A case of aortic septal defect, associated with patent ductus arteriosus and aberrant right subclavian artery.
This report describes an operation, successfully performed by the authors, on an aorta septal defect (A-P Window) associated with patent ductus arteriosus (PDA) and aberrant right subclavian artery (ARSA). When an A-O Window is complicated by PDA and ARSA, preoperative diagnosis is often difficult. It is often mistaken for a large PDA and ARSA. Therefore at the time of operation of a large PDA and ARSA, it is necessary tao keep artificial heart-lung machine ready so that the A-P Window can be corrected at the same operation if necessary. In this case, the aortopulmonary communication was closed directly by transpulmonary approach under profound hypothermia with extracorporeal circulation after the division of ductus arteriosus and the dissection and mobilization of the stenotic esophagus from surrounding tissues of the ARSA. The division of the ARSA was not carried out, because patient was asymptomatic. The A-P Window associated with PDA and ARSA has apparently not been reported.
D004374:Ductus Arteriosus, Patent / Q000150:complications* / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery