Surgical correction of transposition of the great arteries was proposed by many in the past half-century and was claimed as the anatomical correction, but the treatment of choice was ever changing. The current technique usually includes the Lecompte maneuver to bring the pulmonary bifurcation in front of the aorta. Although the ventricular–arterial connection is corrected, it is not “normal.” This review describes an innovative technique to reconstruct the great arteries in spiral fashion, which is the natural relationship of the aorta and pulmonary artery. The surgical principles of nature and even distribution using autologous tissues are emphasized. The structural and functional studies of the spiral great arteries in the last 2 decades are also presented.
SenningA. Surgical correction of transposition of the great vessels. Surgery. 1959;45:966–980.
2.
MustardWT. Successful two-stage correction of transposition of the great vessels. Surgery. 1964;55:469–472.
3.
QuaegebeurJMRohmerJBromAGTinkelenbergJ. Revival of the Senning operation in the treatment of transposition of the great arteries. Thorax. 1977;32:517–524.
4.
JateneADFontesVFPaulistaPP. Successful anatomic correction of transposition of the great vessels: a preliminary report. Arq Bras Cardiol. 1975;28:461–464.
5.
LecompteYZanniniLHazanF. Anatomic correction of transposition of the great arteries: new technique without use of a prosthetic conduit. J Thorac Cardiovasc Surg. 1981;82:629–631.
6.
CastanedaARNorwoodWIJonasRAColonSDSandersSPLangP. Transposition of the great arteries and intact ventricular septum: anatomical repair in the neonate. Ann Thorac Surg. 1984;38:438–443.
7.
MustardWTChuteALKeithJDSirekARoweRDVladP. A surgical approach to transposition of the great vessels with extracorporeal circuit. Surgery. 1954;36:31–51.
RastelliGC. A new approach to “anatomic” repair of transposition of the great arteries. Mayo Clin Proc. 1969;44:1–12.
10.
YehTJrRamaciottiCLeonardSRRoyLNikaidohH. The aortic translocation (Nikaidoh) procedure: midterm results superior to the Rastelli procedure. J Thorac Cardiovasc Surg. 2007;133:461–469.
11.
EmaniSMBeroukhimRZurakowskiD. Outcomes after anatomic repair for d-transposition of the great arteries with left ventricular outflow tract obstruction. Circulation. 2009;120(suppl 1):S53–S58.
12.
ChiuISWuSJChenMR. Modified arterial switch operation by spiral reconstruction of the great arteries in transposition. Ann Thorac Surg. 2000;69:1887–1892.
13.
ChiuISWangJKWuMH. Spiral arterial switch operation in transposition of the great arteries. J Thorac Cardiovasc Surg. 2002;124:1050–1052.
14.
ChiuISHuangSCChenYS. Restoring the spiral flow of nature in transposed great arteries. Eur J Cardiothorac Surg. 2010;37:1239–1245.
15.
ChiuISChenSJWuSJ. Modified arterial switch operation by sharing the common wall between the great arteries. J Formos Med Assoc. 2001;100:77–82.
16.
ChiuISHuangSCWuSJ. Surgical treatment of anomalies with discontinuity between the right ventricle and the pulmonary arteries without use of an extracardiac conduit. Ann Thorac Surg. 2009;87:1220–1226.
17.
Van PraaghR. Normally and abnormally related great arteries: What have we learned?. World Journal for Pediatric and Congenital Heart Surgery. 2010;1:364–385.
18.
ChiuISAndersonRHMacartneyFJde LevalMRStarkJ. Morphologic features of an intact ventricular septum susceptible to subpulmonary obstruction in complete transposition. Am J Cardiol. 1984;53:1633–1638.
19.
ChiuISChuSHWangJK. Evolution of coronary artery pattern according to short-axis aortopulmonary rotation: a new categorization for complete transposition of the great arteries. J Am Coll Cardiol. 1995;26:250–258.
20.
ChiuISWuMHChangCI. Clinical implications of short-axis aortopulmonary rotation on juxtacommissural origin of the coronary artery in transposition of the great arteries and surgical strategy. J Cardiac Surg. 1997;12:23–31.
21.
ChiuISWangJKWuMH. Angiographic evidence of long-axis rotation in addition to short-axis aortopulmonary rotation: its implication in transposition of the great arteries. Cathet Cardiovasc Diagn. 1996;39:21–30.
22.
ChiuISChouTFLinSFWuMHWangJKChuSH. Utilization of the aortic flap above the facing commissure in arterial switch operations. J Cardiac Surg. 1996;11:187–191.
23.
ChiuISWuCSWangJK. Influence of aortopulmonary rotation on the anomalous coronary artery pattern in tetralogy of Fallot. Am J Cardiol. 2000;85:780–784.
24.
ChiuISWuSJChenMRChenSJWangJK. Anatomic relationship of the coronary orifice and truncal valve in truncus arteriosus and their surgical implication. J Thorac Cardiovasc Surg. 2002;123:350–352.
25.
ChiuISWuSJChenSJWangJKWuMHLueHC. Sequential diagnosis of coronary arterial anatomy in congenitally corrected transposition of the great arteries. Ann Thorac Surg. 2003;75:422–429.
26.
ChenSJLingMTLeeWJ. Coronary artery anatomy in children with congenital heart disease by computed tomography. Int J Cardiol. 2007;120:363–370.
27.
PailloleCSidiDKachanerJ. Fate of pulmonary artery after anatomic correction of simple transposition of great arteries in newborn infants. Circulation. 1988;78:870–876.
28.
ChenMRWuSJChiuISWangJKWuMHLueHC. Morphologic substrates for first-branch pulmonary arterial hypoplasia in transposition of the great arteries. Cardiology. 2007;107:362–369.
29.
PacificoADStewartRWBargeronLMJr. Repair of transposition of the great arteries with ventricular septal defect by an arterial switch operation. Circulation. 1983;68(suppl II):II49–II55.
30.
ImotoYKadoHAsouT. Postoperative pulmonary stenosis after arterial switch operation, comparison in three methods of pulmonary reconstruction: modified Pacifico, autologous pericardial patch, and equine pericardial patch. Jpn J Thorac Surg. 1995;48:433–438.
31.
MusterAJBerryTEIlbawiMNDeLeonSYIdrissFS. Development of neo-coarctation in patients with transposed great arteries and hypoplastic aortic arch after Lecompte modification of anatomical correction. J Thorac Cardiovasc Surg. 1987;93:276–280.
32.
SerrafARouxDLacour-GayetF. Reoperation after the arterial switch operation for transposition of the great arteries. J Thorac Cardiovasc Surg. 1995;110:892–899.
33.
ChenYSChiuISHuangSCChenSJ. Valve-sparing procedure and “de-Lecompte maneuver” in late aortic regurgitation and aortic aneurysm after arterial switch operation. J Thorac Cardiovasc Surg. In press;
34.
MurthyKSCherianKM. A new technique of arterial switch operation with in situ coronary reallocation for transposition of great arteries. J Thorac Cardiovasc Surg. 1996;112:27–32.
35.
QuaegebeurJMRohmerJOttenkampJ. The arterial switch operation: an eight-year experience. J Thorac Cardiovasc Surg. 1986;92:361–384.
MetrasDKreitmannBRiberiA. Extending the concept of the autograft for complete repair of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction: a report of ten cases of a modified procedure. J Thorac Cardiovasc Surg. 1997;114:746–753.
38.
LecompteYNeveuxJYLecaF. Reconstruction of the pulmonary outflow tract without prosthetic conduit. J Thorac Cardiovasc Surg. 1982;84:727–733.
39.
RobotinMCBruniauxJSerrafA. Unusual forms of tracheobronchial compression in infants with congenital heart disease. J Thorac Cardiovasc Surg. 1996;112:415–423.
40.
TokerATireliEBostanciKOzcanVDayioğluE. Uncommon complication of arterial switch operation: tracheobronchial compression. Ann Thorac Surg. 2000;69:927–929.
41.
TangTChiuISChenHCChengKYChenSJ. Comparison of pulmonary arterial flow phenomena in spiral and Lecompte models by computational fluid dynamics. J Thorac Cardiovasc Surg. 2001;122:529–534.
42.
CornoAF. Potential implications to congenital heart disease. Paper presented at: AATS/STS Congenital Heart Symposium, American Association for Thoracic Surgery, 86th Annual Meeting; April29-May3, 2006; Philadelphia, PA.
43.
CornoAKocicaMTorrent-GuaspF. The helical ventricular myocardial band of Torrent-Guasp potential implications in congenital heart defects. Eur J Cardiothorac Surg. 2006;29S(suppl 1):S61–S68.
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