Lecompte procedure for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis

• Published in: The Annals of thoracic surgery Vol. 57; no. 4; pp. 876 - 879
• Main Authors: Kim, Yong Jin, Song, Hyun, Lee, Jeong Ryul, Rho, Joon Ryang, Suh, Kyung Phill
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.04.1994; Elsevier Science
• Subjects: Abnormalities, Multiple - diagnosis; Abnormalities, Multiple - mortality; Abnormalities, Multiple - surgery; Adolescent; Angiography; Biological and medical sciences; Cardiac Catheterization; Cardiac Surgical Procedures - methods; Child; Child, Preschool; Echocardiography, Doppler; Female; Follow-Up Studies; Heart Septal Defects, Ventricular - complications; Heart Septal Defects, Ventricular - mortality; Heart Septal Defects, Ventricular - surgery; Hospital Mortality; Humans; Infant; Male; Medical sciences; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Pulmonary Valve Stenosis - complications; Pulmonary Valve Stenosis - diagnosis; Pulmonary Valve Stenosis - mortality; Pulmonary Valve Stenosis - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Survival Rate; Transposition of Great Vessels - complications; Transposition of Great Vessels - diagnosis; Transposition of Great Vessels - mortality; Transposition of Great Vessels - surgery; Ventricular Function; Ventriculography, First-Pass; Human; Ventricular septal defect; Cardiovascular disease; Narrowing; Congenital disease; Pulmonary valve; Vascular disease; Association; Treatment; Cardiac valvular disease; Heart disease; Surgery; Adolescent; Transposition of the great vessels; Child
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/0003-4975(94)90193-7

From December 1968 to February 1993, 19 patients were treated by the Lecompte procedure for complete transposition of the great arteries associated with a ventricular septal defect and pulmonary stenosis. The mean age at operation was 3.1 ± 0.8 years (mean ± standard error). This technique consisted of resecting the outlet septum, constructing a tunnel that connected the left ventricle to the aorta, closing the proximal pulmonary arterial stump, pulling the distal pulmonary artery down to the right ventriculotomy site directly, and covering anteriorly with the fixed autologous pericardium. Operative mortality was 5.3%. The mean follow-up was 24.2 ± 3 months, with no late death. One reoperation was performed because of residual right ventricular outflow tract obstruction. All survivors were studied by echocardiography at intervals of 6 months to 1 year. In all survivors (except for 1 child who underwent reoperation), the estimated pressure gradient between the right ventricle and the pulmonary artery, the structure of the left ventricular outflow tract, left ventricular function, and right ventricular contractility were all satisfactory.