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Valve‐sparing aortic root replacement after neonatal arterial switch operation
Author(s) -
Narahari Adishesh K.,
Mehaffey J. Hunter,
Salerno Michael,
Battle Robert,
Ailawadi Gorav
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15466
Subject(s) - medicine , great arteries , aortic root , dilation (metric space) , transposition (logic) , surgery , coronary arteries , artery , cardiology , aorta , heart disease , linguistics , philosophy , mathematics , combinatorics
Arterial switch operations (ASO) are lifesaving procedures performed on neonates to treat transposition of the great arteries. However, future operations on the neoaorta may be required due to dilation. We present a case of a 25‐year‐old female who presented with dilation of her neoaorta and required a David procedure. Her previous ASO resulted in an anterior lie of the pulmonary artery in front of the neoaorta, with both coronary arteries coming off anteriorly. We describe our approach to performing a David procedure on this patient with this unique anatomy.