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Valve-sparing aortic root replacement after neonatal arterial switch operation. 2021

Adishesh K Narahari, and J Hunter Mehaffey, and Michael Salerno, and Robert Battle, and Gorav Ailawadi
Division of Cardiac Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia, USA.

Arterial switch operations (ASO) are lifesaving procedures performed on neonates to treat transposition of the great arteries. However, future operations on the neoaorta may be required due to dilation. We present a case of a 25-year-old female who presented with dilation of her neoaorta and required a David procedure. Her previous ASO resulted in an anterior lie of the pulmonary artery in front of the neoaorta, with both coronary arteries coming off anteriorly. We describe our approach to performing a David procedure on this patient with this unique anatomy.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000069278 Arterial Switch Operation Surgical procedure for anatomical correction of transposed great arteries (e.g., DOUBLE OUTLET RIGHT VENTRICLE). Arterial Switch Procedure,Arterial Switch Technique,Atrial Switch Operation,Atrial Switch Procedure,Atrial Switch Repair,Atrial Switch Technique,Double-Switch Operation,Double-Switch Procedure,Double-Switch Technique,Jatene Operation,Jatene Procedure,Jatene Technique,Mustard Operation,Mustard Procedure,Mustard Repair,Rastelli Operation,Rastelli Procedure,Rastelli Repair,Rastelli Technique,Senning Operation,Senning Procedure,Arterial Switch Operations,Arterial Switch Procedures,Arterial Switch Techniques,Atrial Switch Operations,Atrial Switch Procedures,Atrial Switch Repairs,Atrial Switch Techniques,Double Switch Operation,Double Switch Procedure,Double Switch Technique,Double-Switch Operations,Double-Switch Procedures,Double-Switch Techniques,Operation, Arterial Switch,Operation, Atrial Switch,Operation, Double-Switch,Operation, Jatene,Operation, Mustard,Operation, Rastelli,Operation, Senning,Operations, Arterial Switch,Operations, Atrial Switch,Operations, Double-Switch,Procedure, Arterial Switch,Procedure, Atrial Switch,Procedure, Double-Switch,Procedure, Jatene,Procedure, Mustard,Procedure, Rastelli,Procedure, Senning,Procedures, Arterial Switch,Procedures, Atrial Switch,Procedures, Double-Switch,Repair, Atrial Switch,Repair, Mustard,Repair, Rastelli,Repairs, Atrial Switch,Technique, Arterial Switch,Technique, Atrial Switch,Technique, Double-Switch,Technique, Jatene,Technique, Rastelli,Techniques, Arterial Switch,Techniques, Atrial Switch,Techniques, Double-Switch
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001011 Aorta The main trunk of the systemic arteries. Aortas
D001021 Aortic Valve The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle. Aortic Valves,Valve, Aortic,Valves, Aortic
D014188 Transposition of Great Vessels A congenital cardiovascular malformation in which the AORTA arises entirely from the RIGHT VENTRICLE, and the PULMONARY ARTERY arises from the LEFT VENTRICLE. Consequently, the pulmonary and the systemic circulations are parallel and not sequential, so that the venous return from the peripheral circulation is re-circulated by the right ventricle via aorta to the systemic circulation without being oxygenated in the lungs. This is a potentially lethal form of heart disease in newborns and infants. Dextro-TGA,Dextrotransposition of Great Vessels,Levo-Looped Transposition of the Great Arteries,Levo-TGA,Levotransposition of Great Vessels,Dextro-Looped Transposition of the Great Arteries,Transposition of Great Arteries,Dextro Looped Transposition of the Great Arteries,Dextro TGA,Dextro-TGAs,Great Arteries Transposition,Great Arteries Transpositions,Great Vessels Dextrotransposition,Great Vessels Dextrotranspositions,Great Vessels Levotransposition,Great Vessels Levotranspositions,Great Vessels Transposition,Great Vessels Transpositions,Levo Looped Transposition of the Great Arteries,Levo TGA,Levo-TGAs
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes

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