Arterial Switch Operation With Neoaortic Valve Replacement in a 13-Year Old Patient With Transposition of Great Arteries With Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction—A Case Report. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Chowdhuri, Kuntal Roy; Daga, Manoj Kumar; Mandal, Subhendu; Das, Pravir; Hoque, Amanul; Meur, Saumen; Gorain, Somenath; Dutta, Nilanjan; Iyer, Krishna Subramony
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 11:Issue 4(2020)
• Page Start: NP190
• Page End: NP194
• Publication Date: 2020-07
• Subjects: neoaortic valve replacement -- arterial switch operation -- LVOTO -- TGA; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135118769320
• Languages: English
• ISSNs: 2150-1351

Abstract

The surgical management ofd -transposition of great arteries (d- TGAs) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) is ever evolving and still remains a challenge because of wide anatomic variability, age of presentation, surgical options available, and their variable long-term results in different series. We describe a patient withd- TGA, VSD, and LVOTO who presented to us at 13 years of age and underwent an arterial switch operation along with neoaortic valve replacement with a mechanical prosthesis. The postoperative course was uneventful, and at hospital discharge, the echocardiogram was satisfactory. We present the pros and cons of this hitherto undescribed treatment option.