Das Debasis, Chakraborty Unmesh, Dutta Nilanjan, Das Shubhadeep, Ghosh Sanjiban, Sharma Manish Kumar, Chattopadhyay Amitabha
Department of Cardiac Surgery, Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah, Kolkata 711103 India.
Department of Pediatric Cardiac Intensive Care, Narayana Superspeciality Hospital, Howrah, Kolkata India.
Indian J Thorac Cardiovasc Surg. 2025 Jan;41(1):66-70. doi: 10.1007/s12055-024-01747-0. Epub 2024 May 14.
The surgical management of d-transposition of the great arteries (dTGA), ventricular septal defect (VSD), and left ventricular outflow tract obstruction (LVOTO) poses intricate challenges, demanding tailored surgical interventions. This case report elucidates a patient involving a 9-year-old child with dTGA, VSD, and LVOTO with a dysplastic pulmonary valve with adequate annulus who underwent neo-aortic valve replacement with a mechanical prosthesis, arterial switch, and VSD closure. The recovery of the patient was uneventful and follow-up echocardiogram and clinical evaluation at 18 months have remained satisfactory. We describe the clinical details of this unusual approach for management of dTGA, VSD, and LVOTO.
大动脉d-转位（dTGA）、室间隔缺损（VSD）和左心室流出道梗阻（LVOTO）的外科治疗面临复杂挑战，需要进行量身定制的手术干预。本病例报告阐述了一名9岁患有dTGA、VSD和LVOTO且肺动脉瓣发育不良但瓣环足够的患儿，该患儿接受了机械瓣膜置换、动脉调转术和VSD修补的新主动脉瓣置换术。患者恢复顺利，18个月时的随访超声心动图和临床评估结果均令人满意。我们描述了这种治疗dTGA、VSD和LVOTO的特殊方法的临床细节。
