Ascending aortic transection: useful adjunct in pulmonary artery reconstruction.
Pulmonary artery reconstruction is frequently needed during surgery for congenital heart disease. Exposure of the main pulmonary artery and its branches is difficult if they are hypoplastic with a large anteriorly placed aorta. In redo operations, adhesions make this not only technically difficult, but also prone to bleeding. We electively transected the ascending aorta in 36 patients to facilitate pulmonary artery exposure, without complications or significant prolongation of cross clamp time.
Department of Cardiac Surgery, Dr. KM Cherian Heart Foundation, International Center for Cardiovascular and Thoracic Diseases, Frontier Lifeline Hospital, Chennai, India.
Ashutosh
A
Singh
Ganapathy S
GS
Krishnan
Ravi
R
Agarwal
Dhiren
D
Dave
Kotturathu M
KM
Cherian
D000714:Anastomosis, Surgical / Q000379:methods; D001011:Aorta / Q000601:surgery*; D015331:Cohort Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D011651:Pulmonary Artery / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods