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Surgical outcome of Yasui procedure for preserving biventricular function: single centre experience

Part of: Surgery

Published online by Cambridge University Press:  15 November 2021

Omar Alhadi Open the ORCID record for Omar Alhadi [Opens in a new window] ,
Mohamed S. Kabbani Open the ORCID record for Mohamed S. Kabbani [Opens in a new window] ,
Fahad Alhabshan Open the ORCID record for Fahad Alhabshan [Opens in a new window] ,
Mohammed Alamer ,
Ahmed Alomrani Open the ORCID record for Ahmed Alomrani [Opens in a new window]  and
Hussam Hamadah Open the ORCID record for Hussam Hamadah [Opens in a new window]
Omar Alhadi
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Mohamed S. Kabbani*
Affiliation:
King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia Department of Cardiac Sciences, Section of Pediatric Cardiac Intensive Care Unit, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
Fahad Alhabshan
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Mohammed Alamer
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Ahmed Alomrani
Affiliation:
Department of Cardiac Sciences, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Hussam Hamadah
Affiliation:
King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia Department of Cardiac Sciences, Section of Pediatric Cardiac Intensive Care Unit, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
*
Author for correspondence: Dr M. S. Kabbani, Pediatric Cardiac Intensive Care Unit, Department of cardiac sciences, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, P.O. Box 22490, Riyadh11426, Saudi Arabia. Tel: +966506485027; Fax: +966118011111, ext: 16773. E-mail: Kabbanim@ngha.med.sa
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Abstract

Background:

Yasui procedure is surgical repair intended to preserve biventricular function for patients with left ventricle outflow tract obstruction associated with aortic arch lesions and ventricular septal defect.

Methods:

Retrospective chart review analysis of all patients who had Yasui procedure (2008–2020) comparing midterm outcome of one versus two stage repair.

Results:

Twenty patients (70% female) underwent Yasui procedure in our center. Eight patients (40%) had left ventricle outflow tract obstruction /interrupted aortic arch, 7 patients (35%) had left ventricle outflow tract obstruction /coarctation of aorta, 3 patients (15%) had double outlet ventricle and ventricular septal defect that were unattainable for tunneling to one of the semilunar valves without creating obstruction, and 2 patients (10%) had aortic atresia with hypoplastic aortic arch. All patients had associated ventricular septal defect. Fifteen patients (75%) had one-stage repair and 5 patients (25%) had two-stage repair. Means age and weight for one and two-stage repair were 1.3 ± 2 months, 13.4 ± 11.5 months and 3.3 ± 0.6 kg, 7.8 ± 3.4 kg, respectively. During follow up, 8 patients (40%) required re- intervention, mainly for right ventricle–pulmonary artery conduit either dilation or replacement. The average duration of follow up was 5 years with nil mortality.

Conclusion:

Yasui procedure is effective approach for children who have left ventricle outflow tract obstruction associated with aortic arch anomalies and ventricular septal defect. Survival rate with single or staged repair is comparably good. During the first 5 year of follow up, nearly 40% of operated patients required re-intervention.

Keywords

Yasui procedureleft ventricular outflow tract obstructionbiventricular repair
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 10 , October 2022 , pp. 1570 - 1574
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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