LeCompte maneuver

Technique used in open heart surgery, primarily on infants and children

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

^ ^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.

Tests and procedures involving the heart

Surgery

Heart valves and septa	Valve repair Valvulotomy Mitral valve repair Valvuloplasty aortic mitral Valve replacement Aortic valve repair Aortic valve replacement Ross procedure Transcatheter Mitral valve replacement Transcatheter pulmonary valve replacement production of septal defect in heart enlargement of existing septal defect Atrial septostomy Balloon septostomy creation of septal defect in heart Blalock–Hanlon procedure shunt from heart chamber to blood vessel atrium to pulmonary artery Fontan procedure left ventricle to aorta Rastelli procedure right ventricle to pulmonary artery Sano shunt compound procedures for transposition of the great vessels Arterial switch operation Mustard procedure Senning procedure for univentricular defect Norwood procedure Kawashima procedure shunt from blood vessel to blood vessel systemic circulation to pulmonary artery shunt Blalock–Taussig shunt SVC to the right PA Glenn procedure
Cardiac vessels	CHD Angioplasty Bypass/Coronary artery bypass MIDCAB Off-pump CAB TECAB Coronary stent Bare-metal stent Drug-eluting stent Obstacle removal Endarterectomy Atherectomy Bentall procedure Valve-sparing aortic root replacement LeCompte maneuver
Other	Pericardium Pericardiocentesis Pericardial window Pericardiectomy Myocardium Cardiomyoplasty Dor procedure Septal myectomy Ventricular reduction Alcohol septal ablation Conduction system Maze procedure (Cox maze and minimaze) Catheter ablation Cryoablation Radiofrequency ablation Pacemaker insertion S-ICD implantation ICD implantation Cardiac resynchronization therapy Left atrial appendage occlusion Cardiotomy Heart transplantation