Korean J Thorac Cardiovasc Surg.  2018 Dec;51(6):395-398. 10.5090/kjtcs.2018.51.6.395.

Aortic Root Reimplantation in a Patient Who Underwent an Arterial Switch Operation

  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. jbkim1975@amc.seoul.kr


Neo-aortic insufficiency associated with root enlargement following an arterial switch operation is a serious late complication. To achieve successful surgical correction of this condition, multiple factors should be considered, including the individual patient's anatomy, the challenging nature of the redo procedure, and the patient's young age. However, limited publications have described the use of valve-sparing techniques for the treatment of neo-aortic insufficiency associated with root enlargement following an arterial switch operation. Herein, we report our recent experience of a valve-sparing aortic root procedure with ascending aorta and hemiarch replacement despite the presence of a discrepancy in leaflet size and nearby severe adhesions.


Arterial switch operation; Valve-sparing root replacement; Reoperation; Coronary artery stenosis
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