ABSTRACT
Aortic valve insufficiency has been described to occur following the arterial switch operation. Valve insufficiency is mild in most cases. In some patients valve repair or root reconstruction may solve the problem, but in others the valve will have to be replaced. As the number of patients surviving long term after the arterial switch operation is growing, valve insufficiency may be seen more often. In infants the ideal way to replace the aortic valve is using the pulmonary autograft. Our experience with aortic valve replacement using the pulmonary autograft (former aortic valve) in one infant with a previous arterial switch is described.
