A Novel Surgical Technique for Right-Sided Interrupted Aortic Arch by Interposition of a Pulmonary Autograft Tube

AbstractThere are several options for the repair of interrupted aortic arch. Direct anastomosis may cause several problems including anastomotic site stenosis, left main bronchus compression, and acute-angled aortic arch. Interposition of a prosthetic graft has no growth potential. We present a case of 34-month-old child with interrupted aortic arch, which was repaired using a pulmonary autograft tube.

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Surgical Considerations in Interrupted Aortic Arch

Seminars in Cardiothoracic and Vascular Anesthesia ◽

10.1177/1089253218776664 ◽

2018 ◽

Vol 22 (3) ◽

pp. 278-284 ◽

Cited By ~ 5

Author(s):

Damien J. LaPar ◽

Christopher W. Baird

Keyword(s):

Congenital Anomaly ◽

Surgical Technique ◽

Aortic Arch ◽

Surgical Management ◽

Congenital Anomalies ◽

Interrupted Aortic Arch ◽

Surgical Anatomy ◽

Early Mortality ◽

Rare Congenital Anomaly ◽

Anesthesia Management

Interrupted aortic arch (IAA) is a rare congenital anomaly with several anatomical variants and is often associated with other intracardiac and/or extracardiac congenital anomalies. Historically, associated with high early mortality, outcomes for this anomaly have improved in recent eras with advances in perioperative and anesthesia management and refinements in surgical technique. This review provides a description of surgical anatomy, anatomical classifications, and associated congenital lesions as well as an examination of the perioperative and surgical management of IAA in the contemporary surgical era.

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Aortic Arch Reconstruction Using “Autologous Pulmonary Artery Patch” as an Interposition Patch Plasty in Interrupted Aortic Arch and Ventricular Septal Defect

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0036-1571575 ◽

2016 ◽

Vol 64 (S 01) ◽

Author(s):

U. Yörüker ◽

C. Yerebakan ◽

H. Elmontaser ◽

K. Valeske ◽

M. Müller ◽

...

Keyword(s):

Ventricular Septal Defect ◽

Pulmonary Artery ◽

Aortic Arch ◽

Septal Defect ◽

Interrupted Aortic Arch ◽

Aortic Arch Reconstruction ◽

Arch Reconstruction ◽

Patch Plasty

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Type B Interrupted Aorta in an Adult Patient

The Heart Surgery Forum ◽

10.1532/hsf98.2013309 ◽

2014 ◽

Vol 17 (2) ◽

pp. 80

Author(s):

Ahmet Ozkara ◽

Mehmet Ezelsoy ◽

Levent Onat ◽

Ilhan Sanisoglu

Keyword(s):

Cardiopulmonary Bypass ◽

Aortic Arch ◽

Collateral Circulation ◽

Neonatal Period ◽

Interrupted Aortic Arch ◽

Complete Loss ◽

Posterolateral Thoracotomy ◽

Type B ◽

Case Presentation ◽

Descending Aorta

Introduction: Interrupted aortic arch is a rare congenital malformation characterized by a complete loss of luminal continuity between the ascending and descending aorta. It is often diagnosed during the neonatal period.Case presentation: We presented a 51-year-old male patient with interrupted aortic arch type B who was treated successfully with posterolateral thoracotomy without using cardiopulmonary bypass.Conclusion: The prognosis for interrupted aortic arch depends on the associated congenital anomalies, but the outcome is usually very poor unless there is surgical treatment. Survival into adulthood depends on the development of collateral circulation.

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Interrupted aortic arch

10.31440/dftb.3630 ◽

2013 ◽

Author(s):

Team DFTB

Keyword(s):

Aortic Arch ◽

Interrupted Aortic Arch

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Conotruncal heart defects and aortic arch anomalies in fetuses with 22q11.2 deletion syndrome

10.21516/2413-1458-2020-19-3-203-209 ◽

2020 ◽

Author(s):

I.V. Novikova, O.M. Khurs, T.V. Demidovich et all

Keyword(s):

Aortic Arch ◽

Heart Defects ◽

22Q11.2 Deletion Syndrome ◽

Ventricular Outflow Tract ◽

Double Outlet Right Ventricle ◽

Interrupted Aortic Arch ◽

Left Ventricular ◽

Deletion Syndrome ◽

22Q11.2 Deletion ◽

Aortic Arch Anomalies

16 second trimester fetuses with 22q11.2 deletion syndrome have been examined at anatomic-pathological investigation. Main cardiovascular diseases were ascending aorta hypoplasia with aortic valve stenosis (n = 6; 37.5%), truncus arteriosus (n = 5; 31.25%), tetralogy of Fallot (n = 3; 18.75%) and double-outlet right ventricle (n = 1; 6.25%). Ventricular septal defect was present in 16 cases. Associated aortic arch anomalies included interrupted aortic arch (n = 9; 56.25%), right aortic arch (n = 6; 37.5%), retroesophageal ring (n = 1; 6.25%) and aberrant right subclavian arteria (n = 5; 31.25%). 5 fetuses had left ventricular outflow tract obstructive lesions with interrupted aortic arch of type B combined with aberrant right subclavian arteria.

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