Imaging large arteries after arterial switch operation
Heart, vol. 106, pp. 891–950
Abstract
A girl born at a gestational age of 38 weeks was antenatally diagnosed with a transposition of the great arteries with intact ventricular septum. After a balloon atrioseptostomy in the first hour postbirth an arterial switch operation (ASO), including Lecompte manoeuvre, was successfully performed at day 8. Coronary arteries were implanted in the neoaortic root with the button technique. The proximal neoaorta was anastomosed to the distal ascending aorta by a running suture. Reconstruction of the neopulmonary artery after harvesting the coronary arteries was performed using a pantaloon shaped patch of fresh autologous pericardium. The proximal neopulmonary artery was anastomosed to the main pulmonary artery with a running suture. The girl recovered well. Echocardiographic examination during an outpatient visit 3 months post-ASO showed following images on a skewed parasternal long-axis view (figure 1A) and high …
Authors 3
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Iris van Broekhoven Aachen Division of Pediatric Cardiology Department of Pediatrics, Leiden University Medical Centre
Leiden University · Leiden University Medical Center
Affiliation as printed
Division of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands
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Leiden University Medical Center
Affiliation as printed
Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
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Roel L.F. van der Palen corresponding Aachen Division of Pediatric Cardiology Department of Pediatrics, Leiden University Medical Center Pediatric Cardiology
Leiden University Medical Center
Affiliation as printed
Division of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands R.L.F.van_der_Palen@lumc.nl
Pediatric Cardiology, Leiden University Medical Center, Leiden 2333 ZA, The Netherlands
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