The effect of LeCompte maneuver on mid-to-long term reintervention after arterial switch operation in children with side-by-side Taussig-Bing anomaly_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GU Mingjun , DONG Wei , ZHANG Wen , JIANG Qi , CHEN Dian , HU Jie , ZHU Yifan , HU Renjie ,  ZHANG Haibo

Department of Pediatric Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, P. R. China;

Corresponding author：

ZHANG Haibo, Email: zhanghaibosh@126.com

Keywords：

Taussig-Bing anomaly; arterial switch operation; reoperation; pulmonary artery stenosis

DOI：

10.7507/1007-4848.202112070

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Objective To explore the effect of LeCompte maneuver on in-hospital mortality and mid-to-long term reintervention after single-stage arterial switch operation in children with side-by-side Taussig-Bing anomaly. Methods Clinical data of patients diagnosed with side-by-side Taussig-Bing anomaly and undergoing single-stage arterial switch operation in Shanghai Children’s Medical Center from 2006 to 2017 were retrospectively analyzed. Patients were divided into two groups based on whether LeCompte maneuver was performed: a LeCompte maneuver group and a non LeCompte maneuver group. The clinical data of two groups were compared. Results Finally 92 patients were collected. LeCompte maneuver was performed in 32 out of 92 patients with a median age of 65.0 days and an average weight of 4.3 kg, among whom 24 (75.0%) were male. Fifteen (46.9%) patients received concomitant aortic arch repair while 12 (37.5%) patients were associated with coronary artery malformation. LeCompte maneuver was not performed in 60 patients with a median age of 81.0 days and an average weight of 4.8 kg, among whom 45 (75.0%) were male. Twenty-two (36.7%) patients received concomitant aortic arch repair while 35 (58.3%) patients were associated with coronary artery malformation. The average cardiopulmonary bypass duration of the LeCompte maneuver group showed no statistical difference from the non LeCompte maneuver group (179.0±60.0 min vs. 203.0±74.0 min, P=0.093). The in-hospital mortality of the two groups were 6 (18.8%) and 7 (11.7%), respectively, which also showed no statistical difference (P=0.364). The median follow-up period was 4.1 (1.6, 7.5) years for 79 patients with 8 lost to follow-up, and no death was observed. Kaplan-Meier curve and log-rank test showed no statistical difference in overall mid-to-long term reintervention rate (P=0.850) as well as right ventricular outflow tract and pulmonary artery reintervention rate (P=0.240) with or without LeCompte maneuver. Conclusion Whether or not to perform LeCompte maneuver shows no statistical impact on in-hospital mortality and mid-to-long term reintervention rate of single-stage arterial switch operation for side-by-side Taussig-Bing anomaly.

Citation： GU Mingjun, DONG Wei, ZHANG Wen, JIANG Qi, CHEN Dian, HU Jie, ZHU Yifan, HU Renjie, ZHANG Haibo. The effect of LeCompte maneuver on mid-to-long term reintervention after arterial switch operation in children with side-by-side Taussig-Bing anomaly. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(10): 1433-1439. doi: 10.7507/1007-4848.202112070 Copy

1.	Lecompte Y, Neveux JY, Leca F, et al. Reconstruction of the pulmonary outflow tract without prosthetic conduit. J Thorac Cardiovasc Surg, 1982, 84(5): 727-733.
2.	董念国, 李守军, 周诚, 等. 先天性心脏病外科治疗中国专家共识(一): 大动脉调转术应用. 中国胸心血管外科临床杂志, 2020, 27(2): 126-132.
3.	Vergnat M, Baruteau AE, Houyel L, et al. Late outcomes after arterial switch operation for Taussig-Bing anomaly. J Thorac Cardiovasc Surg, 2015, 149(4): 1124-1130.
4.	Hayes DA, Jones S, Quaegebeur JM, et al. Primary arterial switch operation as a strategy for total correction of Taussig-Bing anomaly: A 21-year experience. Circulation, 2013, 128(11 Suppl 1): S194-S198.
5.	Walters HL, Mavroudis C, Tchervenkov CI, et al. Congenital heart surgery nomenclature and database project: Double outlet right ventricle. Ann Thorac Surg, 2000, 69(4 Suppl): S249-S263.
6.	Vida VL, Zanotto L, Zanotto L, et al. Left-sided reoperations after arterial switch operation: A European multicenter study. Ann Thorac Surg, 2017, 104(3): 899-906.
7.	Luo K, Zheng J, Wang S, et al. Single-stage correction for Taussig-Bing anomaly associated with aortic arch obstruction. Pediatr Cardiol, 2017, 38(8): 1548-1555.
8.	Nakayama Y, Shinkawa T, Matsumura G, et al. Late neo-aortic valve regurgitation long after arterial switch operation. Ann Thorac Surg, 2019, 108(4): 1210-1216.
9.	Lacour-Gayet F, Anderson RH. A uniform surgical technique for transfer of both simple and complex patterns of the coronary arteries during the arterial switch procedure. Cardiol Young, 2005, 15 Suppl 1: 93-101.
10.	Kobayashi Y, Kotani Y, Kuroko Y, et al. Anatomic risk factors for reintervention after arterial switch operation for Taussig-Bing anomaly. Ann Thorac Surg, 2021, 112(1): 163-169.
11.	Bokenkamp R, Aguilar E, van der Palen RL, et al. Reoperation for right ventricular outflow tract obstruction after arterial switch operation for transposition of the great arteries and aortic arch obstruction. Eur J Cardiothorac Surg, 2016, 49(5): e91-e96.
12.	Fricke TA, Konstantinov IE. Arterial switch operation: Operative approach and outcomes. Ann Thorac Surg, 2019, 107(1): 302-310.
13.	Oda S, Nakano T, Fujita S, et al. Long-term growth of the neoaortic root after arterial switch operation. Ann Thorac Surg, 2019, 107(4): 1203-1211.
14.	Fraser CD, Chacon-Portillo MA, Well A, et al. Twenty-three-year experience with the arterial switch operation: Expectations and long-term outcomes. Semin Thorac Cardiovasc Surg, 2020, 32(2): 292-299.
15.	Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC guidelines for the management of adult congenital heart disease. Eur Heart J, 2021, 42(6): 563-645.
16.	Talwar S, Muthukkumaran S, Choudhary SK, et al. The expanding indications for the Lecompte maneuver. World J Pediatr Congenit Heart Surg, 2014, 5(2): 291-296.

1. Lecompte Y, Neveux JY, Leca F, et al. Reconstruction of the pulmonary outflow tract without prosthetic conduit. J Thorac Cardiovasc Surg, 1982, 84(5): 727-733.
2. 董念国, 李守军, 周诚, 等. 先天性心脏病外科治疗中国专家共识(一): 大动脉调转术应用. 中国胸心血管外科临床杂志, 2020, 27(2): 126-132.
3. Vergnat M, Baruteau AE, Houyel L, et al. Late outcomes after arterial switch operation for Taussig-Bing anomaly. J Thorac Cardiovasc Surg, 2015, 149(4): 1124-1130.
4. Hayes DA, Jones S, Quaegebeur JM, et al. Primary arterial switch operation as a strategy for total correction of Taussig-Bing anomaly: A 21-year experience. Circulation, 2013, 128(11 Suppl 1): S194-S198.
5. Walters HL, Mavroudis C, Tchervenkov CI, et al. Congenital heart surgery nomenclature and database project: Double outlet right ventricle. Ann Thorac Surg, 2000, 69(4 Suppl): S249-S263.
6. Vida VL, Zanotto L, Zanotto L, et al. Left-sided reoperations after arterial switch operation: A European multicenter study. Ann Thorac Surg, 2017, 104(3): 899-906.
7. Luo K, Zheng J, Wang S, et al. Single-stage correction for Taussig-Bing anomaly associated with aortic arch obstruction. Pediatr Cardiol, 2017, 38(8): 1548-1555.
8. Nakayama Y, Shinkawa T, Matsumura G, et al. Late neo-aortic valve regurgitation long after arterial switch operation. Ann Thorac Surg, 2019, 108(4): 1210-1216.
9. Lacour-Gayet F, Anderson RH. A uniform surgical technique for transfer of both simple and complex patterns of the coronary arteries during the arterial switch procedure. Cardiol Young, 2005, 15 Suppl 1: 93-101.
10. Kobayashi Y, Kotani Y, Kuroko Y, et al. Anatomic risk factors for reintervention after arterial switch operation for Taussig-Bing anomaly. Ann Thorac Surg, 2021, 112(1): 163-169.
11. Bokenkamp R, Aguilar E, van der Palen RL, et al. Reoperation for right ventricular outflow tract obstruction after arterial switch operation for transposition of the great arteries and aortic arch obstruction. Eur J Cardiothorac Surg, 2016, 49(5): e91-e96.
12. Fricke TA, Konstantinov IE. Arterial switch operation: Operative approach and outcomes. Ann Thorac Surg, 2019, 107(1): 302-310.
13. Oda S, Nakano T, Fujita S, et al. Long-term growth of the neoaortic root after arterial switch operation. Ann Thorac Surg, 2019, 107(4): 1203-1211.
14. Fraser CD, Chacon-Portillo MA, Well A, et al. Twenty-three-year experience with the arterial switch operation: Expectations and long-term outcomes. Semin Thorac Cardiovasc Surg, 2020, 32(2): 292-299.
15. Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC guidelines for the management of adult congenital heart disease. Eur Heart J, 2021, 42(6): 563-645.
16. Talwar S, Muthukkumaran S, Choudhary SK, et al. The expanding indications for the Lecompte maneuver. World J Pediatr Congenit Heart Surg, 2014, 5(2): 291-296.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The effect of LeCompte maneuver on mid-to-long term reintervention after arterial switch operation in children with side-by-side Taussig-Bing anomaly

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