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Updated: Feb 13, 2026

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
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Multiple saccular aortic aneurysms following the arterial switch operation.

Sachin Talwar1, Bharat Siddarth1, Shiv K Choudhary1

  • 1Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India.

Journal of Cardiac Surgery
|February 28, 2018
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Summary

A 3-month-old infant developed new aortic aneurysms after arterial switch surgery. Surgical repair was successful, with no recurrence at seven years, highlighting effective management of these vascular complications.

Keywords:
aorta and great vesselscongenital heart disease

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Vascular Biology

Background:

  • Arterial switch operation (ASO) is a common surgical procedure for d-transposition of the great arteries.
  • Aortic aneurysms are a potential, though rare, late complication following cardiac surgery.
  • Monitoring for vascular complications is crucial in pediatric cardiac patients post-operatively.

Observation:

  • A 3-month-old male infant developed multiple de novo aortic aneurysms.
  • These aneurysms appeared two months after undergoing an arterial switch operation.
  • The patient presented with significant vascular abnormalities requiring intervention.

Findings:

  • Successful surgical repair of the multiple aortic aneurysms was achieved.
  • The repair was performed using total circulatory arrest, a complex surgical technique.
  • The patient experienced no aneurysm recurrence during a seven-year follow-up period.

Implications:

  • This case demonstrates the possibility of late-onset aortic aneurysms after ASO.
  • Effective surgical management, including the use of total circulatory arrest, can lead to favorable long-term outcomes.
  • Further research into the etiology and prevention of de novo aneurysms post-ASO is warranted.