Anterior translocation of the right pulmonary artery for relief of airway compression in the repair of distal aortopulmonary window and interrupted aortic arch.
Airway compression by dilated right pulmonary artery (RPA) in infants with congenital heart disease can cause severe respiratory insufficiency and increase postoperative morbidity. Anterior aortopexy can be a good solution. However, in a case in which aortic arch repair is required, anterior aortopexy might not be effective or can be dangerous. Anterior translocation of the RPA can be a good option to avoid postoperative airway obstruction. We adopted this technique in a one-stage complete repair of distal aortopulmonary window, aortic origin of the RPA, interrupted aortic arch, and ventricular septal defect in a neonate with compression of both main bronchi. After 37 months of follow-up, no problem was encountered with her airway or RPA. We describe the technique used and the results obtained.
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Catholic Medical Center, Seoul, Republic of Korea.
Yun Hee
YH
Chang
Si Chan
SC
Sung
Hyungtae
H
Kim
Hyoung Doo
HD
Lee
D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D001028:Aortopulmonary Septal Defect / Q000175:diagnosis / Q000601:surgery*; D001982:Bronchial Diseases / Q000175:diagnosis / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000175:diagnosis; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014339:Truncus Arteriosus, Persistent / Q000175:diagnosis / Q000601:surgery*