Key result
Continuous neoaortic-pulmonary trunk incision enables safe neoaortic valve replacement with zero postoperative complications.
Why the study?
A safe and effective surgical approach for neoaortic valve replacement after the arterial switch procedure with the Lecompte maneuver is needed.
Does a specific surgical approach (incising the anterior wall of the neoaorta in continuity with the posterior wall of the pulmonary trunk) improve exposure and safety for neoaortic valve replacement after the arterial switch procedure in patients with complete transposition?
Case Report
Does a specific surgical approach (incising the anterior wall of the neoaorta in continuity with the posterior wall of the pulmonary trunk) improve exposure and safety for neoaortic valve replacement after the arterial switch procedure in patients with complete transposition?
This surgical approach provides safe and effective exposure for neoaortic valve replacement in patients who have previously undergone the arterial switch procedure with the Lecompte maneuver.
May facilitate neoaortic valve replacement after arterial switch; leaves open durability and applicability in transposition.
We report our experience of aortic valvar replacement subsequent to the arterial switch procedure, incorporating the Lecompte maneuver, in patients with complete transposition. The anterior wall of the neoaorta was incised in continuity with the posterior wall of the pulmonary trunk. The aortic root was reconstructed with or without augmentation using a patch after the operative procedures to the aortic valve. With this approach, the neoaortic root could readily be exposed without extensive dissection, and valvar replacement was safely achieved. These patients experienced no postoperative complications.
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Yoshizumi et al. (2001) conducted a case report in Complete transposition requiring aortic valvar replacement post-arterial switch procedure. Aortic valvar replacement via incision of the anterior wall of the neoaorta in continuity with the posterior wall of the pulmonary trunk was evaluated on Postoperative complications.
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