Korean J Thorac Cardiovasc Surg.  2008 Aug;41(4):476-479.

Aortic Translocation for Complete Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonic Stenosis

• Jeong IS
• Lee CH
• Lee C
• Lim HG
• Kim IS
• Youn HC

Abstract

The Rastelli operation has been a standard procedure for repairing complete transposition of the great arteries combined with a ventricular septal defect and pulmonary stenosis. Yet this procedure has several shortcomings, including the risk of incurring left ventricular outflow tract obstruction on long-term follow-up. In this regard, aortic translocation has recently been regarded as a potent alternative to Rastelli's operation. We report here on a case of complete transposition of the great arteries that was combined with an inlet-extended perimembranous ventricular septal defect and pulmonary stenosis in a 2-year-old boy. All the problems were successfully repaired using the aortic translocation technique. Postoperative echocardiography showed a straight and wide left ventricular outflow tract.

Keyword

Transposition of great vessels; Heart septal defect, ventricular; Pulmonary artery, stenosis; Rastelli operation; Surgery method

MeSH Terms

Arteries
Echocardiography
Follow-Up Studies
Heart Septal Defects, Ventricular
Preschool Child
Pulmonary Valve Stenosis
Transposition of Great Vessels