Korean J Thorac Cardiovasc Surg.  2006 Feb;39(2):145-149.

Half-turned Truncal Switch Operation for Transposition of Great Arteries, Ventricular Septal Defect and Pulmonic Stenosis

• Lim HG
• Lee CH
• Hwang SW
• Lee C
• Kim CW
• Kim JS

Abstract

The surgical management of patients with transposition of the great arteries, ventricular septal defect, and pulmonary stenosis remains a challenge. The Rastelli operation or Lecompte operation is the preferred surgical procedure, but its long-term results are not optimal because of a warped left ventricular outflow tract through a space-occupied intraventricular tunnel and a contrived right ventricular outflow tract. We performed a half-turned truncal switch operation as an alternative surgical procedure in a 3-year-old boy (weighing 9.6 kg) with this anomaly. Postoperative echocardiography showed laminar flow through straight and nonobstructive aortic and pulmonary ventricular outflow tracts.

Keyword

Congenital heart disease; Transposition of great vessels; Heart septal defect, ventricular; Pulmonary artery, stenosis

MeSH Terms

Arteries
Child, Preschool
Echocardiography
Heart Defects, Congenital
Heart Septal Defects, Ventricular*
Humans
Male
Pulmonary Valve Stenosis*
Transposition of Great Vessels*