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Extracardiac Conduit Fontan Operation with Reduction Aortoplasty for Left Pulmonary Artery Compression after a Norwood Procedure in a Patient with Double-Inlet Left Ventricle
Tekijä: Jae Won Song, Woong Han Kim, Jae Gun Kwak, Ji Young Park
Aineistotyyppi: | Article |
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Julkaistu: | Korean Society for Thoracic and Cardiovascular Surgery 2018-02-01 |
Kuvaus
Patients with double-inlet left ventricle usually have a small ascending aorta. In the Norwood procedure, which involves a staged operation, a neoaorta is constructed with a homograft, and the pulmonary artery plays a role in the systemic circulation. Dilatation or aneurysmal changes can occur over time due to the exposure o f the neoaorta t o systemic p ressure, w hich m ay i nduce a dverse effects on adj acent structures. We report a rare case of surgical repair for neoaortic root dilataiton with aortic regurgitation, compressing the left pulmohary artery, in a patient who underwent the Norwood procedure.