{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:21:01Z","timestamp":1787498461203,"version":"build-2736575974"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p\/>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>The purpose of this study is to describe the long-term results of the \u2018r\u00e9paration \u00e0 l\u2019\u00e9tage ventriculaire\u2019 (REV) technique for double-outlet right ventricle and transposition of the great arteries (TGA) with pulmonary stenosis (PS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Between 1980 and 2021, 157 patients underwent a REV procedure (median age and weight: 20.8\u2009months and 7.7\u2009kg). The most frequent anatomical presentation was the association between TGA, ventricular septal defect and PS (n\u2009=\u2009116, 73.9%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Sixty-seven patients (42.7%) underwent a Rashkind procedure, and 67 patients (42.7%) a prior surgical palliation (including 62 systemic-to-pulmonary artery shunts). Resection of the conal septum and\/or ventricular septal defect enlargement was performed in 109 patients (69.4%). Thirteen patients (8.3%) died, including 4 during the first postoperative month and 2 after heart transplant. Overall survival at 40\u2009years was 89.3%. Thirty-seven patients (23.6%) required 68 reinterventions on the right ventricular outflow tract (RVOT), including 49 reoperations, with a median delay of 9\u2009years after the REV (8\u2009months to 27\u2009years). Twenty patients (12.7%) underwent RVOT valvulation (16 surgical and 4 interventional). Freedom from RVOT reintervention and reoperation at 40\u2009years were 60.3% and 62.6%, respectively. Four patients (2.5%) required reoperation for left ventricular outflow tract obstruction, with a median delay of 4.8\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The REV procedure is a good alternative for TGA and double-outlet right ventricle with PS patients. Only a quarter of the patients required redo surgery on the RVOT. Reoperations for left ventricular outflow tract obstruction are scarce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezad409","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T11:42:51Z","timestamp":1703677371000},"source":"Crossref","is-referenced-by-count":3,"title":["Long-term results after the r\u00e9paration \u00e0 l'\u00e9tage ventriculaire procedure for transposition of the great arteries and double-outlet right ventricle with pulmonary stenosis"],"prefix":"10.1093","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9375-2444","authenticated-orcid":false,"given":"Margaux","family":"Pontailler","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Necker Sick Children Hospital and Universit\u00e9 de Paris , Paris, 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