Korean J Thorac Cardiovasc Surg.  2016 Jun;49(3):190-194. 10.5090/kjtcs.2016.49.3.190.

Aortic Root Translocation with Arterial Switch for Transposition of the Great Arteries or Double Outlet Right Ventricle with Ventricular Septal Defect and Pulmonary Stenosis

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. pkjj@amc.seoul.kr
  • 2Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
  • 3Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.

Abstract

Double outlet right ventricle (DORV) and transposition of the great arteries (TGA) with ventricular septal defect (VSD) and pulmonary stenosis (PS) are complex heart diseases, the treatment of which remains a surgical challenge. The Rastelli procedure is still the most commonly performed treatment. Aortic root translocation including an arterial switch operation is advantageous anatomically since it has a lower possibility of conduit blockage and the left ventricle outflow tract remains straight. This study reports successful aortic root transpositions in two patients, one with DORV with VSD and PS and one with TGA with VSD and PS. Both patients were discharged without postoperative complications.

Keyword

Congenital heart disease (CHD); CHD-great vessel anomalies; CHD-arterial switch; Nikaidoh operation; Aortic root translocation

MeSH Terms

Arterial Switch Operation
Arteries*
Double Outlet Right Ventricle*
Heart Diseases
Heart Septal Defects, Ventricular*
Heart Ventricles
Humans
Postoperative Complications
Pulmonary Valve Stenosis*
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