SUCCESSFUL CASE OF NEO-AORTIC VALVE REPLACEMENT IN THE PATIENT ET LATE FOLLOW-UP AFTER ARTERIAL SWITCH OPERATION FOR CORRECTION OF TRANSPOSITION OF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT: THE PECULIARITIES OF SURGICAL CORRECTION
The neo-aortic valve regurgitation is a recognized complication late after arterial switch operation in patients with transposition of the great arteries. Access to the neo-aortic root and neo-aortic valve in these patients is difficult because of the front position of the pulmonary artery trunk after Lecompte maneuver. The incision of the ascending aorta below the pulmonary artery bifurcation does not always provide a satisfactory exposition of the neo-aortic valve. The goal of this paper is a case of successful neo-aortic valve replacement in a patient in 8 years after arterial switch operation. The approach to the neo-aortic root was performed by means of the main pulmonary artery cross-section at the anastomosis site to provide good neo-aortic valve exposition and adequate correction of the regurgitation.