title: Modified Nikaidoh procedure in a patient with transposition of the great arteries, ventricular septal defect, and left ventricular outflow tract obstruction with unusual coronary anatomy.
abstract: The Rastelli operation has been the most common procedure for the repair of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction. A relatively recent approach is the Nikaidoh procedure. Despite the fact that it seems promising, the operation lacks long-term follow-up data. It has been postulated that patients with anomalous coronary arteries are high-risk candidates for the Nikaidoh procedure and its modifications. In this report, we present the case of a patient with transposition of the great arteries with remote restrictive ventricular septal defect and left ventricular outflow tract obstruction with coronary anomaly - with the right coronary artery originating from the left anterior descending coronary artery and crossing the right ventricular outflow tract - who underwent successful modified Nikaidoh operation.
authors: Cardiovascular Surgery Clinic, Duzce Ataturk State Hospital, Duzce, Turkey. muratugurlucan@yahoo.com
authors: Murat
authors: M
authors: Ugurlucan
authors: Omer A
authors: OA
authors: Sayin
authors: Emin
authors: E
authors: Tireli
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D014188:Transposition of Great Vessels / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014694:Ventricular Outflow Obstruction / Q000150:complications / Q000175:diagnosis* / Q000601:surgery