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Although these patients can be managed with a neonatal Ross-Konno procedure and arch repair, a Yasui operation is a useful alternative. IAA = interrupted aortic arch; LVOTO = left ventricular outflow tract obstruction; VSD = ventricular septal defect.
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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.
Jul 18, 2023 · Pulmonary blood flow is established with a right ventricle to pulmonary artery (RV-PA) conduit. The Yasui procedure offers the advantage of a primary or staged biventricular repair, with no shunting and a reliable source of fully oxygenated systemic blood flow.
- 10.1016/j.xjon.2023.06.019
- 2023/09
- JTCVS Open. 2023 Sep; 15: 361-367.
The origin of Brother can be traced back over 100 years, back to 1908, when Kanekichi Yasui started Yasui Sewing Machine Co. at his home in Nagoya, Japan. Here, he repaired industrial sewing machines and manufactured sewing machine parts for his local community.
In rare situations where the left ventricular outflow tract cannot be used for systemic output, the Yasui procedure allows leaving the left ventricle as the systemic ventricle and using the pulmonary valve as the systemic semilunar valve.
Dec 2, 2021 · This video demonstrates Dr. James Tweddell's surgical strategy in a two-month-old male with diagnosis of aortic atresia, hypoplastic aortic arch, coarctation, large perimembranous VSD, mildly hypoplastic mitral valve, normal biventricular size, and bilateral SVC (left SVC to CS).
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The Yasui operation was introduced in 1987 for patients with 2 adequate ventricles, a ventricular septal defect, and aortic atresia or interrupted aortic arch. Despite promising early outcomes, left ventricular outflow tract obstruction (LVOTO) remains a long-term concern.
