DOI: 10.25881/BPNMSC.2019.51.93.002

Authors

Nazirov F.G., Abrolov Kh.K., Baron. O., Mirsaidov M.M., Kobiljonov B.Kh.

State institution «Republican Specialized Scientific Practical Medical Center of Surgery named after Academician V. Vahidov», Tashkent, Uzbekistan

Abstract

According to foreign authors, the incidence of transposition of great arteries (TGA) among all congenital heart diseases (CHD) is 4.5–7%, which corresponds to a frequency of 20-30 cases per 100 000 live births. There is a predominance of the male, which ranges from 1.5: 1 to 3.2: 1. It is important that TGA is the most common GHD, accompanied by a critical condition, progressive hypoxemia and requiring urgent surgical procedures in the early days. Characterization of the anatomical location of the great arteries in TGA is important for the clinician, since it allows us to determine surgical tactics. The article presents the results of surgical treatment of patients with various forms of transposition of the great arteries in the department of surgery of congenital heart disease in the RSCS named after acad. V. Vahidov.

Keywords: transposition of the great arteries, arterial switch operation, Rastelli operation, REV operation, Nikaidoh operation.

References

1. Alsoufi B, Awan A, Al-Omrani A, Al-Ahmadi M, Canver CC, Bulbul Z, Kalloghlian A, Al-Halees Z. The Rastelli procedure for transposition of the great arteries: resection of the infundibular septum diminishes recurrent left ventricular outflow tract obstruction risk. Ann Thorac Surg. 2009;88(1):137–142. doi: 10.1016/j.athoracsur.2009.03.099.

2. Dearani JA, Danielson GK, Puga FJ, Mair DD, Schleck CD. Late results of the Rastelli operation for transposition of the great arteries. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2001;4:3–15.

3. Hörer J, Schreiber C, Dworak E, Cleuziou J, Prodan Z, Vogt M, Holper K, Lange R. Long-term results after the Rastelli repair for transposition of the great arteries. Ann Thorac Surg. 2007;83(6):2169–2175. doi: 10.1016/j.athoracsur.2007.01.061.

4. Kouchoukos N, Blackstone E, Hanley F, Kirklin J. Kirklin/Barrat Boes cardiac surgery. 4th ed. Saunders; 2012. 2256 p.

5. Konstantinov IE, Rosapepe F, Dearani JA, Alexi-Meskishvili VV, Li J. A tribute to Giancarlo Rastelli. Ann Thorac Surg. 2005;79(5):1819–1823. doi: 10.1016/j.athoracsur.2004.11.037.

6. Kreutzer C, De Vive J, Oppido G, Kreutzer J, Gauvreau K, Freed M, Mayer JE Jr, Jonas R, del Nido PJ. Twenty-five-year experience with rastelli repair for transposition of the great arteries. J Thorac Cardiovasc Surg. 2000;120(2):211–213. doi: 10.1067/mtc.2000.108163.

7. Navabi MA, Shabanian R, Kiani A, Rahimzadeh M. The effect of ventricular septal defect enlargement on the outcome of Rastelli or Rastelli-type repair. J Thorac Cardiovasc Surg. 2009;138(2):390–406. doi: 10.1016/j.jtcvs.2009.02.034.

8. Rastelli GC, Wallace RB, Ongley PA. Complete repair of transposition of great arteries with pulmonary stenosis. A review and report of case corrected by using a new surgical technique. Circulation. 1969;39(1):83–95. doi: 10.1161/01.cir.39.1.83.

9. Jonas RA. Comprehensive surgical management of congenital heart disease. Hodder Education Publishers; 2004. 560 p.

10. Yeh T Jr, Ramaciotti C, Leonard SR, Roy L, Nikaidoh H. The aortic translocation (Nikaidoh) procedure: Midterm results superior to Rastelli procedure. J Thorac Cardiovasc Surg. 2007;133(2):461–469. doi: 10.1016/j.jtcvs.2006.10.016.

For citation

Nazirov F.G., Abrolov Kh.K., Baron. O., Mirsaidov M.M., Kobiljonov B.Kh. Experience of surgical correction of transposition of great arteries. Bulletin of Pirogov National Medical & Surgical Center. 2019;14(2):10-13. (In Russ.) https://doi.org/10.25881/BPNMSC.2019.51.93.002