KMID : 0364020180510060395
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Korean Journal of Thoracic and Cardiovascular Surgery 2018 Volume.51 No. 6 p.395 ~ p.398
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Aortic Root Reimplantation in a Patient Who Underwent an Arterial Switch Operation
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Kwon Young-Kern
Kang Seung-Ri Park Sung-Jung Kim Wan-Kee Kim Joon-Bum
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Abstract
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Neo-aortic insufficiency associated with root enlargement following an arterial switch operation is a serious late complication. To achieve successful surgical correction of this condition, multiple factors should be considered, including the individual patient¡¯s anatomy, the challenging nature of the redo procedure, and the patient¡¯s young age. However, limited publications have described the use of valve-sparing techniques for the treatment of neo-aortic insufficiency associated with root enlargement following an arterial switch operation. Herein, we report our recent experience of a valve-sparing aortic root procedure with ascending aorta and hemiarch replacement despite the presence of a discrepancy in leaflet size and nearby severe adhesions.
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KEYWORD
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Arterial switch operation, Valve-sparing root replacement, Reoperation, Coronary artery stenosis
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