[Size and configuration of the functional aortic root after the arterial switch operation for complete transposition of the great arteries].
Twelve patients with complete transposition of the great arteries who had arterial switch operation were investigated by postoperative cineangiogram to assess the size and configuration of the functional aortic root. Three patients underwent Damus-Kaye-Stansel operation and the remaining nine received Lecompte modification of Jatene operation. Aortogram showed trivial or mild aortic regurgitation in six patients who underwent Jatene operation but no regurgitation was detected in patients after Damus-Kaye-Stansel operation, arterial switch operation without coronary relocation. The patients were divided into two groups according to the aortographic findings: AR(-); patients with competent aortic valve, AR(+); patients with incompetent aortic valve. Comparison was made between these two groups, measuring new aortic root diameter at three levels. The systolic diameter of distal aortic root was significantly enlarged in AR(+) group as compared to AR(-) group. These results suggest that the relocation of the coronary arteries and the dilatation of aortic root may contribute to aortic regurgitation after Jatene operation.
Sugawara
E
E
Department of Cardiovascular Surgery, Hyogo Kenritsu Amagasaki Hospital, Japan.
Yokota
Y
Y
Okamoto
F
F
Kiyota
Y
Y
Nakayama
S
S
Matsuno
S
S
Ikeda
T
T
D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology; D002932:Cineangiography; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D014188:Transposition of Great Vessels / Q000601:surgery*