Repair of interrupted aortic arch with an augmented aortic anastomosis.
In cases of interrupted aortic arch type A, the end-to-end aortic anastomosis can be enlarged with a left subclavian flap. In type B interruption, the divided left carotid artery is anastomosed to the distal aorta, and the anastomosis can be augmented with a reversed left subclavian flap. These techniques provide a tension-free, much wider, and noncircumferential anastomosis with potential for growth. Using a combined lateral and anterior approach, the duration of circulatory arrest for the intracardiac repair is minimized.
Dietl
C A
CA
Institute of Cardiology and Cardiovascular Surgery, Fundación Favaloro, Buenos Aires, Argentina.
Torres
A R
AR
D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D002675:Child, Preschool; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D013524:Surgical Flaps / Q000379:methods