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Ann Thorac Surg 1992;54:355-356
© 1992 The Society of Thoracic Surgeons

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Articles

Palliative arterial repair for transposition, ventricular septal defect, and pulmonary vascular disease

^a Section of Thoracic Surgery, Department of Surgery, and Division of Pediatric Cardiology, Department of Pediatrics, C. S. Mott Children's Hospital, The University of Michigan Medical Center, Ann Arbor, Michigan USA
^b Division of Pediatric Cardiology, Department of Pediatrics, Columbus Children's Hospital, Ohio State University Medical School, Columbus, Ohio USA

Accepted for publication November 14, 1991.

^_* Address reprint requests to Dr Bove, Section of Thoracic Surgery, The University of Michigan, 1500 E Medical Center Dr, Box 0344, 2120 Taubman Center, Ann Arbor, MI 48109.

Failure to repair transposition of the great arteries and ventricular septal defect in the young infant results in the early development of pulmonary vascular occlusive disease. Complete repair, preferably by an arterial switch procedure and ventricular septal defect closure, may then not be possible. We report a palliative arterial switch procedure in a [equation]-year-old patient with transposition, ventricular septal defect, and severe pulmonary vascular obstructive disease in whom progressive hypoxemia and exercise intolerance developed. An arterial repair without ventricular septal defect closure was performed. After the operation, the child's systemic arterial oxygen saturation and exercise tolerance have substantially improved. Although the progression of pulmonary vascular disease may not be altered, arterial repair can provide effective palliation in this subset of patients.

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