LeCompte maneuver: Difference between revisions
Content deleted Content added
add |
Citation bot (talk | contribs) Add: s2cid, authors 1-1. Removed parameters. Some additions/deletions were parameter name changes. | Use this bot. Report bugs. | Suggested by Abductive | #UCB_webform 686/3850 |
||
| (25 intermediate revisions by 18 users not shown) | |||
| Line 1: | Line 1: | ||
{{Short description|Technique used in open heart surgery, primarily on infants and children}} |
|||
The '''LeCompte maneuver''' is a technique used in [[open heart surgery]] on children. Commonly, it is used during an [[arterial switch]] procedure or in surgery to correct [[absent pulmonary valve syndrome]].<ref name="chw">{{Cite web |url=https://www.chw.org/medical-care/herma-heart/for-medical-professionals/pediatric-heart-surgery/arterial-switch-procedure |title=Arterial Switch Procedure for D-transposition of the great arteries |website=chw.org |access-date=2018-08-29}}</ref><ref>{{Cite journal|last=Nölke|first=Lars|last2=Azakie|first2=Anthony|last3=Anagnostopoulos|first3=Petrous V.|last4=Alphonso|first4=Nelson|last5=Karl|first5=Tom R.|date=2006-05|title=The Lecompte Maneuver for Relief of Airway Compression in Absent Pulmonary Valve Syndrome|url=https://linkinghub.elsevier.com/retrieve/pii/S0003497505021612|journal=The Annals of Thoracic Surgery|volume=81|issue=5|pages=1802–1807|doi=10.1016/j.athoracsur.2005.12.001|issn=0003-4975}}</ref> The maneuver itself entails moving the distal [[pulmonary artery]] and its branches anteriorly before reconstructing the [[aorta]] and pulmonary artery, in the case of an arterial switch, or the pulmonary artery alone in other surgeries.<ref name="chw" /> It is used in cases where there is a risk of compressing the [[left anterior descending artery]], one of the main [[coronary arteries]].<ref>{{Cite journal|last=Yoon|first=Dong Woog|last2=Kim|first2=Tae Ho|last3=Shim|first3=Man-shik|last4=Jun|first4=Tae-Gook|last5=Jang|first5=Jae Seok|date=2015-10|title=Pulmonary Root Translocation with the Lecompte Maneuver: For Transposition of the Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622027/|journal=The Korean Journal of Thoracic and Cardiovascular Surgery|volume=48|issue=5|pages=351–354|doi=10.5090/kjtcs.2015.48.5.351|issn=2233-601X|pmc=PMC4622027|pmid=26509129}}</ref> The technique was first described in 1981.<ref>{{Cite journal|last=Talwar|first=Sachin|last2=Muthukkumaran|first2=Subramanian|last3=Choudhary|first3=Shiv Kumar|last4=Airan|first4=Balram|date=2014-4|title=The expanding indications for the Lecompte maneuver|url=https://www.ncbi.nlm.nih.gov/pubmed/24668977|journal=World Journal for Pediatric & Congenital Heart Surgery|volume=5|issue=2|pages=291–296|doi=10.1177/2150135113508796|issn=2150-136X|pmid=24668977}}</ref> |
|||
{{Use American English|date=March 2021}} |
|||
{{Use mdy dates|date=March 2021}} |
|||
The '''LeCompte maneuver''' is a technique used in [[open heart surgery]], primarily on infants and children. The maneuver entails cutting the main [[pulmonary artery]] and moving it [[anterior]] to the [[aorta]] before reattaching the pulmonary artery during the following reconstruction of the [[great vessels]].<ref name="chw" /><ref name="Talwar 2014" /> It allows the surgeon to reconstruct the [[right ventricular outflow tract]] without needing to connect the proximal and distal sections with a [[Grafting|graft]].<ref name="Talwar 2014" /><ref name="Lecompte 1982" /> It also enables the surgeon to avoid compressing the [[coronary arteries]] and relieves compression of the [[Bronchus|bronchi]] in cases where the pulmonary artery is severely [[Coronary reflex|dilated]] or [[Aneurysm|aneurysmal]]. If both pulmonary arteries are not mobilized adequately, they can become stretched, leading to [[pulmonic stenosis]].<ref name="Talwar 2014" /> |
|||
Commonly, the maneuver is used during an [[arterial switch]] procedure (in which the pulmonary artery and aorta switch positions) or in surgery to correct [[absent pulmonary valve syndrome]].<ref name="chw">{{Cite web |url=https://www.chw.org/medical-care/herma-heart/for-medical-professionals/pediatric-heart-surgery/arterial-switch-procedure |title=Arterial Switch Procedure for D-transposition of the great arteries |website=chw.org |access-date=2018-08-29}}</ref><ref>{{Cite journal|last1=Nölke|first1=Lars|last2=Azakie|first2=Anthony|last3=Anagnostopoulos|first3=Petrous V.|last4=Alphonso|first4=Nelson|last5=Karl|first5=Tom R.|date=May 2006|title=The Lecompte Maneuver for Relief of Airway Compression in Absent Pulmonary Valve Syndrome|journal=The Annals of Thoracic Surgery|volume=81|issue=5|pages=1802–1807|doi=10.1016/j.athoracsur.2005.12.001|pmid=16631676|issn=0003-4975}}</ref> It is also used in corrective surgeries for [[Tetralogy of Fallot]] where the pulmonary valve is anomalous, [[persistent truncus arteriosus]] with [[aortopulmonary window]] that affects the [[aortic arch]], left-to-right shunts, anomalous right pulmonary artery, and [[Anomalous left coronary artery from the pulmonary artery|ALCAPA]] (anomalous left coronary artery from the pulmonary artery). Other surgeries that regularly employ the LeCompte maneuver include the [[Yasui procedure]], [[REV procedure]], and [[Nikaidoh operation]], all of which are used to reconstruct hearts with an anomalous left ventricular outflow tract.<ref name="Talwar 2014" /> |
|||
The technique was first used in 1981 and described in 1982.<ref name="Talwar 2014">{{Cite journal|last1=Talwar|first1=Sachin|last2=Muthukkumaran|first2=Subramanian|last3=Choudhary|first3=Shiv Kumar|last4=Airan|first4=Balram|date=April 2014|title=The expanding indications for the Lecompte maneuver|journal=World Journal for Pediatric & Congenital Heart Surgery|volume=5|issue=2|pages=291–296|doi=10.1177/2150135113508796|issn=2150-136X|pmid=24668977|s2cid=39084019 }}</ref><ref name="Lecompte 1982">{{Cite journal|last1=Lecompte|first1=Y|last2=Neveux|first2=JY|last3=Leca|first3=F|last4=Zannini|first4=L|last5=Tu|first5=TV|last6=Duboys|first6=Y|last7=Jarreau|first7=MM|date=November 1982|title=Reconstruction of the pulmonary outflow tract without prosthetic conduit.|journal=The Journal of Thoracic and Cardiovascular Surgery|language=en|volume=84|issue=5|pages=727–33|issn=0022-5223|pmid=7132411|doi=10.1016/s0022-5223(19)38962-7|doi-access=free}}</ref> |
|||
==References== |
==References== |
||
{{reflist}} |
{{reflist}} |
||
{{Cardiac surgery}} |
|||
[[Category:Cardiac surgery]] |
|||
{{surgery-stub}} |
|||
Latest revision as of 02:10, 6 August 2023
The LeCompte maneuver is a technique used in open heart surgery, primarily on infants and children. The maneuver entails cutting the main pulmonary artery and moving it anterior to the aorta before reattaching the pulmonary artery during the following reconstruction of the great vessels.[1][2] It allows the surgeon to reconstruct the right ventricular outflow tract without needing to connect the proximal and distal sections with a graft.[2][3] It also enables the surgeon to avoid compressing the coronary arteries and relieves compression of the bronchi in cases where the pulmonary artery is severely dilated or aneurysmal. If both pulmonary arteries are not mobilized adequately, they can become stretched, leading to pulmonic stenosis.[2]
Commonly, the maneuver is used during an arterial switch procedure (in which the pulmonary artery and aorta switch positions) or in surgery to correct absent pulmonary valve syndrome.[1][4] It is also used in corrective surgeries for Tetralogy of Fallot where the pulmonary valve is anomalous, persistent truncus arteriosus with aortopulmonary window that affects the aortic arch, left-to-right shunts, anomalous right pulmonary artery, and ALCAPA (anomalous left coronary artery from the pulmonary artery). Other surgeries that regularly employ the LeCompte maneuver include the Yasui procedure, REV procedure, and Nikaidoh operation, all of which are used to reconstruct hearts with an anomalous left ventricular outflow tract.[2]
The technique was first used in 1981 and described in 1982.[2][3]
References
[edit]- ^ a b "Arterial Switch Procedure for D-transposition of the great arteries". chw.org. Retrieved August 29, 2018.
- ^ a b c d e Talwar, Sachin; Muthukkumaran, Subramanian; Choudhary, Shiv Kumar; Airan, Balram (April 2014). "The expanding indications for the Lecompte maneuver". World Journal for Pediatric & Congenital Heart Surgery. 5 (2): 291–296. doi:10.1177/2150135113508796. ISSN 2150-136X. PMID 24668977. S2CID 39084019.
- ^ a b Lecompte, Y; Neveux, JY; Leca, F; Zannini, L; Tu, TV; Duboys, Y; Jarreau, MM (November 1982). "Reconstruction of the pulmonary outflow tract without prosthetic conduit". The Journal of Thoracic and Cardiovascular Surgery. 84 (5): 727–33. doi:10.1016/s0022-5223(19)38962-7. ISSN 0022-5223. PMID 7132411.
- ^ Nölke, Lars; Azakie, Anthony; Anagnostopoulos, Petrous V.; Alphonso, Nelson; Karl, Tom R. (May 2006). "The Lecompte Maneuver for Relief of Airway Compression in Absent Pulmonary Valve Syndrome". The Annals of Thoracic Surgery. 81 (5): 1802–1807. doi:10.1016/j.athoracsur.2005.12.001. ISSN 0003-4975. PMID 16631676.
