The impact of the length between the top of the interventricular septum and the aortic valve on the indications for a biventricular repair in patients with a transposition of the great arteries or a double outlet right ventricle

Yasuhiro Fujii, Yasuhiro Kotani, Masami Takagaki, Sadahiko Arai, Shingo Kasahara, Shin-ichi Ohtsuki, Shunji Sano

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The purpose of this study was to establish a useful cut-off level for performing an original Rastelli-type operation in patients with transposition of the great arteries (TGA)/ventricular septal defect (VSD) or double outlet right ventricle (DORV). A total of 43 patients with TGA/VSD or DORV who underwent an original Rastelli-type operation in this institute between March 1993 and January 2009 were reviewed retrospectively. These patients were divided into two groups using the length between the top of the interventricular septum and the aortic valve (IVS-AV length); Group A; IVS-AV length 80% of normal LVDd. Group A had a significantly better survival than Group B (100% vs. 56%, P=0.001). The cardiac event-free survival were 89.1% at 7.2 years in Group A and 26.3% at 8.4 years in Group B (P

Original languageEnglish
Pages (from-to)900-905
Number of pages6
JournalInteractive Cardiovascular and Thoracic Surgery
Volume10
Issue number6
DOIs
Publication statusPublished - Jun 2010

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Double Outlet Right Ventricle
Transposition of Great Vessels
Aortic Valve
Ventricular Heart Septal Defects
Disease-Free Survival
Survival
Arterial Switch Operation

Keywords

  • Cardiac surgical procedures
  • Double outlet right ventricle
  • Left ventricular outflow obstruction
  • Transposition of great vessels
  • Ventricular septal defect

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

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title = "The impact of the length between the top of the interventricular septum and the aortic valve on the indications for a biventricular repair in patients with a transposition of the great arteries or a double outlet right ventricle",
abstract = "The purpose of this study was to establish a useful cut-off level for performing an original Rastelli-type operation in patients with transposition of the great arteries (TGA)/ventricular septal defect (VSD) or double outlet right ventricle (DORV). A total of 43 patients with TGA/VSD or DORV who underwent an original Rastelli-type operation in this institute between March 1993 and January 2009 were reviewed retrospectively. These patients were divided into two groups using the length between the top of the interventricular septum and the aortic valve (IVS-AV length); Group A; IVS-AV length 80{\%} of normal LVDd. Group A had a significantly better survival than Group B (100{\%} vs. 56{\%}, P=0.001). The cardiac event-free survival were 89.1{\%} at 7.2 years in Group A and 26.3{\%} at 8.4 years in Group B (P",
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author = "Yasuhiro Fujii and Yasuhiro Kotani and Masami Takagaki and Sadahiko Arai and Shingo Kasahara and Shin-ichi Ohtsuki and Shunji Sano",
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AU - Fujii, Yasuhiro

AU - Kotani, Yasuhiro

AU - Takagaki, Masami

AU - Arai, Sadahiko

AU - Kasahara, Shingo

AU - Ohtsuki, Shin-ichi

AU - Sano, Shunji

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N2 - The purpose of this study was to establish a useful cut-off level for performing an original Rastelli-type operation in patients with transposition of the great arteries (TGA)/ventricular septal defect (VSD) or double outlet right ventricle (DORV). A total of 43 patients with TGA/VSD or DORV who underwent an original Rastelli-type operation in this institute between March 1993 and January 2009 were reviewed retrospectively. These patients were divided into two groups using the length between the top of the interventricular septum and the aortic valve (IVS-AV length); Group A; IVS-AV length 80% of normal LVDd. Group A had a significantly better survival than Group B (100% vs. 56%, P=0.001). The cardiac event-free survival were 89.1% at 7.2 years in Group A and 26.3% at 8.4 years in Group B (P

AB - The purpose of this study was to establish a useful cut-off level for performing an original Rastelli-type operation in patients with transposition of the great arteries (TGA)/ventricular septal defect (VSD) or double outlet right ventricle (DORV). A total of 43 patients with TGA/VSD or DORV who underwent an original Rastelli-type operation in this institute between March 1993 and January 2009 were reviewed retrospectively. These patients were divided into two groups using the length between the top of the interventricular septum and the aortic valve (IVS-AV length); Group A; IVS-AV length 80% of normal LVDd. Group A had a significantly better survival than Group B (100% vs. 56%, P=0.001). The cardiac event-free survival were 89.1% at 7.2 years in Group A and 26.3% at 8.4 years in Group B (P

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KW - Double outlet right ventricle

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KW - Transposition of great vessels

KW - Ventricular septal defect

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