Surgical repair for D-transposition of the great arteries associated with an aortopulmonary window using the fenestrated ventricular septal defect patch as a safety adjunct.
Transposition of the great arteries with a ventricular septal defect and an associated aortopulmonary window is a rare anatomic combination having a high risk for pulmonary hypertension. Arterial switch with closure of the ventricular septal defect and repair of the aortopulmonary window is the procedure of choice, but a postoperative pulmonary hypertensive crisis is a common occurrence associated with significant morbidity and mortality. This report describes one case of such an anatomic lesion, which was repaired successfully with a fenestrated ventricular septal defect patch as an adjunct to decrease the risk of a postoperative pulmonary hypertensive crisis.
Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, 96 Dongchuan Road, Guangzhou 510080, China.
Jimei
J
Chen
Chengbin
C
Zhou
Jian
J
Zhuang
D001028:Aortopulmonary Septal Defect / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D014188:Transposition of Great Vessels / Q000601:surgery*; D016896:Treatment Outcome