ISSN 1016-5169 | E-ISSN 1308-4488
Reoperations After Arterial Switch for Transposition of the Great Arteries [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2002; 30(9): 544-548

Reoperations After Arterial Switch for Transposition of the Great Arteries

Ersin EREK1, Yusuf Kenan YALÇINBAŞ1, Ece SALİHOĞLU1, Nilüfer ÖZTÜRK1, Nerime SOYBİR1, Ayşe SARIOĞLU1, Tayyar SARIOĞLU1

Arterial switch operation (ASO) provides anatomic correction for transposition of the great arteries (TGA). Although most patients after an ASO have normal development and cardiac function, a few require reoperation. In this study, among 153 patients who underwent ASO between October 1990 and March 2002, we analyzed 6 patients who needed reoperation after ASO operation, Reoperation was necessary due to pulmonary stenosis (PS) and aortic insufficiency (AI) in 3 patients each. Two patients with AI underwent reoperation in the early postoperative period (1-23 day), while others needed reoperation in the late follow-up period (3-6 years). PS was relieved by using extracardiac conduit in 2 patients with coronary artery anomaly and supraannular pericardial patch for the other. Neoaortic valve replacement using mechanical prosthesis was performed in patients with AI. To implant available size mechanical valve, Manouguian aortoplasty was employed in two patients who needed AVR in the early postoperative period. There was no fatality. Left-ventricular assist device was necessary for 48 hours in one of the two patients who underwent AVR in early postoperative period. Long duration of intubation was needed in two patients. Hence, we think that pulmonary sinus reconstruction with gluteraldehyde-treated autologous pericardium and coronary anomaly may be a risk factor for the development of pulmonary stenosis after ASO. Preoperative pulmonary artery dilatation and two-stage ASO may lead to neoaortic incompetence. Available size aortic valve replacement with Manouguian aortoplasty is feasible in these patients. Reoperation can be performed with low mortality and morbidity in patients with pulmonary stenosis after ASO.

How to cite this article
Ersin EREK, Yusuf Kenan YALÇINBAŞ, Ece SALİHOĞLU, Nilüfer ÖZTÜRK, Nerime SOYBİR, Ayşe SARIOĞLU, Tayyar SARIOĞLU. Reoperations After Arterial Switch for Transposition of the Great Arteries. Turk Kardiyol Dern Ars. 2002; 30(9): 544-548
Manuscript Language: Turkish

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