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Type A interrupted aortic arch with a ventricular septal defect (VSD) in a 3-month-old infant was successfully corrected with the aid of profound hypothermia, limited cardiopulmonary bypass, and total circulatory arrest. The aortic arch was reconstructed by side-to-side anastomosis of the ascending aorta and the main pulmonary artery and then creation of a tube from the anastomotic orifice to the patent ductus arteriosus (PDA) by using a superabundant flap of the anterior wall of the main pulmonary artery. The pulmonary arteriotomy and VSD then were closed. The operative field can be approached easily through a median sternotomy with minimum dissection. Cardiac catheterization and angiocardiography 2 months later demonstrated a satisfactory reconstruction of both the aortic arch and the pulmonary artery.
R Muraoka, and
M Yokota, and
M Aoshima, and
S Nomoto, and
M Osaragi, and
I Kyoku, and
H Nakano, and
K Ueda, and
A Saito
October 1977,
The Journal of thoracic and cardiovascular surgery,
R Muraoka, and
M Yokota, and
M Aoshima, and
S Nomoto, and
M Osaragi, and
I Kyoku, and
H Nakano, and
K Ueda, and
A Saito
September 1991,
The Annals of thoracic surgery,
R Muraoka, and
M Yokota, and
M Aoshima, and
S Nomoto, and
M Osaragi, and
I Kyoku, and
H Nakano, and
K Ueda, and
A Saito
December 1983,
The Journal of thoracic and cardiovascular surgery,
R Muraoka, and
M Yokota, and
M Aoshima, and
S Nomoto, and
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I Kyoku, and
H Nakano, and
K Ueda, and
A Saito
May 1989,
American journal of surgery,
R Muraoka, and
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K Ueda, and
A Saito
September 2006,
The Annals of thoracic surgery,
R Muraoka, and
M Yokota, and
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K Ueda, and
A Saito
April 1979,
European journal of cardiology,
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January 1990,
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A Saito
April 1995,
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September 1987,
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K Ueda, and
A Saito
December 1974,
The Journal of the Medical Society of New Jersey,
