Early double switch with Lecompte maneuver for life-threatening airway obstruction.

Lo Rito, Mauro; Kudumula, Vikram; Desai, Tarak; Jones, Timothy J; Barron, David J; Brawn, William J · Ann Thorac Surg · 2013

case_report · Level V

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Abstract

A 6-month-old boy with congenitally corrected transposition of the great arteries, ventricular septal defect, and mild pulmonary valve stenosis presented with acute obstructive respiratory life-threatening events. Airways obstruction was caused by aneurysmal dilation of the branch pulmonary arteries compressing the carina and bronchi. The child was ventilator dependent. A double switch operation with Lecompte maneuver was performed, bringing the pulmonary arteries forward and relieving the airway compression. The child made a complete recovery and remains well 9 months later with no clinical or radiologic signs of airway compression.

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