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Abstract
We applied successfully, a new surgical technique, in two children with transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction, that utilized aortic translocation with the aortic valve and the coronary arteries to the left ventricle, after correction of left outflow tract obstruction and correction of the ventricular septal defect, associated to pulmonary root translocation to the right ventricle, conserving integrally the pulmonary valve.
Highlights
There are several techniques to correct transposition of the great arteries (TGA) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO)
The aortic translocation with the aortic valve and coronary arteries was sutured to the LVOT, and the pulmonary trunk with the pulmonary valve was sutured to the right ventricle outflow tract (RVOT) (Figure 3)
Two children with TGA with perimembranous IVC and LVOT type-fibromuscular tubular obstruction associated to hypoplasia of the pulmonary valve ring underwent PATPVP
Summary
There are several techniques to correct transposition of the great arteries (TGA) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO). Nikaidoh [3] proposed the performance of aortic translocation with the aortic valve and coronary arteries to the LV, after an expansion of the LVOT and closure of IVC is performed; the aorta was properly positioned in the LVOT. 1. Cardiac and Thoracic Surgery Doctoral degree at FMUSP – Pediatric Heart Surgeon, Instituto Furlanetto; OSCIP VIDACORAÇÃO-CRIANÇA Real e Benemérita Associação Portuguesa de Beneficência.
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