Transaortic approach to residual ventricular septal shunt after repairing corrected transposition of the great arteries.
Many surgical approaches have been taken when closing ventricular septal defects after correcting transposition of the great arteries in order to avoid postoperative complete heart block. We describe a residual ventricular septal shunt that developed after repair using de Leval's method in a patient with congestive heart failure. The defect was closed transaortically without a complete heart block.
Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Hyogo, Japan. takahashi-cvs@hotmail.co.jp
Hiroaki
H
Takahashi
Yoshihiro
Y
Oshima
Chikashi
C
Shimazu
D000015:Abnormalities, Multiple; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D000080041:Congenitally Corrected Transposition of the Great Arteries; D004452:Echocardiography; D006327:Heart Block / Q000209:etiology / Q000517:prevention & control*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D012086:Reoperation; D013536:Suture Techniques; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D055815:Young Adult