Jatene Procedure

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Takeshi Hiramatsu - One of the best experts on this subject based on the ideXlab platform.

  • Jatene Procedure with arch repair usefulness of rapid two stage repair
    Kyobu geka. The Japanese journal of thoracic surgery, 2005
    Co-Authors: Takeshi Hiramatsu, Yoshitaka Okamura, Shigeru Komori, Yoshiharu Nishimura, H Mori, H Hayashi, Hiroyuki Suzuki, T Takeuchi
    Abstract:

    : Four cases of Jatene Procedure with arch repair were performed since 2000 in our department. Two-stage repair was used in all cases and the extended end-to-end anastomosis and pulmonary artery banding (PAB) were performed in 3 cases as the initial repair. In a recent case of TGA type I with coarctation of the aorta (CoA), only subclavian flap aortoplasty was performed when he was 6-day-old and patent ductus arteriosus (PDA) was preserved and rapid two-stage Jatene Procedure was performed when he was 8-day-old. There was no hospital or late death, or reoperation. The results of the two-stage Jatene Procedure with arch repair was good and safe. Rapid two-stage repair was thought to be a useful choice especially for TGA type I with arch anomaly.

  • Successful two-staged Jatene operation for severe right ventricular dysfunction and tricuspid regurgitation after Senning operation--a case report
    Nihon Kyōbu Geka Gakkai, 1993
    Co-Authors: Uwabe K, Toshiharu Shinoka, Y Imai, Sawatari K, Takeuchi T, Takeshi Hiramatsu
    Abstract:

    : We report a seven-year-old boy who underwent a successful Jatene Procedure seven years after Senning Procedure. The modified Senning operation was performed for the treatment of transposition of the great arteries with intact ventricular septum at three years of age. However, he gradually showed the progressive right ventricular failure with tricuspid regurgitation after operation. When he was referred to our hospital, he was in severe right ventricular failure and showed massive tricuspid regurgitation simultaneously with the moderate degree of left ventricular failure. Staged pulmonary artery banding was applied to prepare the left ventricle for Jatene Procedure in spite of the presence of left ventricular failure. The systolic pressure ratio of left ventricle to right ventricle was elevated to 0.91 by this banding although the left ventricular ejection fraction decreased from 43% to 30%. And Jatene Procedure was successfully performed after three months of preparation period. Catheterization study after Jatene Procedure revealed improved right and left ventricular functions with decrease of tricuspid regurgitation. We conclude that the Jatene Procedure should be an ideal alternative in patient with right ventricular failure and/or tricuspid regurgitation after an atrial switch operation; the left ventricle could be prepared by an effective pulmonary banding in most instances.

  • two stage Jatene Procedure after mustard or senning operation
    Nihon Kyōbu Geka Gakkai, 1992
    Co-Authors: Toshiharu Shinoka, Y Imai, S Hoshino, K Ishihara, K Sawatari, M Terada, H Misumi, Takeshi Hiramatsu, J Ohta, Y Sugiyama
    Abstract:

    : We have successfully performed a two-stage Jatene Procedure in four patients who showed severe anatomical right ventricular dysfunction after atrial switch (Mustard or Senning) operation for transposition of the great arteries. All four patients developed an adequate left ventricular pressure for the arterial switch operation by one or two-stage pulmonary artery banding. Left ventricular posterior wall thickness increased sufficiently enough after the banding although left ventricular ejection fraction showed significant decrease. After Jatene Procedure left ventricular ejection fraction recovered, and RV end-diastolic volume which had been prominently enlarged preoperatively was dramatically normalized. Cardiac index increased from 3.6 +/- 1.6 l/min/m2 preoperatively to 5.3 +/- 6.1 l/min/m2 postoperatively with the decrease in left atrial pressure. Postoperative electrophysiological study revealed the recovery of sinus node function and atrial conduction by means of the take-down of atrial switch operation previously performed. We conclude that the Jatene Procedure should be an ideal alternative in patients with right ventricular dysfunction after atrial switch operation. The left ventricle could be prepared by an effective pulmonary artery banding in most instances.

Y Imai - One of the best experts on this subject based on the ideXlab platform.

  • Successful two-staged Jatene operation for severe right ventricular dysfunction and tricuspid regurgitation after Senning operation--a case report
    Nihon Kyōbu Geka Gakkai, 1993
    Co-Authors: Uwabe K, Toshiharu Shinoka, Y Imai, Sawatari K, Takeuchi T, Takeshi Hiramatsu
    Abstract:

    : We report a seven-year-old boy who underwent a successful Jatene Procedure seven years after Senning Procedure. The modified Senning operation was performed for the treatment of transposition of the great arteries with intact ventricular septum at three years of age. However, he gradually showed the progressive right ventricular failure with tricuspid regurgitation after operation. When he was referred to our hospital, he was in severe right ventricular failure and showed massive tricuspid regurgitation simultaneously with the moderate degree of left ventricular failure. Staged pulmonary artery banding was applied to prepare the left ventricle for Jatene Procedure in spite of the presence of left ventricular failure. The systolic pressure ratio of left ventricle to right ventricle was elevated to 0.91 by this banding although the left ventricular ejection fraction decreased from 43% to 30%. And Jatene Procedure was successfully performed after three months of preparation period. Catheterization study after Jatene Procedure revealed improved right and left ventricular functions with decrease of tricuspid regurgitation. We conclude that the Jatene Procedure should be an ideal alternative in patient with right ventricular failure and/or tricuspid regurgitation after an atrial switch operation; the left ventricle could be prepared by an effective pulmonary banding in most instances.

  • two stage Jatene Procedure after mustard or senning operation
    Nihon Kyōbu Geka Gakkai, 1992
    Co-Authors: Toshiharu Shinoka, Y Imai, S Hoshino, K Ishihara, K Sawatari, M Terada, H Misumi, Takeshi Hiramatsu, J Ohta, Y Sugiyama
    Abstract:

    : We have successfully performed a two-stage Jatene Procedure in four patients who showed severe anatomical right ventricular dysfunction after atrial switch (Mustard or Senning) operation for transposition of the great arteries. All four patients developed an adequate left ventricular pressure for the arterial switch operation by one or two-stage pulmonary artery banding. Left ventricular posterior wall thickness increased sufficiently enough after the banding although left ventricular ejection fraction showed significant decrease. After Jatene Procedure left ventricular ejection fraction recovered, and RV end-diastolic volume which had been prominently enlarged preoperatively was dramatically normalized. Cardiac index increased from 3.6 +/- 1.6 l/min/m2 preoperatively to 5.3 +/- 6.1 l/min/m2 postoperatively with the decrease in left atrial pressure. Postoperative electrophysiological study revealed the recovery of sinus node function and atrial conduction by means of the take-down of atrial switch operation previously performed. We conclude that the Jatene Procedure should be an ideal alternative in patients with right ventricular dysfunction after atrial switch operation. The left ventricle could be prepared by an effective pulmonary artery banding in most instances.

  • a case report combined Jatene Procedure and extended aortic arch reconstruction for the original taussig bing malformation associated with hypoplastic aortic arch subaortic stenosis and coarctation of the aorta
    Nihon Kyōbu Geka Gakkai, 1992
    Co-Authors: T Takemura, Y Imai, Hiromi Kurosawa, M Kawada, M Yamagishi
    Abstract:

    : A successful repair with combined Jatene Procedure (Lecompte modification) and extended aortic arch reconstruction in a two-month-old boy with the original Taussig-Bing malformation, associated with hypoplastic aortic arch, subaortic stenosis and coarctation of the aorta was described. The ascending aorta was measuring 8 mm and the distal aortic arch was 4 mm in outer diameter. The interventricular rerouting was not feasible, because the infundibular septum was almost aligned to the interventricular septum. So that arterial switch operation was preferred. The primary interventricular foramen was enlarged by wedge resection and the secondary interventricular foramen was closed with a patch of preserved equire pericardium. An extensive patch angioplasty of entire aortic arch down to descending aorta was performed with a composite patch of Xenomedica (preserved equire pericardium) and Dacron velour. Hypertrophied muscle bundles were resected for relief of subaortic stenosis. Jatene Procedure was then performed. During neo-pulmonary reconstruction, distal pulmonary orifice was shifted towards right to avoid kinking and compression on the coronary arteries. One stage correction consisting of Jatene Procedure and extended aortic arch reconstruction was considered to be a Procedure of choice in this type of complex anomalies.

M Kawada - One of the best experts on this subject based on the ideXlab platform.

  • Cyanotic congenital heart disease. Part 1
    Kyobu geka. The Japanese journal of thoracic surgery, 2011
    Co-Authors: M Kawada
    Abstract:

    : This section deals with subgroups of cyanotic complex congenital heart diseases, most present early in life during neonatal period or early infancy. And some present with ductal dependency for survival. Here included are the complete transposition of the great arteries (TGA) [or Taussig-Bing anomaly] with/without aortic arch obstruction, total anomalous pulmonary venous connection (TAPVC), pure pulmonary atresia/stenosis (PPA/PPS) [pulmonary atresia with intact ventricular septum (PA/IVS) or critical pulmonary stenosis], hypoplastic left heart syndrome (HLHS) and its variants. In d-TGA cases except those with left ventricular outflow obstruction, primary Jatene Procedure with/without concomitant repair of the aortic arch obstruction is the Procedure of choice with good surgical and long-term results although acceptable rate of re-intervention is mandatory. In TAPVC, primary repair usually goes with good long-term result, although minority of the patients eventually develops for midable complication, postoperative pulmonary venous obstruction. Sutureless pericardial repair has been developed for coping with and later for prevention of this complication with promising mid-term results. Its introduction in primary repair especially in complex cases appears around the corner. HLHS and its variants has been the most challenging group of patients requiring staged approach starting with Norwood Procedure or bilateral pulmonary artery banding. Right ventricle-to-pulmonary artery conduit, introduced as a Japanese innovation, has contributed marked improvement of surgical results although further refinements surely are necessary. Patients with PPA/PPS have a wide range of clinical pictures with intrinsic problems of right ventricle, tricuspid valve and associated coronary artery abnormalities. Adequate use of single ventricle physiology in many cases offers fair surgical results.

  • a case report combined Jatene Procedure and extended aortic arch reconstruction for the original taussig bing malformation associated with hypoplastic aortic arch subaortic stenosis and coarctation of the aorta
    Nihon Kyōbu Geka Gakkai, 1992
    Co-Authors: T Takemura, Y Imai, Hiromi Kurosawa, M Kawada, M Yamagishi
    Abstract:

    : A successful repair with combined Jatene Procedure (Lecompte modification) and extended aortic arch reconstruction in a two-month-old boy with the original Taussig-Bing malformation, associated with hypoplastic aortic arch, subaortic stenosis and coarctation of the aorta was described. The ascending aorta was measuring 8 mm and the distal aortic arch was 4 mm in outer diameter. The interventricular rerouting was not feasible, because the infundibular septum was almost aligned to the interventricular septum. So that arterial switch operation was preferred. The primary interventricular foramen was enlarged by wedge resection and the secondary interventricular foramen was closed with a patch of preserved equire pericardium. An extensive patch angioplasty of entire aortic arch down to descending aorta was performed with a composite patch of Xenomedica (preserved equire pericardium) and Dacron velour. Hypertrophied muscle bundles were resected for relief of subaortic stenosis. Jatene Procedure was then performed. During neo-pulmonary reconstruction, distal pulmonary orifice was shifted towards right to avoid kinking and compression on the coronary arteries. One stage correction consisting of Jatene Procedure and extended aortic arch reconstruction was considered to be a Procedure of choice in this type of complex anomalies.

Hiromi Kurosawa - One of the best experts on this subject based on the ideXlab platform.

  • Long-term outcomes and social independence level after arterial switch operation.
    European Journal of Cardio-Thoracic Surgery, 2007
    Co-Authors: Akira Yamazaki, Noboru Yamamoto, Takahiko Sakamoto, Kazuaki Ishihara, Yusuke Iwata, Goki Matsumura, Hiromi Kurosawa
    Abstract:

    Objectives: Various issues regarding the long-term survivors of arterial switch operation (ASO) have been clarified according to the improvement of surgical mortality. We reviewed the long-term results and social independence level after ASO. Methods: Two hundred and four (204) patients who had undergone ASO more than 15 years ago were studied retrospectively. ASO was performed as a primary operation (group I,n = 99) or as a secondaryoperation(group II,n = 105). Lecompte Procedure was performed in 197 patients, modifiedAubert Procedurein 5, and original Jatene Procedure in 2. Results: There were 11 late deaths. Kaplan—Meier survival rate (not including operative deaths) was 94.9% at 10 years and 94.9% at 15 years in group I, and 96.9% at 10 years and 94.4% at 15 years in group II. Forty-eight reoperations were performed (aortic valve replacement in 6, aortic valvoplasty in 2, Konno Procedure in 1, double valve replacement in 1, right ventricular outflow tract reconstruction in 35). The reoperation-free rate including late death was 82.2% at 10 years and 75.7% at 15 years in group I, and 88.2% at 10 years and 78.1% at 15 years in group II. One hundred and seventy-eight patients were classified as NYHA class I and 7 patients as class II. All the patients except those with mental disorder (1) or neurodevelopmental impairment (3) were attending school or working. There was no significant difference in left ventricular function between group I and II, both showing values within the normal range. Conclusions: The long-term (>15 years) outcome of ASO survivors was satisfactory. Most patients showed excellent cardiac function and were socially independent. # 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

  • a case report combined Jatene Procedure and extended aortic arch reconstruction for the original taussig bing malformation associated with hypoplastic aortic arch subaortic stenosis and coarctation of the aorta
    Nihon Kyōbu Geka Gakkai, 1992
    Co-Authors: T Takemura, Y Imai, Hiromi Kurosawa, M Kawada, M Yamagishi
    Abstract:

    : A successful repair with combined Jatene Procedure (Lecompte modification) and extended aortic arch reconstruction in a two-month-old boy with the original Taussig-Bing malformation, associated with hypoplastic aortic arch, subaortic stenosis and coarctation of the aorta was described. The ascending aorta was measuring 8 mm and the distal aortic arch was 4 mm in outer diameter. The interventricular rerouting was not feasible, because the infundibular septum was almost aligned to the interventricular septum. So that arterial switch operation was preferred. The primary interventricular foramen was enlarged by wedge resection and the secondary interventricular foramen was closed with a patch of preserved equire pericardium. An extensive patch angioplasty of entire aortic arch down to descending aorta was performed with a composite patch of Xenomedica (preserved equire pericardium) and Dacron velour. Hypertrophied muscle bundles were resected for relief of subaortic stenosis. Jatene Procedure was then performed. During neo-pulmonary reconstruction, distal pulmonary orifice was shifted towards right to avoid kinking and compression on the coronary arteries. One stage correction consisting of Jatene Procedure and extended aortic arch reconstruction was considered to be a Procedure of choice in this type of complex anomalies.

M Yamagishi - One of the best experts on this subject based on the ideXlab platform.

  • a case report combined Jatene Procedure and extended aortic arch reconstruction for the original taussig bing malformation associated with hypoplastic aortic arch subaortic stenosis and coarctation of the aorta
    Nihon Kyōbu Geka Gakkai, 1992
    Co-Authors: T Takemura, Y Imai, Hiromi Kurosawa, M Kawada, M Yamagishi
    Abstract:

    : A successful repair with combined Jatene Procedure (Lecompte modification) and extended aortic arch reconstruction in a two-month-old boy with the original Taussig-Bing malformation, associated with hypoplastic aortic arch, subaortic stenosis and coarctation of the aorta was described. The ascending aorta was measuring 8 mm and the distal aortic arch was 4 mm in outer diameter. The interventricular rerouting was not feasible, because the infundibular septum was almost aligned to the interventricular septum. So that arterial switch operation was preferred. The primary interventricular foramen was enlarged by wedge resection and the secondary interventricular foramen was closed with a patch of preserved equire pericardium. An extensive patch angioplasty of entire aortic arch down to descending aorta was performed with a composite patch of Xenomedica (preserved equire pericardium) and Dacron velour. Hypertrophied muscle bundles were resected for relief of subaortic stenosis. Jatene Procedure was then performed. During neo-pulmonary reconstruction, distal pulmonary orifice was shifted towards right to avoid kinking and compression on the coronary arteries. One stage correction consisting of Jatene Procedure and extended aortic arch reconstruction was considered to be a Procedure of choice in this type of complex anomalies.