Half-turned Truncal Switch Operation for Transposition of Great Arteries, Ventricular Septal Defect and Pulmonic Stenosis.
- Author:
Hong Gook LIM
1
;
Chang Ha LEE
;
Seong Wook HWANG
;
Cheul LEE
;
Chong Whan KIM
;
Jun Seok KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Korea. leechha@sejongh.co.kr
- Publication Type:Case Report
- Keywords:
Congenital heart disease;
Transposition of great vessels;
Heart septal defect, ventricular;
Pulmonary artery, stenosis
- MeSH:
Arteries;
Child, Preschool;
Echocardiography;
Heart Defects, Congenital;
Heart Septal Defects, Ventricular*;
Humans;
Male;
Pulmonary Valve Stenosis*;
Transposition of Great Vessels*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(2):145-149
- CountryRepublic of Korea
- Language:Korean
-
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.