Aortic Translocation for Complete Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonic Stenosis.
- Author:
In Seok JEONG
1
;
Chang Ha LEE
;
Cheul LEE
;
Hong Gook LIM
;
In Sub KIM
;
Hyo Chul YOUN
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:
Transposition of great vessels;
Heart septal defect, ventricular;
Pulmonary artery, stenosis;
Rastelli operation;
Surgery method
- MeSH:
Arteries;
Echocardiography;
Follow-Up Studies;
Heart Septal Defects, Ventricular;
Preschool Child;
Pulmonary Valve Stenosis;
Transposition of Great Vessels
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(4):476-479
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Rastelli operation has been a standard procedure for repairing complete transposition of the great arteries combined with a ventricular septal defect and pulmonary stenosis. Yet this procedure has several shortcomings, including the risk of incurring left ventricular outflow tract obstruction on long-term follow-up. In this regard, aortic translocation has recently been regarded as a potent alternative to Rastelli's operation. We report here on a case of complete transposition of the great arteries that was combined with an inlet-extended perimembranous ventricular septal defect and pulmonary stenosis in a 2-year-old boy. All the problems were successfully repaired using the aortic translocation technique. Postoperative echocardiography showed a straight and wide left ventricular outflow tract.
