We report the cases of two neonates with transposition of the great arteries, whose surgical correction consisted of translocation of the aortic root with the aortic valve and coronary arteries to the left ventricle and translocation of the pulmonary root with the pulmonary valve to the right ventricle. We believe that the aortic translocation may reduce the likelihood of dilatation of the neoaorta, aortic regurgitation, and changes in the endothelium of coronary arteries which have occasionally been seen following arterial switch operations.
ToblerDWilliamGWJegatheeswaranACardiac outcomes in young adult survivors of the arterial switch operation for transposition of the great arteries. J Am Coll Cardiol. 2010;56(1):58–64.
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FurlanettoGHenriquesSSPasquinelliFSFurlanettoBHS. New technique: aortic and pulmonary translocation with preservation of pulmonary valve. Rev Bras Cir Cardiovasc. 2010;25(1):99–102.
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PanXHuSLiSPredictors for late insufficiency of the neo-aortic valve after switch procedure. J Heart Valve Dis. 2010;19(6):731–735.
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LalezariSHazekampMGBartelingsMMSchoofPHGittenberger-De GrootAC. Pulmonary artery remodeling in transposition of the great arteries: relevance for neoaortic root dilatation. J Thorac Cardiovasc Surg. 2003;126(4):1053–1060.
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YehTRamaciottiCLeonardSRRoyLNikaidohH. The aortic translocation (Nikaidoh) procedure: midterm results superior to the Rastelli procedure. J Thorac Cardiovasc Surg. 2007;133(2):461–469.
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NikaidohH.Aortic translocation and biventricular outflow tract reconstruction. A new surgical repair for transposition of the great arteries associated with ventricular septal defect and pulmonary stenosis. J Thorac Cardiovasc Surg. 1984;88(3):365–372.
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HuSSLiSJWangXPulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction. J Thorcac Cardiovasc Surg. 2007;133(4):1090–1092.
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PedraSRPedraCAAbizaidAAIntracoronary ultrasound assessment late after the arterial switch operation for transposition of the great arteries. J Am Coll Cardiol. 2005;45(12):2061–2068.
