Arterial switch operation using aortic homograft for transposition of the great arteries with pulmonary regurgitation.

Abstract

We report a case of a 15 month-old boy who underwent the arterial switch operation using cryopreserved aortic homograft for transposition of the great arteries with pulmonary regurgitation, with coexisting right ventricular outflow tract obstruction precluding atrial switch operation. Follow-up echocardiography at 6 months showed trivial neoaortic valve regurgitation, no significant systemic outflow obstruction, with good cardiac function. In small children, the choice of material for left ventricular outflow tract reconstruction is one of the most crucial issues. Cryopreserved homograft has been one of the primary options for the aortic valve replacement in small children because of the ease of suturing and excellent hemostasis.

• Authors: Naoki Wada, Yukihiro Takahashi, Makoto Ando, In-Sam Park, Mariko Kobayashi, Masamitsu Murata
• Journal: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 54 Issue 3 Pg. 114-6 (Mar 2006) ISSN: 1344-4964 [Print] Japan
• PMID: 16613229 (Publication Type: Case Reports, Journal Article)

Topics

• Aorta (transplantation)
• Cardiac Surgical Procedures (methods)
• Humans
• Infant
• Male
• Pulmonary Valve Insufficiency (complications, surgery)
• Transplantation, Homologous
• Transposition of Great Vessels (surgery)
• Ventricular Outflow Obstruction (complications, surgery)