Aortic Valve Replacement after Arterial Switch

The following video depicts a five-year-old with transposition of the great arteries, who had bicuspid aortic and pulmonary valves. Patient was not a candidate for a Ross procedure, requiring an aortic valve replacement. This video demonstrates a rare aortic valve replacement after an arterial switch operation.

Aortic Valve Replacement
Aortic valve insufficiency.
Traditional Setup
Bicuspid Aortic valve with moderate AI and a dilated aortic root.
Midline Sternotomy
Advantages: The procedure provides a functional aortic valve with the need for anticoagulant and the type of valve used (INSPIRIS) allows for a potential TAVR replacement. Disadvantages: Redo-sternotomy
Risks: Bleeding requiring transfusion or reoperation, infection, heart block, and organ damage related to cardiopulmonary bypass, need for a permanent pacemaker, stroke, or death.
Dr. Lawrence Greiten, Dr. Brian Reemsten, Christian Eisenring, Monroe McKay, Ashley Wilson, Meagan Rogers, Madison Lee, and Markus Renno

(1) Mid- and Longterm Neo-Aortic Valve Regurgitation after Jatene Surgery: Prevalence and Risk Factors      doi: 10.5935/abc.20180111 (2) Comprehensive Surgical Management of Congenital Heart Disease – Jonas, Richard  ISBN 10: 1444112155 

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