{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T03:47:49Z","timestamp":1781754469759,"version":"3.54.5"},"reference-count":24,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T00:00:00Z","timestamp":1539561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>D-transposition of the great arteries (TGA) or TGA-type double outlet right ventricle (DORV) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) may be treated with the arterial switch operation (ASO), Rastelli, R\u00e9paration \u00e0 l\u2019Etage Ventriculaire (REV), or Nikaidoh procedures. We evaluated midterm results of these techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed 42 cases of anatomic repair from 2005 to 2014 at our institution for TGA (n = 29) or TGA-type DORV (n = 13) with VSD and LVOTO. We analyzed outcomes (mortality, reoperation, residual\/recurrent LVOT peak gradient \u226520 mm Hg, right ventricular outflow tract [RVOT] peak gradient \u226540 mm Hg) and performed a risk analysis. Mean follow-up was 5.77 \u00b1 3.08 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventeen (40.5%) patients had an ASO with (n = 4) or without (n = 13) LVOTO resection. The Rastelli, REV, and Nikaidoh procedures were used in 14 (33%), 5 (12%), and 6 (14%) patients, respectively. There were no mortalities or moderate aortic insufficiency at last follow-up. Three (9%) patients developed LVOT gradient \u226520 mm Hg, while nine (21.4%) patients had RVOT obstruction. Reoperations included RVOT\/pulmonary artery reoperation (n = 10; 23.8%) and LVOT reoperation (n = 1; 2.5%). Freedom from reoperation was 84% \u00b1 6% and 75% \u00b1 9% at one and three years, respectively, for the entire cohort with no differences between groups by type of operation (log-rank P = .64). The Nikaidoh procedure compared favorably to all other techniques in terms of reoperation (n = 0\/6; 0% vs n = 13\/36; 36%; P = .08).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Midterm outcomes after anatomic repair for TGA or TGA-type DORV with LVOTO and VSD are excellent but vary by surgical technique. The Nikaidoh procedure seems to compare favorably to the other techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135118789384","type":"journal-article","created":{"date-parts":[[2018,10,16]],"date-time":"2018-10-16T00:43:33Z","timestamp":1539650613000},"page":"605-612","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Outcomes of Surgical Repair of Complex D-Transposition of the Great Arteries"],"prefix":"10.1177","volume":"9","author":[{"given":"Anna","family":"Olds","sequence":"first","affiliation":[{"name":"Section of Congenital and Pediatric Cardiac Surgery, Division of Cardiac, Thoracic, and Vascular Surgery, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Section of Congenital and Pediatric Cardiac Surgery, Division of Cardiac, Thoracic, and Vascular Surgery, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Levasseur","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amee","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Freud","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5761-5303","authenticated-orcid":false,"given":"Anjali","family":"Chelliah","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Chai","sequence":"additional","affiliation":[{"name":"Section of Congenital and Pediatric Cardiac Surgery, Division of Cardiac, Thoracic, and Vascular Surgery, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Quaegebeur","sequence":"additional","affiliation":[{"name":"Section of Congenital and Pediatric Cardiac Surgery, Division of Cardiac, Thoracic, and Vascular Surgery, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emile","family":"Bacha","sequence":"additional","affiliation":[{"name":"Section of Congenital and Pediatric Cardiac Surgery, Division of Cardiac, Thoracic, and Vascular Surgery, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kalfa","sequence":"additional","affiliation":[{"name":"Section of Congenital and Pediatric Cardiac Surgery, Division of Cardiac, Thoracic, and Vascular Surgery, NY-Presbyterian Morgan Stanley Children\u2019s Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,10,15]]},"reference":[{"key":"bibr1-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.10.016"},{"key":"bibr2-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.09.031"},{"key":"bibr3-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951105001113"},{"key":"bibr4-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.843102"},{"key":"bibr5-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2007.02.014"},{"key":"bibr6-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2004.01.001"},{"key":"bibr7-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(90)90391-2"},{"key":"bibr8-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(89)90120-4"},{"key":"bibr9-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00912-5"},{"key":"bibr10-2150135118789384","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivu049"},{"issue":"4","key":"bibr11-2150135118789384","first-page":"322","volume":"24","author":"Karl 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