Concomitant repair of aortopulmonary window and interrupted aortic arch.
Aortopulmonary window with type A interrupted aortic arch was diagnosed in 2 critically ill neonates. Echocardiographic diagnostic methods provided precise anatomic information, which allowed cardiac catheterization to be avoided before operation. Repair was undertaken through a midline sternotomy using hypothermic, low-flow cardiopulmonary bypass with subclavian turn-down in one patient and hypothermic circulatory arrest with direct aortoaortic anastomosis in the other. Both methods provided good exposure and allowed favorable anatomic repair.
Ingram
M T
MT
Division of Surgery, Texas Heart Institute, Houston 77225.
Ott
D A
DA
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001028:Aortopulmonary Septal Defect / Q000000981:diagnostic imaging / Q000601:surgery*; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000601:surgery*; D004452:Echocardiography; D006801:Humans; D007231:Infant, Newborn; D008297:Male