Twenty-five years' experience of modified Lecompte procedure for the anomalies of ventriculoarterial connection with XXXX and pulmonary stenosis.

@entity1 @entity3585 @entity3886 @entity1757 @entity3885 @entity943
OBJECTIVES: To overcome the drawbacks of the Rastelli operation, the modified Lecompte procedure creates a connection from the left ventricle to the aorta with greater freedom from residual obstruction due to the resection of the outlet septum and avoids the implantation of an extracardiac valved conduit. We evaluated the effectiveness of this technique with analysis of our 25-year long-term results. METHODS: We reviewed the records of 50 @entity1 who underwent the modified Lecompte procedure during the past 25 years. The median age at operation was 1.95 years (range, 0.30-12.48 years). The diagnoses involved anomalies of the ventriculoarterial connection with @entity1757 and @entity3885 , such as @entity3886 , double outlet right ventricle, and double outlet left ventricle. RESULTS: There were 2 early deaths (4.0%). During a mean follow-up of 14.2    7.9 years (range, 0.2-25 years), there were 4 late deaths. Actuarial survival was 87.3%    4.9% at 25 years. The freedom from @entity943 and reoperation at 25 years was 87.7%    6.2% and 25.2%    9.4%, respectively. The freedom from reoperation for @entity3585 and right @entity3585 at 25 years was 88.5%    5.4% and 49.6%    9.0%, respectively. At last follow-up, 43 survivors (97.7%) are in New York Heart Association class I. CONCLUSIONS: The modified Lecompte procedure has excellent long-term results for treating anomalies of ventriculoarterial connection with @entity1757 and @entity3885 . Early repair is possible with low mortality and morbidity in terms of @entity943 , reoperation for right or @entity3585 , and functional class.
