Interrupted aortic arch and ventricular septal defect. Direct repair through a median sternotomy incision in a 13-day-old infant.
A type B interrupted aortic arch was successfully repaired in a 13-day-old infant during profound hypothermia and circulatory arrest. Through a median sternotomy incision it was possible to resect a patent ductus arteriosus and mobilize the descending thoracic aorta for anastomosis to the side of the ascending aorta. At the same time a large ventricular septal defect (VSD) and a small atrial septal defect were closed through the right atrium. Cardiac catheterization 5 months after operation showed a small persistent VSD with a pulmonary to systemic blood flow ratio of 1.1/1. The systolic gradient between the ascending and descending aorta was 20 mm. Hg.
D000792:Angiography; D001011:Aorta / Q000002:abnormalities*; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D003326:Coronary Circulation; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000601:surgery; D004562:Electrocardiography; D004802:Eosinophilia / Q000209:etiology; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D006934:Hypercalcemia / Q000150:complications; D007036:Hypothermia, Induced; D007231:Infant, Newborn; D010138:Pacemaker, Artificial; D011183:Postoperative Complications; D013249:Sternum / Q000601:surgery; D013537:Sutures