title: Aortic Coarctation 28 Days after an Arterial Switch Operation in a Neonate.
abstract: Aortic coarctation rarely occurs after an arterial switch operation for D-transposition of the great arteries with intact ventricular septum. We report the case of a neonate patient in whom aortic coarctation developed 28 days after an uncomplicated arterial switch operation. Preoperatively, the aorta was noted to have an irregular shape, but there was no pressure gradient across the lesion. The patient underwent successful reoperation to correct the coarctation. We hope that our report raises awareness of a rare early complication after arterial switch operation with intact ventricular septum, and the need to carefully monitor the aortic isthmus in patients who have aortic irregularities, even in the absence of a pressure gradient.
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Shikata
authors.forename: Toru
authors.initials: T
authors.lastname: Okamura
authors.forename: Takashi
authors.initials: T
authors.lastname: Higaki
authors.forename: Masahiro
authors.initials: M
authors.lastname: Okura
authors.forename: Ai
authors.initials: A
authors.lastname: Kojima
authors.forename: Shunji
authors.initials: S
authors.lastname: Uchita
authors.forename: Hironori
authors.initials: H
authors.lastname: Izutani
mesh_terms: D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D001027:Aortography / Q000379:methods; D000069278:Arterial Switch Operation / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D012086:Reoperation; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
keywords: Abnormalities, multiple/surgery; aortic coarctation/etiology/surgery; cardiac surgical procedures/adverse effects; infant, newborn; postoperative complications/diagnosis; reoperation; transposition of great vessels/complications/surgery; treatment outcome; ventricular septum/physiology