Skip to main content Accessibility help
×
Home

Subneoaortic stenosis complicating the arterial switch operation

  • Sylvie Bertrand (a1), Robert H. Anderson (a2) and Marc R. de Leval (a1) (a2)

Abstract

We report obstruction of the reconstructed left ventricular outflow tract diagnosed 18 months after an arterial switch operation that included closure of a ventricular septal defect. We speculate that either turbulences created by the patch used to close the ventricular septal defect, or postoperative modifications of ventricular geometry, were responsible for producing this unusual complication.

Copyright

Corresponding author

Correspondence to: Marc R. de Leval MD, FRCS, Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, UK. Tel: +44 20 7404 4383; Fax: +44 20 7831 4931; E-mail: delevm@gosh.nhs.uk

References

Hide All

References

Sharma R, Choudhary SK, Bhan A, et al. Late outcome after arterial switch operation for complete transposition of great arteries with left ventricular outflow tract obstruction. Ann Thorac Surg 2002; 74: 19861991.
Gandhi SK, Pigula FA, Siewers RD. Successful late reintervention after the arterial switch procedure. Ann Thorac Surg 2002; 73: 8895.
Prifti E, Crucean A, Bonacchi M, et al. Early and long term outcome of the arterial switch operation for transposition of the great arteries: predictors and functional evaluation. Eur J Cardiothorac Surg 2002; 22: 864873.
Jacobs ML, Rychik J, Donofrio MT, et al. Avoidance of subaortic obstruction in staged management of single ventricle. Ann Thorac Surg 1995; 60: S543S545.
Shore DF, Smallhorn J, Stark J, Lincoln C, de Leval MR. Left ventricular outflow tract obstruction coexisting with ventricular septal defect. Br Heart J 1982; 48: 421427.
Rosenthal A, Freed MD, Fyler DC, Litwin SB. Observations on the development of subaortic stenosis following pulmonary artery banding. Chest 1974; 65: 420423.
Freed M, Freedom R, Rosenthal A, et al. Development of subaortic stenosis after pulmonary artery banding. Circulation 1972; 46: II35.
Malcic I, Sauer U, Stern H, et al. The influence of pulmonary artery banding on outcome after the Fontan operation. J Thorac Cardiovasc Surg 1992; 104: 743747.
Rychik J, Jacobs ML, Norwood WI. Early changes in ventricular geometry and ventricular septal defect size following Rastelli operation or intraventricular baffle repair for conotruncal anomaly. A cause of development of subaortic stenosis. Circulation 1994; 90: II13II19.
Rychik J, Lieb DR, Jacobs ML, Norwood WI, Chin AJ. Acute changes in left ventricular geometry following removal of volume overload. Cardiol Young 1993; 3: I12.

Keywords

Subneoaortic stenosis complicating the arterial switch operation

  • Sylvie Bertrand (a1), Robert H. Anderson (a2) and Marc R. de Leval (a1) (a2)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed