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Aortic Translocation for Complete Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonic Stenosis  

Jeong, In-Seok (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Institute)
Lee, Chang-Ha (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Institute)
Lee, Cheul (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Institute)
Lim, Hong-Gook (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Institute)
Kim, In-Sub (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Institute)
Youn, Hyo-Chul (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Institute)
Publication Information
Journal of Chest Surgery / v.41, no.4, 2008 , pp. 476-479 More about this Journal
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.
Keywords
Transposition of great vessels; Heart septal defect, ventricular; Pulmonary artery, stenosis; Rastelli operation; Surgery method;
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