Restrictive Left Ventricle-to-Pulmonary Artery Conduit as an Alternative Biventricular Strategy in Complex Congenitally Corrected Transposition of the Great Arteries.
A, M.S., N, D., S, B., R, G., M, P., P, V., D, B., & O, R. (2026). Restrictive Left Ventricle-to-Pulmonary Artery Conduit as an Alternative Biventricular Strategy in Complex Congenitally Corrected Transposition of the Great Arteries.. European journal of cardio-thoracic surgery : official journal of the European Association for Cardi. https://doi.org/10.1093/ejcts/ezag199
A MS, N D, S B, R G, M P, P V, et al. Restrictive Left Ventricle-to-Pulmonary Artery Conduit as an Alternative Biventricular Strategy in Complex Congenitally Corrected Transposition of the Great Arteries.. European journal of cardio-thoracic surgery : official journal of the European Association for Cardi. 2026; doi: 10.1093/ejcts/ezag199
A MS, N D, S B, et al. Restrictive Left Ventricle-to-Pulmonary Artery Conduit as an Alternative Biventricular Strategy in Complex Congenitally Corrected Transposition of the Great Arteries.[J]. European journal of cardio-thoracic surgery : official journal of the European Association for Cardi. 2026. DOI: 10.1093/ejcts/ezag199.
@article{a2026,
author = {Moiroux-Sahraoui A and Derridj N and Bernheim S and Gaudin R and Pontailler M and Vouhé P and Bonnet D and Raisky O},
title = {Restrictive Left Ventricle-to-Pulmonary Artery Conduit as an Alternative Biventricular Strategy in Complex Congenitally Corrected Transposition of the Great Arteries.},
journal = {European journal of cardio-thoracic surgery : official journal of the European Association for Cardi},
year = {2026},
doi = {10.1093/ejcts/ezag199},
note = {PMID: 42609101},
}
TY - JOUR AU - Moiroux-Sahraoui A AU - Derridj N AU - Bernheim S AU - Gaudin R AU - Pontailler M AU - Vouhé P AU - Bonnet D AU - Raisky O TI - Restrictive Left Ventricle-to-Pulmonary Artery Conduit as an Alternative Biventricular Strategy in Complex Congenitally Corrected Transposition of the Great Arteries. T2 - European journal of cardio-thoracic surgery : official journal of the European Association for Cardi PY - 2026 DO - 10.1093/ejcts/ezag199 AN - PMID:42609101 ER -
OBJECTIVES: Biventricular repair of congenitally corrected transposition of the great arteries (ccTGA) with a nonrestrictive ventricular septal defect (VSD) and left ventricular outflow tract obstruction ("complex ccTGA") provides suboptimal long-term results and carry a high risk of surgical atrioventricular block (AVB). We report outcomes of a restrictive left ventricle-to-pulmonary artery (LV-PA) conduit without VSD closure. METHODS: Retrospective single-centre review (January 1999-January 2024) of complex ccTGA patients receiving a restrictive LV-PA conduit without VSD closure. RESULTS: Nine of 553 ccTGA patients met inclusion criteria (median age 5 years, weight 18 kg). Unfavorable anatomy was mainly due to inlet or remote VSD (n = 5) and/or atrioventricular valves straddling (n = 2). Over a median follow-up of 12.5 years, there were no operative or late deaths and no permanent pacing for AVB. Freedom from reintervention was 62.5% at 10 years. At last follow-up, 8 of 9 patients were in NYHA class I-II and median SpO2 was 95%. Tricuspid regurgitation was basent or mild in 8 cases and moderate in 1 case. 2 patients had decreased morphologic right ventricle function and morphologic left ventricular function was preserved in all. CONCLUSIONS: Restrictive LV-PA conduit placement without VSD closure is a safe biventricular alternative in complex ccTGA unsuitable for anatomic repair or single-ventricle palliation.