Unidirectional valved patch closure of ventricular septal defect with arterial switch operation in a patient with d-transposition of great arteries with severe pulmonary hypertension.

Abstract

We report our experience with a five-year-old child with d-transposition of great arteries (d-TGA), ventricular septal defect (VSD), and severe pulmonary arterial hypertension (PAH). A fenestrated unidirectional-valved patch was used to close the VSD and a standard arterial witch operation (ASO) was performed. Difficulties in assessment of operability and the choice of procedures in such patients are briefly discussed.

• Authors: Sachin Talwar, Shyam Sunder Kothari, Tameem Ahmed, Shiv Kumar Choudhary, Balram Airan
• Journal: Journal of cardiac surgery (J Card Surg) Vol. 26 Issue 2 Pg. 234-6 (Mar 2011) ISSN: 1540-8191 [Electronic] United States
• PMID: 21395688 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2010 Wiley Periodicals, Inc.

Topics

• Abnormalities, Multiple
• Cardiac Catheterization
• Cardiac Surgical Procedures (methods)
• Child, Preschool
• Diagnosis, Differential
• Echocardiography
• Follow-Up Studies
• Heart Septal Defects, Ventricular (diagnosis, surgery)
• Humans
• Hypertension, Pulmonary (physiopathology)
• Male
• Pulmonary Wedge Pressure
• Transposition of Great Vessels (diagnosis, surgery)