[The long-term result of an adult case of transposition of the great arteries corrected with Rastelli operation at the age of thirty-two years].
A 32-year-old woman with transposition of the great arteries was referred to us for corrective surgery. She had severe cyanosis, dyspnea, and hemoptysis. The cardiac catheter study and echocardiography revealed that she had transposition of the great arteries, associated with atrial septal defect, ventricular septal defect, patent ductus arteriosus, and pulmonary stenosis. Rastelli operation was performed using equine pericardial roll with three valves made from autologous pericardium. After the operation she gave birth to two children without any symptom. Ventricular tachycardia occurred several times but was controlled by the drug. Eight years after the operation she underwent catheter study. Although the right ventricular pressure was 80 mmHg and the pressure gradient through the conduit was 38 mmHg, her general clinical condition was fairly good. We think the late postoperative result of this patient is satisfactory as an adult case of transposition of the great arteries.
Komai
H
H
Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Japan.
Naito
Y
Y
Fujiwara
K
K
Noguchi
Y
Y
Nishimura
Y
Y
Mori
T
T
Iwasaki
Y
Y
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D011651:Pulmonary Artery / Q000601:surgery; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000601:surgery*