58(4):545-52.
[6] Brown JW, Ruzmetov M, Huynh D, Rodefeld MD, Turrentine MW, Fiore AC. Rastelli operation for transposition of the great arteries with ventricular septal defect and pulmonary stenosis. Ann Thorac Surg. 2011;91(1):188-93; discussion 93-4.
[7] Huang ES, Herrmann JL, Rodefeld MD, Turrentine MW, Brown JW. Rastelli Operation for D-Transposition of the Great Arteries, Ventricular Septal Defect, and Pulmonary Stenosis. World J Pediatr Congenit Heart Surg. 2019;10(2):157-63.
[8] Yasuyuki Toyoda TH, Mitsugi Nagashima, Goki Matsumura, Kenji Yamazaki. Long-term Effect of Enlargement of a Ventricular Septal Defect in the Rastelli Procedure. The Journal of Thoracic and Cardiovascular Surgery. 2017;29(2):215-20.
[9] Haworth SG, Radley-Smith R, Yacoub M. Lung biopsy findings in transposition of the great arteries with ventricular septal defect: potentially reversible pulmonary vascular disease is not always synonymous with operability. J Am Coll Cardiol. 1987;9(2):327-33.