Systemic venous segments interposition for pulmonary artery to aorta connection.
Two patients with pulmonary atresia and ventricular septal defect underwent implantation of the diminutive pulmonary arteries on the ascending aorta by interposition of short segment of azygos and innominate veins. The very thin structure of the systemic veins' wall matched perfectly the fragile pulmonary arterial wall. The anastomosis were perfectly patent and no aneurism dilatation was evident after three and four months, respectively.
Pace Napoleone
Carlo
C
Pediatric Cardiac Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. pace@aosp.bo.it
Oppido
Guido
G
Angeli
Emanuela
E
Gargiulo
Gaetano
G
D000714:Anastomosis, Surgical; D001011:Aorta / Q000473:pathology / Q000601:surgery*; D001401:Azygos Vein / Q000000981:diagnostic imaging / Q000637:transplantation*; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000637:transplantation*; D006348:Cardiac Surgical Procedures; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D018633:Pulmonary Atresia / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency; D014656:Vascular Surgical Procedures