Root aneurysm following aortic valve replacement 20 years after an arterial switch operation

J Card Surg. 2017 Nov;32(11):721-723. doi: 10.1111/jocs.13226. Epub 2017 Oct 18.

Abstract

Late development of annuloaortic ectasia (AAE) and progression of aortic regurgitation (AR) are widely recognized outcomes following an arterial switch operation (ASO). We treated a 29-year-old male with AAE and rapid aortic root expansion, who underwent ASO as a neonate and aortic valve replacement (AVR) as an adult. He was diagnosed as having dextro-(D-loop) transposition of the great arteries after birth and underwent ASO at the age of 13 months. At the age of 19 years, AVR was performed for progressive AR. AAE developed after AVR. In patients who have undergone neonatal ASO, AAE may occur following AVR decades later.

Keywords: annuloaortic ectasia; aortic valve replacement; arterial switch operation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Aneurysm / etiology
  • Aortic Aneurysm / surgery*
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / surgery
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery
  • Disease Progression
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*
  • Time Factors
  • Transposition of Great Vessels / surgery*
  • Vascular Surgical Procedures / adverse effects*
  • Vascular Surgical Procedures / methods*
  • Young Adult

Supplementary concepts

  • Aortic Aneurysm, Familial Thoracic 1