D-Transposition of the Great Arteries with Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction (D-TGA/VSD/LVOTO): A Survey of Perceptions, Preferences, and Experience

Mohammed K. Al-Jughiman, Maryam A. Al-Omair, Glen S. Van Arsdell, Victor O. Morell, Marshall L Jacobs

Research output: Contribution to journalArticle

Abstract

Several procedures have been introduced to manage this complex congenital heart malformation. It is not clear that any one approach is best for all patients. Decision-making for a given patient may be influenced by multiple patient factors. There is little doubt that surgeon and institutional experience and preference also play a role. We have focused our survey on three procedures, i.e., the Rastelli, Nikaidoh (aortic root translocation), and réparation à l’étageventriculaire (REV) procedures. The questionnaire was directed to all Congenital Heart Surgeon Society member surgeons. A total of 61 clinical practitioners responded to our survey. Of them, 45 (73.8 %) were staff congenital heart surgeons, 11 (18 %) were staff pediatric cardiologists, 1 (1.6 %) was a staff adult congenital cardiologist, 1 (1.6 %) was a fellow pediatric cardiologist, 2 (3.3 %) were fellow or resident congenital heart surgeons, and 1 (1.6 %) was a nurse practitioner. Most respondents believe that the Rastelli procedure should be considered the first option (n = 28, 45.9 %), while 24 (39.3 %) respondents believe that the Nikaidoh procedure should be considered the first option. Asked “To which surgeon do you prefer to refer your patient” (one who will perform Rastelli, Nikaidoh, or REV), all staff cardiologists (n = 12, 100 %) responded “doesn’t matter.” This survey revealed a wide diversity among clinical practitioners in terms of management of patients with TGA/VSD/LVOTO and preferred surgical approaches. A multi-institutional study of surgical management of TGA/VSD/LVOTO may help to define principles for optimal matching of procedures to patients.

Original languageEnglish (US)
Pages (from-to)896-905
Number of pages10
JournalPediatric Cardiology
Volume36
Issue number5
DOIs
StatePublished - Feb 3 2015
Externally publishedYes

Fingerprint

Ventricular Outflow Obstruction
Transposition of Great Vessels
Ventricular Heart Septal Defects
Pediatrics
Nurse Practitioners
Congenital Heart Defects
Surveys and Questionnaires
Surgeons
Decision Making
Cardiologists

Keywords

  • Left ventricular outflow tract obstruction
  • Nikaidoh
  • Rastelli
  • REV
  • Transposition of great arteries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

D-Transposition of the Great Arteries with Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction (D-TGA/VSD/LVOTO) : A Survey of Perceptions, Preferences, and Experience. / Al-Jughiman, Mohammed K.; Al-Omair, Maryam A.; Van Arsdell, Glen S.; Morell, Victor O.; Jacobs, Marshall L.

In: Pediatric Cardiology, Vol. 36, No. 5, 03.02.2015, p. 896-905.

Research output: Contribution to journalArticle

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