Ersin EREK, Tayyar SARIOĞLU, Yusuf Kenan YALÇINBAŞ

Acute aortic insufficiency and its surgical treatment early after arterial switch operation: A report of two cases

Arteryel switch ameliyatı, rezektabl subpulmonik darlık varlığında, büyük arterlerin transpozisyonu bulunan hastalarda tercih edilen bir yaklaşımdır. Bu yazıda, subpulmonik rezeksiyon ile birlikte arteryel switch ameliyatından sonra erken dönemde akut aort yetersizliği ve akciğer ödemi gelişen iki hasta (yaş 6 ve 4) sunuldu. Hastalara acil olarak posterior annulus genişletmesi ile birlikte neoaortik kapak replasmanı uygulandı. Ameliyattan 24 ve 16 ay sonra hastaların NYHA fonksiyonel durumu sırasıyla sınıf I ve II idi. Yazıda, arteryel switch ameliyatı sonrasında akut aort yetersizliğinin olası nedenleri ve tedavi seçenekleri tartışıldı.

Arteryel switch ameliyatı sonrasında erken dönemde gelişen akut aort yetersizliği ve cerrahi tedavisi: İki olgu sunumu

Arterial switch operation is preferable in the presence of resectable subpulmonic stenosis in patients with transposition of the great arteries. We present two patients, aged 6 and 4 years, respectively, who developed acute aortic insufficiency and pulmonary edema early after arterial switch operation with subpulmonic resection. Neoaortic valve replacement with posterior annular enlargement was performed in the early postoperative period. The patients were in NYHA functional class I and II after postoperative 24 and 16 months, respectively. Possible causes of acute aortic insufficiency following arterial switch operation and treatment alternatives are discussed.

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