Yasui procedure

Yasui procedure
SpecialtyCardiology

The Yasui procedure is a pediatric heart operation used to bypass the left ventricular outflow tract (LVOT) that combines the aortic repair of the Norwood procedure and a shunt similar to that used in the Rastelli procedure in a single operation.[1][2] It is used to repair defects that result in the physiology of hypoplastic left heart syndrome even though both ventricles are functioning normally. These defects are common in DiGeorge syndrome and include interrupted aortic arch and LVOT obstruction (IAA/LVOTO); aortic atresia-severe stenosis with ventricular septal defect (AA/VSD); and aortic atresia with interrupted aortic arch and aortopulmonary window. This procedure allows the surgeon to keep the left ventricle connected to the systemic circulation while using the pulmonary valve as its outflow valve, by connecting them through the ventricular septal defect. The Yasui procedure includes a modified Damus–Kaye–Stansel procedure to connect the aortic and pulmonary roots, allowing the coronary arteries to remain perfused.[1] It was first described in 1987.[3]

  1. ^ a b Myers, Patrick; Sologashvili, Tornike; Wacker, Julie; Vallée, Jean-Paul; Beghetti, Maurice; Prêtre, René (9 December 2016). "Yasui procedure". Multimedia Manual of Cardio-Thoracic Surgery. 2016. doi:10.1510/mmcts.2016.005. ISSN 1813-9175. PMID 28195688.
  2. ^ Kanter, Kirk R.; Kirshbom, Paul M.; Kogon, Brian E. (June 2012). "Biventricular repair with the Yasui operation (Norwood/Rastelli) for systemic outflow tract obstruction with two adequate ventricles". The Annals of Thoracic Surgery. 93 (6): 1999–2005, discussion 2005–2006. doi:10.1016/j.athoracsur.2012.02.050. ISSN 1552-6259. PMID 22520828.
  3. ^ Yasui, H.; Kado, H.; Nakano, E.; Yonenaga, K.; Mitani, A.; Tomita, Y.; Iwao, H.; Yoshii, K.; Mizoguchi, Y. (April 1987). "Primary repair of interrupted aortic arch and severe aortic stenosis in neonates". The Journal of Thoracic and Cardiovascular Surgery. 93 (4): 539–545. doi:10.1016/S0022-5223(19)36381-0. ISSN 0022-5223. PMID 3561000.