Congenital Aortic Valve Repair When the Options aren't Good: Truncus Arteriosus and Transposition of the Great Arteries.
Aortic valve repair
Transposition of the great arteries
Truncus arteriosus
Journal
Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual
ISSN: 1092-9126
Titre abrégé: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu
Pays: United States
ID NLM: 9815944
Informations de publication
Date de publication:
2023
2023
Historique:
received:
28
09
2022
revised:
06
12
2022
accepted:
16
12
2022
entrez:
26
2
2023
pubmed:
27
2
2023
medline:
3
3
2023
Statut:
ppublish
Résumé
Patients with truncus arteriosus and transposition of great arteries are prone to neo-aortic valve insufficiency. Although presenting at opposite ends of the age spectrum, both conditions tend to be commonly associated with neo aortic root dilatation. In patients with truncus arteriosus there is an additional complexity of quadricuspid valve morphology, which make up the majority of valves requiring repair. A unified approach to all these patients would include reduction and stabilization of the annulus and sinotubular junction, as well as achieving equal and symmetrical coaptation of the valve leaflets. By systematically employing these techniques, valve replacement should be avoidable in most children.
Identifiants
pubmed: 36842799
pii: S1092-9126(22)00020-5
doi: 10.1053/j.pcsu.2022.12.004
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
56-62Informations de copyright
Crown Copyright © 2022. Published by Elsevier Inc. All rights reserved.