title: Ascending Aortic Slide for Interrupted Aortic Arch Repair.
abstract: For repair of interrupted aortic arch, unfavorable anatomy challenges a tension-free anastomosis. We describe a useful alternative surgical technique used in five neonates/infants, involving splitting the ascending aorta from the sinotubular junction to the arch origin, leftward and posterior "sliding" of the flap with anastomosis to the distal arch creating a native tissue bridge, and reconstruction with a patch. With wide interruption gaps between proximal and distal aortic portions, the ascending aortic slide is a safe and reproducible technique, providing a tension-free native tissue bridge with potential for growth, and a scaffold for patch augmentation in biventricular hearts, or for Norwood stage I in univentricular palliation.
authors: Division of Cardiothoracic Surgery, University of Mississippi Medical Center, Jackson, MS, USA.
authors: Miguel
authors: M
authors: Urencio
authors: Children's Heart Center, University of Mississippi Medical Center, Jackson, MS, USA adodgekhatami@umc.edu.
authors: Ali
authors: A
authors: Dodge-Khatami
authors: Division of Cardiothoracic Surgery, University of Mississippi Medical Center, Jackson, MS, USA.
authors: Chris E
authors: CE
authors: Greenleaf
authors: Division of Cardiothoracic Surgery, University of Mississippi Medical Center, Jackson, MS, USA.
authors: Giorgio
authors: G
authors: Aru
authors: Children's Heart Center, University of Mississippi Medical Center, Jackson, MS, USA.
authors: Jorge D
authors: JD
authors: Salazar
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: CHD (congenital heart disease); aortic arch; interrupted aortic arch