Valve-Sparing Reimplantation Technique for Treatment of Neoaortic Root Dilatation Late after the Arterial Switch Operation: Raising the Bar

Markus Liebrich; Michael Scheid; Frank Uhlemann; Wolfgang B. Hemmer

doi:10.1055/s-0034-1387130

The Thoracic and Cardiovascular Surgeon Reports, Table of Contents

Thorac Cardiovasc Surg Rep 2014; 03(01): 016-018
DOI: 10.1055/s-0034-1387130

Case Report: Cardiac

Georg Thieme Verlag KG Stuttgart · New York

Valve-Sparing Reimplantation Technique for Treatment of Neoaortic Root Dilatation Late after the Arterial Switch Operation: Raising the Bar

Markus Liebrich

¹Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany

²Department of Congenital Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany

,

Michael Scheid

¹Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany

²Department of Congenital Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany

,

Frank Uhlemann

³Department of Pediatric Cardiology/Pulmonology and Intensive Care Medicine, Klinikum Stuttgart Olgahospital, Stuttgart, Germany

,

Wolfgang B. Hemmer

¹Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany

²Department of Congenital Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany

› Author Affiliations

Abstract

Neoaortic root dilatation can develop during long-term follow-up after an arterial switch operation (ASO). Although few patients require surgical reintervention, significant valve regurgitation is still an important cause of late morbidity. We report on a 15-year-old boy with significant dilatation of the neoaortic root that was treated with the valve-sparing reimplantation technique. There is only one reported case of valve-preserving surgery late after the ASO. Valve preservation is believed to be superior to valve replacement in patients with aortic regurgitation due to better hemodynamic performance and avoidance of anticoagulation therapy.

Keywords

transposition of the great arteries - arterial switch operation - valve-sparing reimplantation technique

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References

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