Combined Norwood and Rastelli procedure for repair of interrupted aortic arch with subaortic stenosis.
A neonate presented with an interrupted aortic arch type B and VSD with dysplastic aortic valve, subaortic stenosis, and aberrant right subclavian artery. We performed a direct anastomosis between the hypoplastic ascending aorta (0 3 mm), the main pulmonary artery and the descending aorta, mimicking a Norwood-type ventricular outlet. The right-ventricular outflow tract was reconstructed with a 8mm PTFE vascular graft. This combination of a modified Norwood with a Rastelli procedure facilitated establishment of a sufficiently large left-ventricular outflow tract via VSD, at the same time maintaining a biventricular system despite the coexisting anomalies.
Department of Surgery, University of Tübingen, Germany.
V
V
Steger
M K
MK
Heinemann
C
C
Irtel von Brenndorff
G
G
Ziemer
D000015:Abnormalities, Multiple / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003131:Combined Modality Therapy; D018572:Disease-Free Survival; D004452:Echocardiography; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D013348:Subclavian Artery / Q000002:abnormalities