Long-Term Follow-Up of the Half-Turned Truncal Switch Operation for Transposition of the Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis
The half-turned truncal switch (HTTS) operation has been reported as an alternative to the Rastelli or réparation à l’étage ventriculaire procedures. HTTS prevents left ventricular outflow tract (LVOT) obstruction in patients with complete transposition of the great arteries (TGA) with a ventricul...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2016-04-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.2.112 |
| Summary: | The half-turned truncal switch (HTTS) operation has been reported as an alternative to the Rastelli or réparation à
l’étage ventriculaire procedures. HTTS prevents left ventricular outflow tract (LVOT) obstruction in patients with complete
transposition of the great arteries (TGA) with a ventricular septal defect (VSD) and pulmonary stenosis (PS),
or in those with a Taussig-Bing anomaly with PS. The advantages of the HTTS procedure are avoidance of late
LVOT or right ventricular outflow tract (RVOT) obstruction, and of overstretching of the pulmonary artery. We report
the case of a patient who underwent HTTS for TGA with VSD and PS, in whom there was no LVOT obstruction
and only mild aortic regurgitation and mild RVOT obstruction, including observations at 12-year follow-up. Our experience
with long-term follow-up of HTTS supports a solution for late complications after the Rastelli procedure. |
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| ISSN: | 2233-601X 2093-6516 |