title: Arterial switch operation using aortic homograft for transposition of the great arteries with pulmonary regurgitation.
abstract: We report a case of a 15 month-old boy who underwent the arterial switch operation using cryopreserved aortic homograft for transposition of the great arteries with pulmonary regurgitation, with coexisting right ventricular outflow tract obstruction precluding atrial switch operation. Follow-up echocardiography at 6 months showed trivial neoaortic valve regurgitation, no significant systemic outflow obstruction, with good cardiac function. In small children, the choice of material for left ventricular outflow tract reconstruction is one of the most crucial issues. Cryopreserved homograft has been one of the primary options for the aortic valve replacement in small children because of the ease of suturing and excellent hemostasis.
authors.affiliation: Department of Cardiovascular Surgery Sakakibara Heart Institute Japan Research Promotion Society For Cardiovascular Diseases, Tokyo, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Wada
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Makoto
authors.initials: M
authors.lastname: Ando
authors.forename: In-Sam
authors.initials: IS
authors.lastname: Park
authors.forename: Mariko
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Murata
mesh_terms: D001011:Aorta / Q000637:transplantation*; D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D007223:Infant; D008297:Male; D011665:Pulmonary Valve Insufficiency / Q000150:complications / Q000601:surgery*; D014184:Transplantation, Homologous; D014188:Transposition of Great Vessels / Q000601:surgery*; D014694:Ventricular Outflow Obstruction / Q000150:complications / Q000601:surgery