Heart-lung transplantation with concomitant aortic arch reconstruction for Eisenmenger syndrome and type B interrupted aortic arch

AbstractAdequate arch augmentation for interrupted aortic arch repair is quite important to avoid post-operative recoarctation and bronchial compression. We describe here two successful cases of aortic arch reconstruction using autologous materials such as a pulmonary artery patch and a reversed left subclavian artery flap in infants with an interrupted aortic arch type B complex.

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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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A novel aortic arch reconstruction method for double-inlet left ventricle with interrupted aortic arch and restrictive bulboventricular foramen

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2005.09.045 ◽

2006 ◽

Vol 131 (2) ◽

pp. 475-477 ◽

Cited By ~ 5

Author(s):

Yuji Naito ◽

Yorikazu Harada ◽

Shunji Uchita ◽

Koki Takizawa ◽

Gengi Satomi ◽

...

Keyword(s):

Left Ventricle ◽

Aortic Arch ◽

Interrupted Aortic Arch ◽

Reconstruction Method ◽

Aortic Arch Reconstruction ◽

Arch Reconstruction ◽

Double Inlet Left Ventricle

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Aortic Arch Reconstruction with an Autologous Pulmonary Arterial-Roll Tube in an Interrupted Aortic Arch

The Heart Surgery Forum ◽

10.1532/hsf98.20091073 ◽

2009 ◽

Vol 12 (6) ◽

pp. E371-E373 ◽

Cited By ~ 1

Author(s):

Wei Wang ◽

Yingqi Xu ◽

Mai Xiong ◽

Jianping Yao ◽

Zhping Wang

Keyword(s):

Aortic Arch ◽

Interrupted Aortic Arch ◽

Aortic Arch Reconstruction ◽

Pulmonary Arterial ◽

Arch Reconstruction

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Aortic arch reconstruction for interrupted aortic arch using an aberrant right subclavian artery

General Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-012-0171-7 ◽

2012 ◽

Vol 61 (2) ◽

pp. 108-110 ◽

Cited By ~ 2

Author(s):

Yoshiyuki Maekawa ◽

Takahiko Sakamoto ◽

Kentaroh Umezu ◽

Noburoh Ohashi ◽

Yorikazu Harada

Keyword(s):

Aortic Arch ◽

Subclavian Artery ◽

Interrupted Aortic Arch ◽

Aberrant Right Subclavian Artery ◽

Aortic Arch Reconstruction ◽

Arch Reconstruction

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Results of aortic arch reconstruction in neonates and infants

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0029-1191435 ◽

2009 ◽

Vol 56 (S 01) ◽

Author(s):

L Ben Mime ◽

M Emmel ◽

N Sreeram ◽

K Brockmeier ◽

G Bennink ◽

...

Keyword(s):

Aortic Arch ◽

Aortic Arch Reconstruction ◽

Neonates And Infants ◽

Arch Reconstruction

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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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Gastrostomy Tube Placement in Neonates Undergoing Congenital Heart Surgery: A Novel Assessment for Improving Utilization and Timing of Placement

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/21501351211003103 ◽

2021 ◽

Vol 12 (4) ◽

pp. 480-486

Author(s):

Kevin M. Beers ◽

Aaron Bettenhausen ◽

Thomas J. Prihoda ◽

John H. Calhoon ◽

S. Adil Husain

Keyword(s):

Length Of Stay ◽

Aortic Arch ◽

Congenital Heart ◽

Gastrostomy Tube ◽

Tube Placement ◽

Genetic Syndrome ◽

Delayed Sternal Closure ◽

Aortic Arch Reconstruction ◽

Gastrostomy Tube Placement ◽

Arch Reconstruction

Background: Neonates undergoing congenital heart defect repair require optimized nutritional support in the perioperative period. Utilization of a gastrostomy tube is not infrequent, yet optimal timing for placement is ill-defined. The objective of this study was to identify characteristics of patients whose postoperative course included gastrostomy tube placement to facilitate supplemental tube feeding following neonatal repair of congenital heart defects. Methods: A single-institution, retrospective chart review identified 64 consecutive neonates who underwent cardiac operations from 2012 to 2016. Perioperative variables were evaluated for significance in relation to gastrostomy tube placement. Results: A total of 27 (42%) underwent gastrostomy tube placement. Diagnosis of a genetic syndrome was associated with the likelihood of placement of gastrostomy tube ( P = .032), as were patients with single ventricle physiology ( P = .0013) compared to those felt to be amenable to eventual biventricular repair. Aortic arch reconstruction ( P = .029), as well as the need for delayed sternal closure ( P = .05), was associated with increased frequency of gastrostomy tube placement. Postoperative outcomes including the number of days intubated ( P = .0026) and the presence of significant dysphagia ( P = .0034) were associated with gastrostomy placement. Additionally, genetic syndrome ( P = .003), aortic arch reconstruction ( P = .01), and postoperative intubation duration ( P = .0024) correlated with increased length of stay, where increased length of stay was associated with gastrostomy tube placement ( P = .0004). Discussion: Patient characteristics that were associated with a high likelihood of eventual gastrostomy placement were identified in this study. Early recognition of such characteristics in future patients may allow for reduced time to gastrostomy tube placement, which in turn may improve perioperative growth and outcomes.

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Reconstruction of the Aortic Arch in Neonates and Infants: The Importance of Patch Material

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/21501351211003502 ◽

2021 ◽

Vol 12 (4) ◽

pp. 487-491

Author(s):

Ingrid M. van Beynum ◽

Serife Kurul ◽

Thomas Krasemann ◽

Michiel Dalinghaus ◽

Pieter van de Woestijne ◽

...

Keyword(s):

Aortic Arch ◽

Important Determinant ◽

Primary Repair ◽

First Year ◽

Aortic Arch Reconstruction ◽

Study Population ◽

Aortic Arch Repair ◽

Neonates And Infants ◽

Arch Reconstruction ◽

First Year Of Life

Objectives: Restenosis after aortic arch reconstruction is a known complication in neonates and infants. Homograft is the most commonly used patch material for aortic arch reconstructions in our center. Since 2014, tissue-engineered bovine pericardium (CardioCel) has been used as an alternative. The aim of our study was to determine whether the choice of material affected the development of restenosis in these patients. Methods: Data of all neonates and infants who underwent aortic arch reconstruction with the use of any patch material between 2005 and 2016 were analyzed. Restenosis was defined by the need for reintervention, either percutaneous or surgical. Results: Forty-one patients underwent aortic arch repair. Excluding the 30-day mortality, 36 patients represented the study population. At primary repair, the aortic arch was reconstructed with homograft (n = 26) or CardioCel (n = 10). Restenosis was documented during the first year of life in 13 patients: Six (23%) patients in the homograft group and seven (70%) patients in the CardioCel group ( P = .01). In the homograft group, the median time from operation to first intervention for restenosis was 22.0 (range: 14-32) weeks, as compared to 14.0 (range: 7-21) weeks in the CardioCel group ( P = .04). Conclusion: We conclude that choice of patch material is likely to be an important determinant for the risk of restenosis needing reintervention following reconstruction of the aortic arch in neonates and infants.

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