Aortic Root Reconstruction for Aortic Insufficiency Developed after Fontan Operation.
- Author:
Mon Chol KYUNG
1
;
Song Wok WHANG
;
Chol LEE
;
Yung Jin KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. kyj@plaza.snu.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic root;
Fontan operation
- MeSH:
Aortic Valve;
Aortic Valve Insufficiency;
Cardiac Catheterization;
Cardiac Catheters;
Child;
Cyanosis;
Dyspnea;
Echocardiography;
Fontan Procedure*;
Heart Diseases;
Hepatic Veins;
Humans;
Ligation;
Male;
Pediatrics;
Survival Rate;
Thoracic Surgery
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(2):137-140
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortic regurgitation in the pediatrics who had previous cardiac surgery is increased with their improved longterm survival rate and their complexity of heart disease. So the need of aortic valve surgery in pediatrics is also on the increase. A 10-year old boy was admitted for progressive cyanosis and dyspnea on exertion(DOE). The patient had been underwent lateral tunnel Fontan operation before. Echocardiography and cardiac catheterization study revealed hepatic vein drained to pulmonary atrium via intrahepatic collaterals, moderate atrioventricular regurgitation, and severe aortic regurgitation due to aortic root dilation. We report a case who had aortic root reconstruction, valvuloplasty of the atrioventricular valve, and hepatic vein ligation successfully. Cyanosis and DOE was dramatically improved after the operation
