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Ann Thorac Surg 2004;78:1854-1855
© 2004 The Society of Thoracic Surgeons

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Konno Procedure Using Atrioventricular Groove Patch Plasty After Arterial Switch Operation

Yoshimichi Kosaka, MDa, Hiromi Kurosawa, MDa,*, Masayoshi Nagatsu, MDa

a Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan

Accepted for publication August 28, 2003.

* Address reprint requests to Dr Kurosawa, Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan
kurosawa{at}hij.twmu.ac.jp

A patient with transposition of the great arteries accompanied by Shaher type 9 coronary anatomy experienced the development of progressive neoaortic valvular regurgitation with a small annulus, supravalvular stenosis, and neopulmonary valvular and supravalvular stenoses 15 years after an arterial switch operation. To implant a prosthetic valve clinically adequate in size, the Konno procedure was necessary. However, the right coronary anatomy precluded the original Konno procedure. My colleagues and I accomplished neoaortic anterior annular enlargement in this case by using atrioventricular groove patch plasty without jeopardizing the right coronary artery, and this resulted in a satisfactory outcome.






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