Yves d'Udekem (1), MAHMUT OZTURK (1), Manan Desai (1), Annette Ansong (2), Sofia Hanabergh (1), Aybala Tongut (1), Can Yerebakan (1), (1) Children's National Hospital, Washington, DC, (2) Children's National Hospital, Washington, DC, DCĪybala Tongut, M.D., is an assistant professor of pediatrics and surgery at the George Washington University School of Medicine & Health Sciences and is acting as a surgical director for the ECMO Program at Children’s National. Born and raised in Turkey, where she received her M.D. She is now at home and doing well.Ĭonclusions: Tricuspidisation of a quadricuspid regurgitant truncal valve via aortic sinus resection is a reliable and reproducible surgical technique to warrant the successful repair of a regurgitant truncal valve in the neonatal phase. The patient could be discharged on the 17th postoperative day. Postoperative transesophageal echocardiography showed mild truncal valve regurgitation, and the regurgitation in the atrioventricular valves disappeared. The repair was completed with the addition of a 9mm femoral vein homograft between the right ventricle and the dissected pulmonary artery bifurcation. The entirety of the sinus and the cusp were removed, leaving a small rim of tissue of the valve and sinus wall which were sutured together, thereby recreating a new commissure. The smallest of the left cusp was identified for resection. The truncal valve was extensively debrided with resection of nodular dysplasia. The aortic arch reconstruction was performed with the addition of a homograft pericardial patch. On day 9, she underwent surgical repair using continuous cerebral and lower body perfusion. Both atrioventricular valves showed moderate regurgitation. The truncal valve was quadricuspid with moderate to severe regurgitation. We present a tricuspidization of the regurgitant quadricuspid truncal valve during interrupted aortic arch and truncus repair.Ĭase Video Summary: A term-born female patient (2.6kg) was diagnosed postnatally with truncus arteriosus type 1, interrupted aortic arch type A, and conoventricular septal defect. Objective: Both truncal valve regurgitation and interrupted aortic arch have been associated with increased mortality and reoperation rates for patients undergoing surgical repair of truncus arteriosus. Operative Techniques in Thoracic and Cardiovascular Surgery.Seminars in Thoracic and Cardiovascular Surgery.Journal of Thoracic and Cardiovascular Surgery.AATS & AATS Foundation Scholarship Programs.Women in Cardiothoracic Leadership Webinars.
#Truncus arteriosus with interrupted aortic arch series
Women in Cardiothoracic Leadership Series.
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