Korean J Thorac Cardiovasc Surg.  2010 Feb;43(1):58-62.

Changes of the Biventricular Outflow Tract after a Half Turned Truncal Switch Operation in Patients with Transposition of the Great Arteries, a Ventricular Septal Defect and Pulmonary Stenosis: 2 case reports

• Kim JW
• Cho JY
• Kim GJ
• Lee JT
• Kim KT

Abstract

Rastelli repair has been considered the procedure of choice for surgically repairing transposition of the great arteries combined with ventricular septal defect and pulmonary stenosis. However, the long term results have been less than optimal and these patients who ungo this procedure can eventually display conduit obstruction, left ventricular outflow tract obstruction and arrhythmias. Many new procedures are now available and they are technically challenging for making a more normal anatomic repair. In our hospital, two patients who had a TGA with VSD and PS have been repaired with a Half Turned Truncal Switch Operation and a Lecompte maneuver in 2003 and 2006, respectively. We report on our two experiences with performing a Half Turned Truncal Switch Operation, and we discuss the changes of the biventricular outflow tract.

Keyword

Congenital heart disease (CHD); Transposition of great vessels; Heart septal defects, ventricular; Pulmonary artery, stenosis

MeSH Terms

Arrhythmias, Cardiac
Arteries
Heart Septal Defects, Ventricular
Humans
Pulmonary Valve Stenosis
Transposition of Great Vessels