Modified Konno Operation for Aortic Valve Regurgitation after Arterial Switch Operation

iDepartment of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo, Japan, Department of Cardiovascular Surgery, Saku Central Hospital*, Saku, Japan and Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Womenfs Medical University**, Tokyo, Japanj

Ken Nakamura* Kiyozou Morita Yoshihiro Ko
Katsushi Kinouchi Kazuhiro Hashimoto Hiromi Kurosawa**
We describe a case of postoperative aortic valve regurgitation (AR) after arterial awitch operation (ASO) successfully managed by the modified Konno procedure. A 4-year-old girl with complete transposition of the great arteries (TGA, Type II ) had undergone the ASO (LeCompte maneuver) at 10 days of age. Because of progression of moderate AR 4 years after ASO, the modified Konno procedure with aortic valve replacement (SJM 21mm) was successfully performed. She remains in good clinical condition at the last follow-up at 5 years.
@Jpn. J. Cardiovasc. Surg. 36: 72-75 (2007)