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KMID : 0364020080410040476
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 4 p.476 ~ p.479
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Aortic Translocation for Complete Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonic Stenosis
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Jeong In-Seok
Lee Chang-Ha
Lee Cheul
Lim Hong-Gook
Youn Hyo-Chul
Kim In-Sub
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Abstract
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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. (Korean J Thorac Cardiovasc Surg 2008;41:476-479)
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KEYWORD
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Transpositionofgreatvessels, Heartseptaldefect, ventricular, Pulmonaryartery, stenosis, Rastellioperation, Surgerymethod
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