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- W2073154810 abstract "Clinical Summary A 10-day-old baby boy underwent spiral ASO (Figure 1) and repair of septal defects and coarctation. The aorta was right anterior 30° to the pulmonary trunk. A single coronary artery pierced into aortic sinus 2 closer to the facing commissure with a retropulmonic left main and anteaortic Vieussen artery. We cut back into noncoronary sinus 1 to augment the pulmonary pathway by anterior wall of the neoaortic root. Besides augmenting the facing sinus wall, the recent modification (Figure 1) that differs from the previous technique1 (similar to Figure 2) includes the following three points, which can also be applied to cases with usual coronary pattern: (1) The aorta is amputated obliquely (Figure 1, A) so that a larger left lip (Figure 1, C) can be used as the floor of the pulmonary pathway (Figure 1, E). (2) The right posterior part of the pulmonary trunk is divided (Figure 1, A and B) to make a larger flap to be everted to the left and a more leftward pulmonary pathway after neoaortic anastomosis and posterior attachment (suturing the caudal edge of the right pulmonary artery to the posterior neoaorta) accordingly. (3) The posterior attachment site is ascertained after release of the aortic crossclamp, as in the previous technique. However, to facilitate exposure, the aorta is crossclamped again distal to the deepest site of attachment and then stitched from the right (Figure 1, D). The postoperative course was smooth. Follow-up echocardiography showed smooth flow without a pressure gradient across the pulmonary or aortic pathway." @default.
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- W2073154810 date "2002-11-01" @default.
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- W2073154810 title "Spiral arterial switch operation in transposition of the great arteries" @default.
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- W2073154810 doi "https://doi.org/10.1067/mtc.2002.125204" @default.
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