Bacha Emile, Nguyen Stephanie, Blitzer David, Yammine Maroun
Section of Pediatric Cardiac Surgery, Morgan Stanley Children's Hospital, New York, New York.
Ann Thorac Surg Short Rep. 2024 Mar 28;2(3):418-420. doi: 10.1016/j.atssr.2024.02.020. eCollection 2024 Sep.
Among repairs for ventriculoarterial discordance, ventricular septal defect, and pulmonary stenosis, aortic root translocation (Nikaidoh operation) offers the most anatomic result. With a diminutive pulmonary annulus or hypoplastic left ventricular outflow tract, the distance gained posteriorly with aortic translocation is negligible. We developed the "hemi-Nikaidoh" procedure as an alternative. Geometric shift is achieved by mobilizing the anterior two-thirds of the aortic root, and posterior aortic translocation is performed by plicating the left ventricular outflow tract without dividing the conus. The right ventricular outflow tract is reconstructed with an orthotopic conduit. Herein, we describe the hemi-Nikaidoh operation.
在针对心室动脉不一致、室间隔缺损和肺动脉狭窄的修复手术中，主动脉根部移位术（尼凯多手术）能提供最为解剖学理想的结果。当肺动脉瓣环过小或左心室流出道发育不全时，主动脉移位在后方所获得的空间微不足道。我们研发了“半尼凯多”手术作为替代方法。通过游离主动脉根部前三分之二实现几何移位，通过折叠左心室流出道而不切开圆锥进行主动脉向后移位。右心室流出道用原位管道重建。在此，我们描述半尼凯多手术。
