Long-Term Results of the REV Procedure for Transposition of Great Arteries and Double Outlet RV with Pulmonary Stenosis

This study addressed the long-term results of the réparation à l’étage ventriculaire (REV) procedure for double outlet right ventricle (DORV) and transposition of the great arteries (TGA) with pulmonary stenosis (PS). From 1980 to 2021, 157 patients underwent an REV procedure. Thirteen patients died (8.3 percent), including four in the first postoperative month and two after heart transplants. Survival at 40 years was 89.3 percent. 37 patients required 68 reinterventions on the right ventricular outflow tract (RVOT) including 49 reoperations with a median delay of nine years (8 months to 27 years). The authors concluded that the REV procedure is a good alternative for patients with TGA and double outlet right ventricle with PS, with only a quarter of patients needing redo RVOT surgery.