BACKGROUND: The Lecompte procedure, which is called - R'eparation l'etage ventricular- used for the anatomic repair of transposition of the great arteries associated with ventricular septal defect and pulmonary stenosis, to day is employed in an effort to avoid the limitations of Rastelli operation.
METHODS: Between February 1994 and July 2007, eight patients with ages between 2 and 8 years(median: 2,9) with anomalies of Ventricular-Arterial connection, ventricular septal defect and pulmonary outflow tract obstruction were considered to fulfill the condition required for anatomic repair. After the intraventricular connection of the left ventricle to the aorta, to use the natural pulmonary orifice for the pulmonary outflow tract reconstruction. In six cases, were used Heterograft prosthesis (bicuspid=4 and tricuspid=2), one case, used Polytetrafluoroethylene prosthesis annd one case, used Homograft. The first patient of this serie was converted from Rastelli operation to Lecompte procedure, due to right ventricular-pulmonary artery prosthesis obstructio.
RESULTS: There was one hospital death (12.5%) and not late reoperations or death. seven patients whose follow-up time was 12 to 160 months (median 95.3) with clinical and echocardiographyc evaluation. No stenosis of the aortic flow tract was found. three patients have a trivial to moderate pulmonary insuficiency.
CONCLUSION: Lecompte procedure has the following advantages: 1- Surgical indication for infants. 2- Low morbidity and mortality. 3- Free from reoperation over the long term. 4- Possibility of conversion of Rastelli procedure to Lecompte procedure.