Arterial Switch and Modified Konno Procedure With Detachment of the Aortic Root for Transposition of the Great Arteries and Left Ventricular Outflow Tract Obstruction

• Published in: The Annals of thoracic surgery Vol. 90; no. 2; pp. 683 - 685
• Main Authors: Turkoz, Rıza, MD, Ayabakan, Canan, MD, Vuran, Can, MD, Omay, Oğuz, MD, Tokel, Kürşad, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-08-2010; Elsevier
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Aorta, Thoracic - surgery; Biological and medical sciences; Cardiac Surgical Procedures - methods; Cardiology. Vascular system; Cardiothoracic Surgery; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava; Female; Heart; Humans; Infant; Medical sciences; Pneumology; Surgery; Transposition of Great Vessels - surgery; Vascular Surgical Procedures - methods; Ventricular Outflow Obstruction - surgery; 21; Root; Cardiovascular disease; Congenital disease; Left ventricle; Outflow obstruction; Vascular disease; Treatment; Heart disease; Surgery; Anesthesia; Aorta; Procedure; Circulatory system; Transposition of the great vessels; Cardiology
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2009.10.031

The arterial switch operation for the transposition of the great arteries accompanied by a ventricular septal defect and posterior malalignment of the outlet septum is a surgical challenge. We describe a new surgical technique in 2 patients having this pathology. The surgical technique consists of the arterial switch operation and a modified Konno procedure through partial detachment of the semilunar valve of the right ventricle as in the Ross procedure.