Truncus arteriosus with interrupted aortic arch: successful repair using modified cardiopulmonary bypass and surgical techniques.
A neonate with truncus arteriosus (type 1) and interrupted aortic arch (type A) associated with an excessively large gap between interrupted aortic segments underwent successful reconstruction of the aortic arch with a partial subclavian flap aortoplasty plus bovine jugular patch (Contegra 200, Medtronic, Inc, Minneapolis, MN) using continuous selective low-flow cardiopulmonary bypass without circulatory arrest. The ventricular septal defect was closed with a Dacron (IMPRA, Inc, Tempe, AZ) patch, and a Contegra prosthesis was used to re-establish right ventricle to pulmonary artery continuity. At an 18-month follow-up, the patient was free of symptoms with normal development. Echocardiography revealed a widely patent aortic arch and an unobstructed right ventricle to pulmonary artery connection.
Chen
Qiang
Q
Department of Cardiac Surgery, Bristol Royal Hospital for Children, Bristol, United Kingdom. qchen@doctors.org.uk
Modi
Paul
P
Caputo
Massimo
M
Pawade
Ash
A
D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001672:Biocompatible Materials / Q000627:therapeutic use; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007601:Jugular Veins / Q000601:surgery; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D011651:Pulmonary Artery / Q000601:surgery; D013348:Subclavian Artery / Q000601:surgery; D013524:Surgical Flaps; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*
D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates