[Successful repair of distal type of aortopulmonary window by deep hypothermia with circulatory arrest].
A one year old boy with the distal type of aortopulmonary window was successfully repaired by the transaortic approach and discharged two weeks after operation. Exposure of the defect was enhanced by using deep hypothermia with circulatory arrest so that aortic cannula and cross-clamp could be removed. 2 months before the operation, he needed the respiratory support during a month because of respiratory syncytial viral infection, cardiac failure and equivalent pulmonary hypertension. Postoperative cardiac catheterization after 4 months revealed that PA pressure decreased to 25/5 mmHg without any medication. Aortogram showed the left single coronary artery.
Fukuchi
S
S
Division of Cardiovascular Surgery, Chiba Kaihin Municipal Hospital, Japan.
Uemura
S
S
Turuta
Y
Y
Watanabe
H
H
Murakami
S
S
Hamada
H
H
Okajima
Y
Y
Ohota
H
H
D001028:Aortopulmonary Septal Defect / Q000150:complications / Q000601:surgery*; D006324:Heart Arrest, Induced; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D007036:Hypothermia, Induced; D007223:Infant; D008297:Male; D018357:Respiratory Syncytial Virus Infections / Q000150:complications; D012141:Respiratory Tract Infections / Q000150:complications