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Double switch operation in a young infant

Published online by Cambridge University Press:  21 January 2005

Nobuyuki Ishibashi
Affiliation:
Department of Cardiovascular Surgery, Chiba Children's Hospital, Chiba-shi, Japan
Mitsuru Aoki
Affiliation:
Department of Cardiovascular Surgery, Chiba Children's Hospital, Chiba-shi, Japan
Tadashi Fujiwara
Affiliation:
Department of Cardiovascular Surgery, Chiba Children's Hospital, Chiba-shi, Japan

Abstract

We performed a combined Senning and arterial switch operation on a 2-month-old patient with congenitally corrected transposition, Ebstein's malformation producing severe tricuspid regurgitation, ventricular septal defect, pulmonary hypertension, and congestive heart failure. The tricuspid regurgitation was improved. The double switch operation has the advantage of improving the function of the systemic atrioventricular valve, especially in newborns or young infants in whom the outcome of the valvar repair is poor.

Type
Brief Report
Copyright
© 2004 Cambridge University Press

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References

Imai Y, Seo K, Aoki M, Shin'oka T, Hiramatsu K, Ohta A. Double-switch operation for congenitally corrected transposition. Pediatr Card Surg Ann Semin Thorac Cardiovasc Surg 2001; 4: 1633.Google Scholar
Langley SM, Winlaw DS, Stumper O, et al. Midterm results after restoration of the morphologically left ventricle to systemic circulation in patients with congenitally corrected transposition of the great arteries. J Thorac Cardiovasc Surg 2003; 125: 12291241.Google Scholar
Devaney EJ, Charpie J, Ohye RG, Bove EL. Combined arterial switch and Senning operation for congenitally corrected transposition of the great arteries: patient selection and intermediate results. J Thorac Cardiovasc Surg 2003; 125: 500507.Google Scholar
Karl TR, Weintaub RG, Brizard CP, Cochrane AD, Mee RBB. Senning plus arterial switch operation for discordant (congenitally corrected) transposition. Ann Thorac Surg 1997; 64: 495502.Google Scholar
De Leval M, Bastos P, Stark J, Taylor JFN, Macartney FJ, Anderson RH. Surgical technique to reduce the risks of heart block following closure of ventricular septal defect in atrioventricular discordance. J Thorac Cardiovasc Surg 1979; 78: 515526.Google Scholar
Allwork SP, Bentall HH, Becker AE, et al. Congenitally corrected transposition of the great arteries: morphologic study of 32 cases. Am J Cardiol 1976; 38: 910923.Google Scholar
Horvath P, Szufladowicz M, de Leval MR, Elliott MJ, Stark J. Tricuspid valve abnormalities in patients with atrioventricular discordance: surgical implications. Ann Thorac Surg 1994; 57: 941945.Google Scholar
van Son JAM, Danielson GK, Huhta JC, et al. Late results of systemic atrioventricular valve replacement in corrected transposition. J Thorac Cardiovasc Surg 1995; 109: 642653.Google Scholar
Jahangiri M, Redington AN, Eliott MJ, Stark J, Tsang VT, de Leval MR. A case for anatomic correction in atrioventricular discordance? Effects of surgery on tricuspid valve function. J Thorac Cardivasc Surg 2001; 121: 10401045.Google Scholar