Simplified method for total correction of interrupted aortic arch with ventricular septal defect in infancy.
Type A interrupted aortic arch with a ventricular septal defect (VSD) in a 3-month-old infant was successfully corrected with the aid of profound hypothermia, limited cardiopulmonary bypass, and total circulatory arrest. The aortic arch was reconstructed by side-to-side anastomosis of the ascending aorta and the main pulmonary artery and then creation of a tube from the anastomotic orifice to the patent ductus arteriosus (PDA) by using a superabundant flap of the anterior wall of the main pulmonary artery. The pulmonary arteriotomy and VSD then were closed. The operative field can be approached easily through a median sternotomy with minimum dissection. Cardiac catheterization and angiocardiography 2 months later demonstrated a satisfactory reconstruction of both the aortic arch and the pulmonary artery.
D000790:Angiocardiography; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001027:Aortography; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D004373:Ductus Arteriosus / Q000601:surgery*; D005260:Female; D006324:Heart Arrest, Induced; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery; D006801:Humans; D007036:Hypothermia, Induced; D007223:Infant; D007231:Infant, Newborn; D008722:Methods; D011651:Pulmonary Artery / Q000601:surgery*; D013524:Surgical Flaps