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.

The Yasui operation was first reported in 1987 describing 2 infants with interrupted aortic arch and severe left ventricular outflow tract obstruction (IAA/LVOTO). 1 These patients were treated by correction of the interrupted arch with an 8-mm polytetrafluoroethylene (PTFE) interposition graft from the ascending aorta to the descending aorta ...

The Yasui operation is effective for patients with IAA/LVOTO and AA/VSD. Primary and staged repair have comparable results. Reoperation after biventricular repair seems inevitable, mostly for conduit replacement. Genetic factors may affect long-term survival.

Although we have employed a primary Yasui operation both for IAA/LVOTO as well as for the variant of hypoplastic left heart syndrome with 2 good ventricles, a ventricular septal defect, and aortic atresia (HLHS/VSD), we commonly stage the repair.2 The first operation consists of a Norwood proce-

Dec 9, 2016 · The Yasui procedure allows leaving the left ventricle as the systemic ventricle, but uses the pulmonary valve as the systemic semilunar valve. These videos illustrate the technical aspects of the Yasui procedure.

The Yasui procedure is employed in neonates with interrupted aortic arch and left ventricular outflow tract obstruction (IAA/LVOTO) or aortic atresia-severe stenosis with ventricular septal defect (AA/VSD) and 2 adequate-sized ventricles.

Nov 15, 2024 · Using native, autologous tissue, we show how to achieve a partially autologous right ventricle to pulmonary artery connection with possible growth potential if direct connection is not feasible in infant cardiac procedures.

Mar 1, 2024 · The aim of this study is to present our experience with three patients who underwent a neonatal Yasui procedure, and to show the new decision-making algorithm. This is a series of three neonates operated on at our hospital between 2017 and 2022. All the patients underwent a primary Yasui.

Yasui procedure is effective approach for children who have left ventricle outflow tract obstruction associated with aortic arch anomalies and ventricular septal defect. Survival rate with single or staged repair is comparably good.

Aug 3, 2021 · Yasui operation combines Norwood arch reconstruction with Rastelli operation for interrupted or hypoplastic aorta with aortic valvar atresia or hypoplasia with ventricular septal and two adequately sized ventricles, establishing biventricular repair.