[Operative technique of systemic to pulmonary artery shunt and aortoplasty utilizing in aberrant subclavian artery].
This paper presents a review of our experience of 3 cases of systemic to pulmonary artery shunt operation and 2 cases of subclavian flap aortoplasty using aberrant subclavian artery. The aberrant subclavian arteries were divided to release the vascular rings and were used as shunt grafts or reversed subclavian flaps. In case of shunt operation, this graft would be superior to the EPTFE graft of modified Blalock-Taussig shunt, from the point of view of the grafts' growth ability. In case of aortoplasty, if arch hypoplasia exists, this flap can repair it beyond the coarctation segment. When the aberrant subclavian artery is dissected, it should be avoided to use the contralateral subclavian artery, as it may cause cerebral damage because of the impairment of bilateral vertebral arterial circulation.
Obo
H
H
Yamaguchi
M
M
Oshima
Y
Y
Ohhashi
H
H
Hosokawa
Y
Y
Tachibana
H
H
D001011:Aorta / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D013524:Surgical Flaps