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Late complications and pathological findings of the arterial switch operation

Published online by Cambridge University Press:  07 February 2013

Yoshinori Enomoto ,
Kenji Mogi  and
Yoshiharu Takahara
Yoshinori Enomoto*
Affiliation:
Department of Cardiovascular Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan
Kenji Mogi
Affiliation:
Department of Cardiovascular Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan
Yoshiharu Takahara
Affiliation:
Department of Cardiovascular Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan
*
Correspondence to: Dr Y. Enomoto, MD, PhD, Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, 1-21-1, Kanasugi, Funabashi, Chiba 273-8588, Japan. Tel: +81-47-438-3321; Fax: +81-47-438-7323; E-mail: y.e18730@gmail.com
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Abstract

We describe aortic root dilatation, severe aortic regurgitation, and pulmonary artery stenosis that were accidentally diagnosed 23 years after the arterial switch operation for transposition of the great arteries in situs inversus. We successfully performed the modified Bentall procedure and pulmonary artery reconstruction. The pathology of the dilated aortic root revealed intimal atherosclerosis and linear necrosis of the tunica media, suggesting the vulnerability of the pulmonary artery to systemic pressure.

Keywords

Congenital heart diseasearterial switch operationpathologycomplications
Type
Brief Reports
Information
Cardiology in the Young , Volume 24 , Issue 1 , February 2014 , pp. 167 - 169
Copyright
Copyright © Cambridge University Press 2013 

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