Aortic valve repair after arterial switch operation

A patient with transposition of the great arteries and a ventricular septal defect underwent an arterial switch operation 15 months after pulmonary ar tery banding. At 12 years of age, severe neoaortic valve regurgitation, due to dilated aortic sinuses and poor leaflet coaptation, developed. Aortic v alve repair involved placement of subcommissural sutures, elliptical excisi on and tailored reduction of two anterior aortic sinuses, with triangular p atch expansion of the proximal ascending aorta. A good result was obtained. (C) 2000 by The Society of Thoracic Surgeons.