Primary repair of transposition of the great arteries with an interrupted aortic arch: a case report and literature review

Journal of Cardiothoracic Surgery
Qiteng XuRui Chen

Abstract

Transposition of the great arteries (TGA) and interruption of the aortic arch (IAA) are uncommon congenital heart diseases. The association between TGA and IAA is rare. The aim of this study is to present a case with combined TGA and IAA, who underwent the primary repair and review the literature with similar cases. The one-month-old patient was admitted with tachypnea and cyanosis. Delayed diagnosis was caused due to the absence of prenatal examination. Echocardiography and computed tomography angiography confirmed TGA with anterior-posterior-oriented great arteries, wide patent ductus arteriosus, type B IAA, ventricular septal defect (VSD) and pulmonary arterial hypertension. The patient underwent a single-stage primary surgical repair process leading to VSD closure, reconstruction of the aortic arch and arterial switch operation in October 2019. The patient is doing well at a 3-month follow-up post-surgery. The echocardiogram suggests a normal systolic function of the ventricles and trivial regurgitation for both aortic and pulmonary valves. CONCLUSIONS: The single-stage repair with VSD closure, reconstruction of aortic arch and arterial switch operation might be an applicable approach for most of the patients with combined ...Continue Reading

References

Oct 1, 1994·The Annals of Thoracic Surgery·J R LiddicoatF L Hanley
Apr 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·N AdB A Vidne
Jul 1, 1998·The Annals of Thoracic Surgery·T KatsumataS Westaby
Jan 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·D BonnetP R Vouhé
May 20, 1999·Journal of the American College of Cardiology·E D BlumeT Geva
Jan 1, 1996·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J V ComasT R Karl
Dec 1, 2001·The Journal of Thoracic and Cardiovascular Surgery·A SerrafC Planché
Oct 31, 2002·The Journal of Thoracic and Cardiovascular Surgery·Ing-Sh ChiuMei-Hwan Wu
Feb 28, 2003·The New England Journal of Medicine·Narutoshi HibinoHiromi Kurosawa
Jul 11, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·William G WilliamsUNKNOWN Congenital Heart Surgeon's Society
Jun 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Siamak MohammadiClaude Planché
Jan 29, 2005·The Journal of Thoracic and Cardiovascular Surgery·Brian W McCrindleUNKNOWN Congenital Heart Surgeons Society
Oct 4, 2005·Journal of the American College of Cardiology·Marco PocarPascal R Vouhé
Dec 22, 2005·The Annals of Thoracic Surgery·Igor E KonstantinovBrian W McCrindle
May 9, 2006·The Journal of Thoracic and Cardiovascular Surgery·Igor E KonstantinovUNKNOWN Congenital Heart Surgeons Society
Jan 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Igor E Konstantinov, Peter Pohlner
Nov 7, 2007·Seminars in Thoracic and Cardiovascular Surgery·François Lacour-Gayet
Oct 2, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael G GaiesJennifer C Hirsch
Dec 31, 2009·Journal of Cardiac Surgery·Karthik R VaidyanathanKotturathu Mammen Cherian
Jun 29, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christoph HuberVictor Tsang
Aug 2, 2011·The Annals of Thoracic Surgery·Natalie SoszynIgor E Konstantinov
Mar 25, 2016·World Journal for Pediatric & Congenital Heart Surgery·Balaji SrimuruganK M Cherian
Oct 15, 2019·The Journal of Thoracic and Cardiovascular Surgery·Tyson A FrickeIgor E Konstantinov

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Citations

Feb 12, 2021·European Journal of Medical Genetics·Katja KlothAlexander E Volk

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BETA
homograft
xenograft

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