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Marco L.S. Matteucci
Giuseppe Rescigno
Giancarlo Crupi
Paolo Ferrazzi
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Right arrow Congestive Heart Failure
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Eur J Cardiothorac Surg 2004;26:854-856
© 2004 Elsevier Science NL

Case report

Unusual complication of arterial switch operation: ventricular septal aneurysm treated with surgical ventricular restoration

Marco L.S. Matteucci*, Giuseppe Rescigno, Giancarlo Crupi, Paolo Ferrazzi

Cardiovascular Department, Ospedali Riuniti di Bergamo, Largo Barozzi 1, 24128 Bergamo, Italy

Received 25 March 2004; accepted 7 June 2004.

* Corresponding author. Tel.: +39-35-269-322; fax: +39-35-266-130
e-mail: sacha-m{at}libero.it

Despite current low overall perioperative mortality, ischemic complications due to coronary artery translocation remain the most unwanted early complication of the arterial switch operation. We describe the case of a boy who underwent, at five days of age, one-stage arterial switch operation for transposition of the great arteries with repair of ventricular septal defect and coarctation of the aorta. Early postoperative course was complicated by severe ischemic left ventricle (LV) dysfunction and development of a ventricular septal aneurysm. At four years of age he underwent successful surgical ventricular restoration associated with implantation of a biventricular pacing, with complete resolution of heart failure symptoms.

Key Words: Heart failure • Arterial switch • Surgical ventricular restoration • Biventricular pacing






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Copyright © 2004 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.