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Subneoaortic stenosis complicating the arterial switch operation

Published online by Cambridge University Press:  18 November 2005

Sylvie Bertrand ,
Robert H. Anderson  and
Marc R. de Leval
Sylvie Bertrand
Affiliation:
Paediatric Cardiac Surgery Department, The Harley Street Clinic, London, United Kingdom
Robert H. Anderson
Affiliation:
Cardiac Unit, Institute of Child Health, University College London, London, United Kingdom
Marc R. de Leval
Affiliation:
Paediatric Cardiac Surgery Department, The Harley Street Clinic, London, United Kingdom Cardiac Unit, Institute of Child Health, University College London, London, United Kingdom
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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.

Keywords

Transpositiondiscordant ventriculo-arterial connectionsleft ventricular outflow tract obstruction
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 6 , December 2005 , pp. 663 - 665
Copyright
© 2005 Cambridge University Press

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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: 1986–1991.Google Scholar
Gandhi SK, Pigula FA, Siewers RD. Successful late reintervention after the arterial switch procedure. Ann Thorac Surg 2002; 73: 88–95.Google Scholar
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: 864–873.Google Scholar
Jacobs ML, Rychik J, Donofrio MT, et al. Avoidance of subaortic obstruction in staged management of single ventricle. Ann Thorac Surg 1995; 60: S543–S545.Google Scholar
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: 421–427.Google Scholar
Rosenthal A, Freed MD, Fyler DC, Litwin SB. Observations on the development of subaortic stenosis following pulmonary artery banding. Chest 1974; 65: 420–423.Google Scholar
Freed M, Freedom R, Rosenthal A, et al. Development of subaortic stenosis after pulmonary artery banding. Circulation 1972; 46: II35.Google Scholar
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: 743–747.Google Scholar
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: II13–II19.Google Scholar
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.Google Scholar