Korean J Thorac Cardiovasc Surg.  2002 Feb;35(2):137-140.

Aortic Root Reconstruction for Aortic Insufficiency Developed after Fontan Operation

• Kyung MC
• Whang SW
• Lee C
• Kim YJ

Abstract

Aortic regurgitation in the pediatrics who had previous cardiac surgery is increased with their improved longterm survival rate and their complexity of heart disease. So the need of aortic valve surgery in pediatrics is also on the increase. A 10-year old boy was admitted for progressive cyanosis and dyspnea on exertion(DOE). The patient had been underwent lateral tunnel Fontan operation before. Echocardiography and cardiac catheterization study revealed hepatic vein drained to pulmonary atrium via intrahepatic collaterals, moderate atrioventricular regurgitation, and severe aortic regurgitation due to aortic root dilation. We report a case who had aortic root reconstruction, valvuloplasty of the atrioventricular valve, and hepatic vein ligation successfully. Cyanosis and DOE was dramatically improved after the operation

Keyword

Aortic root; Fontan operation

MeSH Terms

Aortic Valve
Aortic Valve Insufficiency
Cardiac Catheterization
Cardiac Catheters
Child
Cyanosis
Dyspnea
Echocardiography
Fontan Procedure*
Heart Diseases
Hepatic Veins
Humans
Ligation
Male
Pediatrics
Survival Rate
Thoracic Surgery