Long-Term Follow-Up of the Half-Turned Truncal Switch Operation for Transposition of the Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis.
10.5090/kjtcs.2016.49.2.112
- Author:
Jong Uk LEE
1
;
Woo Sung JANG
;
Young Ok LEE
;
Joon Yong CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Korea. whiteuri@hanmail.net
- Publication Type:Case Report
- Keywords:
Congenital heart disease, arterial switch;
Transposition of great vessels;
Heart septal defects, ventricular;
Pulmonary valve stenosis;
Half-turned truncal switch operation
- MeSH:
Aortic Valve Insufficiency;
Arteries*;
Double Outlet Right Ventricle;
Follow-Up Studies*;
Heart Septal Defects, Ventricular*;
Humans;
Pulmonary Artery;
Pulmonary Valve Stenosis*;
Transposition of Great Vessels
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(2):112-114
- CountryRepublic of Korea
- Language:English
-
Abstract:
The half-turned truncal switch (HTTS) operation has been reported as an alternative to the Rastelli or réparation à l'étage ventriculaire procedures. HTTS prevents left ventricular outflow tract (LVOT) obstruction in patients with complete transposition of the great arteries (TGA) with a ventricular septal defect (VSD) and pulmonary stenosis (PS), or in those with a Taussig-Bing anomaly with PS. The advantages of the HTTS procedure are avoidance of late LVOT or right ventricular outflow tract (RVOT) obstruction, and of overstretching of the pulmonary artery. We report the case of a patient who underwent HTTS for TGA with VSD and PS, in whom there was no LVOT obstruction and only mild aortic regurgitation and mild RVOT obstruction, including observations at 12-year follow-up. Our experience with long-term follow-up of HTTS supports a solution for late complications after the Rastelli procedure.
