Nikaidoh Procedure: How I Teach It

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Presentation transcript:

Nikaidoh Procedure: How I Teach It Victor O. Morell, MD The Annals of Thoracic Surgery Volume 104, Issue 5, Pages 1446-1449 (November 2017) DOI: 10.1016/j.athoracsur.2017.06.039 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The aortic root is being harvested from the right ventricular outflow tract. The Annals of Thoracic Surgery 2017 104, 1446-1449DOI: (10.1016/j.athoracsur.2017.06.039) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Abnormal tricuspid valve chordae are reattached to the ventricular septal defect patch. The Annals of Thoracic Surgery 2017 104, 1446-1449DOI: (10.1016/j.athoracsur.2017.06.039) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The aortic root is circumferentially harvested from the right ventricle, and the main pulmonary artery is transected proximally. The Annals of Thoracic Surgery 2017 104, 1446-1449DOI: (10.1016/j.athoracsur.2017.06.039) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The hypoplastic pulmonary valve annulus and the posteriorly deviated infundibular septum are divided down to the ventricular septal defect to relieve the left ventricular outflow tract obstruction. The Annals of Thoracic Surgery 2017 104, 1446-1449DOI: (10.1016/j.athoracsur.2017.06.039) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Lecompte maneuver and “shortening” of the ascending aorta are performed to prevent posterior compression of the pulmonary arteries. The Annals of Thoracic Surgery 2017 104, 1446-1449DOI: (10.1016/j.athoracsur.2017.06.039) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Right ventricular outflow tract reconstruction with a pericardial patch. The Annals of Thoracic Surgery 2017 104, 1446-1449DOI: (10.1016/j.athoracsur.2017.06.039) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions