title: [Arterial switch operation for transposition of the great arteries with situs inversus and mirror image dextrocardia].
abstract: We report a successful arterial switch operation for complete transposition of great arteries with atrial and visceral situs inversus totalis and mirror image dextrocardia in a 12-day-old infant girl. The aorta was located left side-by-side to the pulmonary trunk with a single coronary artery (mirror image of 1RLCx). After French maneuver, the posterior circumference of the neo-aorta was reconstructed. Then the coronary button was transplanted into the neo-aorta with a trap door technique carefully avoiding any twist and over-stretch. The neo-pulmonary trunk was reconstructed with an autologous pericardial patch and sutured to the longitudinal incision made into the left central pulmonary artery. The baby was discharged from hospital and has been doing well without any morbidity relating myocardial ischemia.
authors.affiliation: Department of Cardiovascular Surgery, Osaka Medical College, Takatsuki, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Uchida
authors.forename: Shintaro
authors.initials: S
authors.lastname: Nemoto
authors.forename: Hideki
authors.initials: H
authors.lastname: Ozawa
authors.forename: Tomoyasu
authors.initials: T
authors.lastname: Sasaki
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Motohashi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Katsumata
authors.forename: Nao
authors.initials: N
authors.lastname: Inoue
authors.forename: Kanta
authors.initials: K
authors.lastname: Kishi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Okumura
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Mori
mesh_terms: D013504:Cardiovascular Surgical Procedures / Q000379:methods; D003914:Dextrocardia / Q000150:complications*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D012857:Situs Inversus / Q000150:complications*; D014188:Transposition of Great Vessels / Q000601:surgery*