The V‐Shape Reduction Plasty to Reduce the Neoaortic Root‐Ascending Aorta Discrepancy in Children Undergoing Arterial Switch Operation

Preoperative aortopulmonary mismatch is considered a risk factor for the development of aortic insufficiency after surgery for transposition of the great arteries. We have approached these children using a neoaortic root reduction plasty. Five children with severe PA–AO discrepancy (median age 57 days) underwent arterial switch operation (ASO) associated with a V‐shape neoaortic reduction plasty. At follow‐up aortic regurgitation remains stable in all patients and no supra‐aortic obstruction and/or neoaortic root dilatation were observed. doi: 10.1111/jocs.12306 (J Card Surg 2014;29:410–412)