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Approach to the neoaortic valve for replacement after the arterial switch procedure in patients with complete transposition

Published online by Cambridge University Press:  15 August 2006

Ko Yoshizumi ,
Toshikatsu Yagihara  and
Hideki Uemura
Ko Yoshizumi
Affiliation:
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
Toshikatsu Yagihara
Affiliation:
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
Hideki Uemura
Affiliation:
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
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Abstract

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We report our experience of aortic valvar replacement subsequent to the arterial switch procedure, incorporating the Lecompte maneuver, in patients with complete transposition. The anterior wall of the neoaorta was incised in continuity with the posterior wall of the pulmonary trunk. The aortic root was reconstructed with or without augmentation using a patch after the operative procedures to the aortic valve. With this approach, the neoaortic root could readily be exposed without extensive dissection, and valvar replacement was safely achieved. These patients experienced no postoperative complications.

Keywords

Aortic valvar replacementarterial switch procedurecomplete transposition
Type
Brief Report
Information
Cardiology in the Young , Volume 11 , Issue 6 , November 2001 , pp. 666 - 669
Copyright
2001 Cambridge University Press