Decreased Incidence of Supravalvar Pulmonary Stenosis After Arterial Switch Operation

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Decreased incidence of supravalvar pulmonary stenosis after arterial switch operation.

BACKGROUND Supravalvar pulmonary stenosis (SVPS) is frequently observed after arterial switch. Traditionally the coronary arteries are removed from the neopulmonic root by excising the entire sinus of Valsalva. As a result, reconstruction of the neopulmonic root requires a pericardial patch encompassing two-thirds of the anastomosis between the neopulmonic root and pulmonary artery. We present ...

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Surgery for Congenital Heart Disease Decreased Incidence of Supravalvar Pulmonary Stenosis After Arterial Switch Operation

Background—Supravalvar pulmonary stenosis (SVPS) is frequently observed after arterial switch. Traditionally the coronary arteries are removed from the neopulmonic root by excising the entire sinus of Valsalva. As a result, reconstruction of the neopulmonic root requires a pericardial patch encompassing two-thirds of the anastomosis between the neopulmonic root and pulmonary artery. We present ...

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The arterial switch operation (Jatene procedure) is the treatment of choice for transposition of the great arteries with intact ventricular septum (TGA-IVS) in neonatal age, because of the low mortality and morbidity during long term follow up. Right ventricular outflow obstruction is the most frequent postoperative complication, occurring with suYcient severity to require reintervention in up ...

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ژورنال

عنوان ژورنال: Circulation

سال: 2012

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.111.082867