Valve-Sparing Neo-Aortic Root Replacement for Neo-Aortic Root Dilatation 20 Years after Arterial Switch Operation for Transposition of the Great Arteries: A Case Report.

Q4 Medicine Journal of Chest Surgery Pub Date : 2023-11-05 Epub Date: 2023-08-14 DOI:10.5090/jcs.23.051
Sangjun Lee, Chan Hyeong Kim, Jae Hong Lee, Jae Gun Kwak
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Abstract

A 25-year-old man returned to Seoul National University Children's Hospital with mild dyspnea on exertion. He had undergone an arterial switch operation at 1 month after birth to correct a complete transposition of the great arteries and a ventricular septal defect. When the patient was 15 years old, dilatation of the neo-aortic sinus and annulus was first identified; since then, it had gradually increased. Given the young age of the patient and the degree of aortic regurgitation (AR), which was mild to moderate, we opted to perform a valve-sparing neo-aortic root replacement with aortic valve repair. Postoperative echocardiography showed successful reductions in the sizes of the aortic sinus and annulus, with only mild AR remaining.

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大动脉转位动脉转换术后20年新主动脉根部扩张的瓣膜保留新主动脉根部置换术:一例报告。
一名25岁男子返回首尔国立大学儿童医院,因劳累出现轻度呼吸困难。他在出生后1个月接受了动脉转换手术,以矫正大动脉完全转位和室间隔缺损。当患者15岁时,首次发现新主动脉窦和瓣环扩张;从那时起,它逐渐增加。考虑到患者年龄较小,主动脉瓣反流(AR)程度为轻度至中度,我们选择进行保留瓣膜的新主动脉根部置换术和主动脉瓣修复术。术后超声心动图显示主动脉窦和瓣环的大小成功缩小,只剩下轻度AR。
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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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