Patients with truncus arteriosus and transposition of great arteries are prone to
neo-aortic valve insufficiency. Although presenting at opposite ends of the age spectrum,
both conditions tend to be commonly associated with neo aortic root dilatation. In
patients with truncus arteriosus there is an additional complexity of quadricuspid
valve morphology, which make up the majority of valves requiring repair. A unified
approach to all these patients would include reduction and stabilization of the annulus
and sinotubular junction, as well as achieving equal and symmetrical coaptation of
the valve leaflets. By systematically employing these techniques, valve replacement
should be avoidable in most children.
Keywords
Abbreviations:
AR (Aortic regurgitation), PEARS (Personalized external aortic root support), ST (Sinotubular), TA (Truncus arteriosus), TGA (Transposition of the great arteries)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 02, 2023
Footnotes
A/Prof Christian Brizard serves on the advisory board of Admedus. No other disclosures.
Identification
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Crown Copyright © 2022 Published by Elsevier Inc. All rights reserved.
