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Neo-aortic valve replacement in arterial switch operation in a 9-year-old child

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Abstract

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.

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Funding

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Authors and Affiliations

  1. Department of Cardiac Surgery, Narayana Superspeciality Hospital, 120/1 Andul Road, Howrah, Kolkata, 711103, India

    Debasis Das, Unmesh Chakraborty & Nilanjan Dutta

  2. Department of Pediatric Cardiac Intensive Care, Narayana Superspeciality Hospital, Howrah, Kolkata, India

    Shubhadeep Das

  3. Department of Cardiac Anaesthesia, Narayana Superspeciality Hospital, Howrah, Kolkata, India

    Manish Kumar Sharma

  4. Department of Pediatric Cardiology, Narayana Superspeciality Hospital, Howrah, Kolkata, India

    Sanjiban Ghosh & Amitabha Chattopadhyay

Authors
  1. Debasis Das
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  2. Unmesh Chakraborty
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  3. Nilanjan Dutta
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  4. Shubhadeep Das
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  5. Sanjiban Ghosh
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  6. Manish Kumar Sharma
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  7. Amitabha Chattopadhyay
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Contributions

All authors whose names appear on the submission have made substantial contributions to the article.

• Conception and design of the work: Debasis Das, Unmesh Chakraborty.

• Drafting the manuscript: Debasis Das, Nilanjan Dutta.

• Data acquisition: Shubhadeep Das, Sanjiban Ghosh.

• Data analysis, and interpretation: Manish Kumar Sharma, Amitabha Chattopadhyay.

Corresponding author

Correspondence to Debasis Das.

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Conflict of interest

The authors declare no competing interests.

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Not applicable being a case report.

Statement of human and animal rights

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was granted by the legal guardians of the child for publication of the case report details.

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Das, D., Chakraborty, U., Dutta, N. et al. Neo-aortic valve replacement in arterial switch operation in a 9-year-old child. Indian J Thorac Cardiovasc Surg (2024). https://doi.org/10.1007/s12055-024-01747-0

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  • DOI: https://doi.org/10.1007/s12055-024-01747-0

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