title: One-stage repair with separated cardiopulmonary bypass for coarctation of the aorta with left aortic arch and right thoracic descending aorta.
abstract: We treated a 7-day-old neonate with aortic coarctation, left aortic arch, right-side descending aorta, aberrant right subclavian artery, and outlet ventricular septal defect. Surgical one-stage repair consisting of coarctation repair by extended direct anastomosis, patch closure of the ventricular septal defect, and translocation of the right subclavian artery was performed under a separated (upper and lower body) perfusion with ascending and thoracic descending aortic cannulation. The postoperative course was complicated with massive chylous effusion, which was successfully treated by thoracic duct ligation.
authors.affiliation: Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1, Fujishirodai, Suita, Osaka 565-8565, Japan.
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Shimada
authors.forename: Takaya
authors.initials: T
authors.lastname: Hoashi
authors.forename: Koji
authors.initials: K
authors.lastname: Kagisaki
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Oda
authors.forename: Isao
authors.initials: I
authors.lastname: Shiraishi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Kurosaki
authors.forename: Masataka
authors.initials: M
authors.lastname: Kitano
authors.forename: Hajime
authors.initials: H
authors.lastname: Ichikawa
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D002916:Chylothorax / Q000209:etiology / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008026:Ligation; D008297:Male; D012086:Reoperation; D056346:Sternotomy; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery; D013897:Thoracic Duct / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects