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CASE STUDIES

Aortic Relocation for Transposition Complex with Aortic Arch Obstruction

Atsushi Tateishi, MD, Masaaki Kawada, PhD, Hideki Morita, MD1, Shingo Kasahara, PhD2, Shunji Sano, PhD2

Division of Pediatric and Congenital Cardiovascular Surgery, Jichi Children’s Medical Center Tochigi, Jichi Medical University
1 Division of Cardiovascular Surgery, Jichi Medical University, Tochigi, Japan
2 Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama, Japan

Atsushi Tateishi, MD, Tel: +81 285 58 7368, Fax: +81 285 44 6271, Email: atateishi{at}jichi.ac.jp, Division of Pediatric and Congenital Cardiovascular Surgery, Jichi Children’s Medical Center Tochigi, 3311-1, Shimotsuke, Tochigi 329-0498, Japan.

We describe successful primary repair of 2 cases of transposition complex with aortic arch obstruction. A new aortic arch was reconstructed by direct anastomosis between the well-mobilized ascending aorta and the descending aorta. The neoaortic root with transferred coronary arteries was subsequently anastomosed to the undersurface of this new aortic arch. This technique deals with the significant size discrepancy between the 2 great arteries, and anomalous coronary artery patterns.

Key Words: Aortic Coarctation • Transposition of the Great Arteries • Double Outlet Right Ventricle • Congenital

Asian Cardiovasc Thorac Ann 2009; 17:422-424
© 2009 by SAGE Publications
DOI: 10.1177/0218492309338126


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