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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.
None
2-0 ethibond suture, 21mm (INSPIRIS) valve, core knots.
Traditional Setup
Bicuspid Aortic valve with moderate AI and a dilated aortic root.
Midline 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.
None
(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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This is approved for 0.5 AMA PRA Category 1 Credit™ via CineMed (ACCME / ACPE / ANCC). The two viewing modes are different — pick what fits your time.
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