Korean J Thorac Cardiovasc Surg.
2018 Feb;51(1):53-56. 10.5090/kjtcs.2018.51.1.53.
Extracardiac Conduit Fontan Operation with Reduction Aortoplasty for Left Pulmonary Artery Compression after a Norwood Procedure in a Patient with Double-Inlet Left Ventricle
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Korea. woonghan@snu.ac.kr
- 2Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Korea.
- KMID: 2409713
- DOI: http://doi.org/10.5090/kjtcs.2018.51.1.53
Abstract
- Patients with double-inlet left ventricle usually have a small ascending aorta. In the Norwood procedure, which involves a staged operation, a neoaorta is constructed with a homograft, and the pulmonary artery plays a role in the systemic circulation. Dilatation or aneurysmal changes can occur over time due to the exposure of the neoaorta to systemic pressure, which may induce adverse effects on adjacent structures. We report a rare case of surgical repair for neoaortic root dilataiton with aortic regurgitation, compressing the left pulmohary artery, in a patient who underwent the Norwood procedure.
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