The choice of tactic for surgical treatment of aortic arch hypoplasia with ventricular septal defect in infants

Between 1999 and 2002, 23 patients underwent single-stage complete repair of cardiac anomalies and aortic arch obstruction, without circulatory arrest. Median age was 1.2 years. Intracardiac defects included ventricular septal defect in 9, double-outlet right ventricle in 6, d-transposition of the great arteries and ventricular septal defect in 2, subaortic obstruction in 3, and atrial septal defect in 3. Fourteen patients had coarctation of the aorta, 6 had coarctation with hypoplastic aortic arch, and 3 had interrupted aortic arch. Simple techniques were employed such as cannulation of the ascending aorta near the innominate artery and maintaining cerebral and myocardial perfusion. After correction of arch obstruction, intracardiac repair was undertaken. The mean cardiopulmonary bypass time was 169 min, aortic crossclamp time was 51 min, and arch repair took 16 min. There was no operative mortality or neurological deficit. In follow-up of 1–43 months, no patient had residual coarctation. This simplified technique avoids additional procedures, reduces ischemic time, and prevents problems related to circulatory arrest.

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Double aortic arch: an elusive diagnosis in a child with CHD

Cardiology in the Young ◽

10.1017/s1047951121004856 ◽

2021 ◽

pp. 1-3

Author(s):

Mariana Lemos ◽

Miguel Fogaça da Mata ◽

Ana Coutinho Santos

Keyword(s):

Ventricular Septal Defect ◽

Pulmonary Artery ◽

Aortic Arch ◽

Ct Angiography ◽

Septal Defect ◽

Vascular Ring ◽

Pulmonary Atresia ◽

Double Aortic Arch ◽

Shunt Surgery

Abstract An 18-month-old male with pulmonary atresia and ventricular septal defect presented with stridor after neonatal systemic-to-pulmonary artery shunt surgery, that persisted on follow-up. CT angiography revealed a vascular ring with balanced double aortic arch.

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Results of surgical treatment of ventricular septal defect

Heart ◽

10.1136/hrt.33.suppl.88 ◽

1971 ◽

Vol 33 (Suppl) ◽

pp. 88-93 ◽

Cited By ~ 4

Author(s):

W. Bircks ◽

Chr. Reidemeister

Keyword(s):

Surgical Treatment ◽

Ventricular Septal Defect ◽

Septal Defect

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Hypoplasia of the aortic arch

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2013-3-68-72 ◽

2015 ◽

Vol 17 (2) ◽

pp. 68 ◽

Cited By ~ 1

Author(s):

Yu. S. Sinelnikov ◽

A. V. Gorbatykh ◽

S. M. Ivantsov ◽

D. S. Prokhorova ◽

M. S. Kshanovskaya

Keyword(s):

Surgical Treatment ◽

Aortic Arch ◽

Considerable Improvement ◽

Long Term Outcomes ◽

Modern Methods ◽

Aggressive Surgical Approach ◽

Arch Reconstruction ◽

Aortic Arch Hypoplasia

An aggressive surgical approach to early repair of aortic coarctation and concomitant arch hypoplasia results in considerable improvement of the long-term outcomes of surgical treatment by reducing the number of aortic re-coarctation and arterial hypertension persistence events. At present, there exist some methods of determining the degree of aortic arch hypoplasia, which allow for arch reconstruction planning. Our review focuses on the analysis of modern methods of determination of the aortic arch hypoplasia and the outcomes of surgical treatment of this disease.

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Surgical repair of interrupted aortic arch with ventricular septal defect

Cardiology in the Young ◽

10.1017/s1047951100006119 ◽

1998 ◽

Vol 8 (2) ◽

pp. 217-220 ◽

Cited By ~ 2

Author(s):

Lindsey D Allan ◽

Howard D Apfel ◽

Yosef Levenbrown ◽

Jan M Quaegebeur

Keyword(s):

Ventricular Septal Defect ◽

Aortic Arch ◽

Septal Defect ◽

Ventricular Outflow Tract ◽

Interrupted Aortic Arch ◽

Left Ventricular ◽

Subaortic Stenosis ◽

Current Debate ◽

Aortic Orifice

AbstractBackgroundInterrupted aortic arch is often associated with subaortic narrowing and hypoplasia of the aortic orifice. The best surgical strategy for the management of these additional lesions is a matter of current debate.Methods and ResultsBetween 1986 and 1996, 19 patients underwent repair of interrupted aortic arch with closure of ventricular septal defect in a single stage, with no attempt at subaortic resection, irrespective of the dimensions of the left ventricular outflow tract. There was no perioperative hospital mortality, and all patients were alive at 1 year. Follow-up ranges from 0.75 −10 years, with a mean 4.2 ± 3.0 years. Seven patients (37%) have required reintervention for relief of subaortic stenosis, 2 of whom have died.ConclusionsOur results suggest that primary one-stage biventricular repair can be accomplished with low perioperative mortality without addressing the subaortic region. Further long-term follow-up will determine whether this is accomplished at the expense of later morbidity and mortality.

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Morphological study of ventricular septal defect associated with obstruction of aortic arch among Japanese.

Japanese Circulation Journal ◽

10.1253/jcj.49.61 ◽

1985 ◽

Vol 49 (1) ◽

pp. 61-67 ◽

Cited By ~ 5

Author(s):

EIICHI SENNARI

Keyword(s):

Ventricular Septal Defect ◽

Aortic Arch ◽

Morphological Study ◽

Septal Defect

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Diverticulum of Kommerell with Micro Aneurysm, an Aberrant Right Subclavian Artery and Ventricular Septal Defect in a 39 Years Old Female: Case Report

10.37191/mapsci-jccr-2(3)-038 ◽

2021 ◽

Author(s):

Xiaoming Bian

Keyword(s):

Ventricular Septal Defect ◽

Aortic Arch ◽

Subclavian Artery ◽

Septal Defect ◽

Aortic Rupture ◽

Vascular Ring ◽

Vascular Lesion ◽

Aberrant Right Subclavian Artery ◽

Successful Operation ◽

Diverticulum Of Kommerell

Diverticulum of Kommerell is a congenital anomaly in the development of the primitive embryonic aortic vasculature resulting in either an aberrant left subclavian artery (ALSA) from a right-sided aortic arch (RSAA) or an aberrant right subclavian artery (ARSA) from a left-sided aortic arch (LSAA). Kommerell’s diverticulum (KD), is extremely rare in the general population having prevalence of 0.7–2.0 %. KD with true aneurysmal dilatation like any vascular lesion of the thoracic aorta weakens the vasculature and increases the risk of aortic rupture. Timely surgical intervention is of paramount importance in most of these cases. Variable clinical presentations in patients with KD are either a result of compression of some mediastinal organs or strangulation by the vascular ring from the aberrant subclavian artery (ASA). We report a case of a 39 years old Chinese female with a rare co-existence of a huge KD with a microaneurysm, an aberrant right subclavian artery (ARSA), and ventricular septal defect (VSD). She underwent a successful operation and all her pre-surgical symptoms disappeared.

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