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Case Reports
. 2023 Mar 25;1(3):441-443.
doi: 10.1016/j.atssr.2023.03.005. eCollection 2023 Sep.

Bicuspidization of Insufficient Neoaortic Valve After Arterial Switch With Looping Coronary Anatomy

Megan L Schultz  1 , Glen S Van Arsdell  1 , Ming-Sing Si  1
Affiliations
Case Reports

Bicuspidization of Insufficient Neoaortic Valve After Arterial Switch With Looping Coronary Anatomy

Megan L Schultz et al. Ann Thorac Surg Short Rep. .

Abstract

Neoaortic root dilation is inevitable in the years after an arterial switch operation, not uncommonly leading to neoaortic valve insufficiency that requires reoperation. Here we present a bicuspidization repair technique for addressing such neoaortic valve insufficiency in a child with the 1L 2RCx coronary pattern who underwent the arterial switch operation as a neonate for dextro-transposition of the great arteries that has good short-term outcomes thus far.

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Figures

Figure
Figure
Intraoperative images. (A) Circumflex coronary artery dissected thoroughly off neoaortic root. Course denoted with arrowheads. (B) Appearance of the neoaortic valve before repair. Retracted right anterior cusp denoted with an asterisk. (C) Appearance of the bicuspidized neoaortic valve after repair.
See this image and copyright information in PMC

References

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