Anterior pulmonary translocation for repair of truncus arteriosus with interrupted arch.
A newborn was found to have truncus arteriosus and an interrupted aortic arch, and underwent primary repair. The patient did well initially, but, by 8 weeks postoperatively, showed evidence of severe compression of the right pulmonary artery. At reoperation, the pulmonary artery was found to be compressed by a large aortic root (truncal root) and the retroaortic area was narrowed. The pulmonary artery bifurcation was therefore translocated anteriorly to alleviate the compression.
Rao
I M
IM
Children's Cardiac Center of Oregon, Portland 97225-6689.
Swanson
J S
JS
Hovaguimian
H
H
McIrvin
D M
DM
King
D H
DH
Starr
A
A
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000601:surgery; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D014339:Truncus Arteriosus, Persistent / Q000000981:diagnostic imaging / Q000601:surgery*