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Eur J Cardiothorac Surg 1999;16:97
© 1999 Elsevier Science NL

Images in cardio-thoracic surgery

Subpulmonary obstruction in transposition of the great arteries due to aneurysm of the membranous ventricular septum

Raffaele Calabròa, Giuseppe Santoroa, Carlo Pisacanea, Giuseppe Caianiellob

a Pediatric Cardiology, ‘V. Monaldi’ Hospital, 2nd University of Naples, Naples, Italy
b Cardiac Surgery, ‘V. Monaldi’ Hospital, 2nd University of Naples, Naples, Italy

Corresponding author. Via Vito Lembo, 1484131 Salerno, Italy. Tel./fax: +39-81-7062355

Key Words: Congenital heart disease • Transposition of the great arteries • Pulmonary stenosis • Arterial switch operation

Membranous septal aneurysm is an infrequent cause of subpulmonary obstruction in transposition of the great arteries that rapidly worsens as much as the pulmonary pressure drops and the systemic/pulmonary pressure ratio increases (see Figs. 1 and 2).



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  		Fig. 1. Aneurysm of the membranous septum (****) causing subpulmonary outflow tract obstruction.

 


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  		Fig. 2. Surgical excision of the aneurysm (arrow).

 
Received February 9, 1999; received in revised form March 29, 1999; accepted April 7, 1999.




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