Type B Interrupted Aorta in an Adult Patient

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

<p><b>Introduction:</b> 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.</p><p><b>Case presentation:</b> 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.</p><p><b>Conclusion:</b> 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.</p>

Off-pump ascending aorta or aortic arch to descending aorta bypass with a pericardial roll for the treatment of critically ill infants with interrupted aortic arch

2020 ◽  
Vol 30 (8) ◽  
pp. 1095-1102
Author(s):  
Didem M. Oztas ◽  
Mert Meric ◽  
Metin O. Beyaz ◽  
Senay Coban ◽  
Gizem Sari ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Aortic Arch ◽  
Critically Ill ◽  
Septal Defect ◽  
Single Ventricle ◽  
Interrupted Aortic Arch ◽  
Ascending Aorta ◽  
Descending Aorta ◽  
Off Pump ◽  
Aorta Bypass

AbstractAim:Standard surgical treatment of the interrupted aortic arch with the use of cardiopulmonary bypass is risky especially in critically ill babies. In this manuscript, we present the results of off-pump pericardial roll bypass for the treatment of aortic interruption.Material and methods:The technique was applied in nine critically ill infants between July 2011 and December 2019. Data were reviewed retrospectively. There were four girls and five boys. The types of the interruption were type B in six cases and type A in three babies. Additional cardiovascular anomalies were ventricular septal defect in all, atrial septal defect or patent foramen ovale in all, single-ventricle pathologies in two and bicuspid aortic valve in three cases. All the patients were in critical situations such as intubated, having symptoms of infection, congestive heart failure or ischaemia and malperfusion leading visceral organ dysfunction.Results:All patients underwent off-pump ascending aorta or aortic arch to descending aorta bypass with a pericardial roll. Post-operative early mortality occurred in one patient with severe mitral regurgitation due to cardio-septic shock. One patient who had single-ventricle pathology underwent bidirectional Glenn and was lost on the post-operative 26th day due to sepsis 2 years after operation. Two patients presented with dilatation of the pericardial tube 18 and 24 months after the operations and one underwent reconstruction of the neo-arch. The remaining patients are asymptomatic, active and within normal limits of body and mental growth.Conclusion:Treatment of interrupted aortic arch with a bypass with an autologous pericardial roll treated with gluteraldehyde without cardiopulmonary bypass seems a safe and reliable technique especially for the treatment of critically ill infants.

A complex case of aortic arch interruption and hypoplastic descending aorta

2019 ◽  
Vol 27 (7) ◽  
pp. 590-592
Author(s):  
Joaquín Pérez-Andreu ◽  
Joaquín Fernández-Doblas ◽  
Gemma Giralt García ◽  
Ferran Roses ◽  
Raúl F Abella
Keyword(s):  
Aortic Arch ◽  
Bypass Surgery ◽  
Septal Defect ◽  
Neonatal Period ◽  
Interrupted Aortic Arch ◽  
Complex Case ◽  
Extraanatomic Bypass ◽  
Descending Aorta ◽  
The Right ◽  
Aortic Arch Interruption

The case of a newborn with a post-ductal interrupted aortic arch combined with severe hypoplasia of the thoracic descending aorta and intracardiac defects is described. Extraanatomic bypass surgery was performed in the neonatal period to connect the ascending and descending parts of the aorta. Closure of a ventricular septal defect and excision of hypertrophied bands in the right ventricle with subsequent ventriculotomy were delayed beyond neonatal age.

scholarly journals Type B Interrupted Aortic Arch with a Patent Ductus Arteriosus in an Adult Presenting with Secondary Polycythaemia

2020 ◽  
Author(s):  
Jonan Chun Yin Lee ◽  
Jeanie Betsy Chiang ◽  
Boris Chun Kei Chow
Keyword(s):  
Patent Ductus Arteriosus ◽  
Aortic Arch ◽  
Multimodality Imaging ◽  
Ductus Arteriosus ◽  
Interrupted Aortic Arch ◽  
Type B ◽  
Descending Aorta ◽  
Complete Disruption ◽  
Congenital Cyanotic Heart Disease ◽  
Patent Ductus

Interrupted aortic arch (IAA) is an extremely rare congenital cyanotic heart disease characterized by complete disruption between the ascending and descending aorta. A patent ductus arteriosus (PDA) or other collateral pathways provide blood flow to the distal descending aorta. Mortality is extremely high at early infancy, particularly after the closure of ductus arteriosus. Survival and presentation in adulthood are extremely rare. Here we illustrate a rare case of type B interrupted aortic arch in an adult who presented with secondary polycythaemia. The blood supply to descending aorta and beyond is almost solely by a patent ductus arteriosus. The case demonstrates the value of multimodality imaging including CT and MRI for diagnosis and treatment planning in these patients.

Transcatheter mechanical thrombectomy of neonatal occlusive aortic thrombus using an Amplatzer Piccolo PDA occluder

2021 ◽  
pp. 1-3
Author(s):  
Christopher Herron ◽  
Stuart Covi ◽  
Athina Pappas ◽  
Daisuke Kobayashi
Keyword(s):  
Aortic Arch ◽  
Critical Condition ◽  
Mechanical Thrombectomy ◽  
Coarctation Of The Aorta ◽  
Premature Neonate ◽  
Interrupted Aortic Arch ◽  
Thromboembolic Events ◽  
Descending Aorta ◽  
Aortic Thrombus

Abstract Neonatal aortic thrombus is a rare and critical condition that can present mimicking severe coarctation of the aorta or interrupted aortic arch. Transcatheter thrombectomy for this lesion has not been well described. We report a premature neonate with an occlusive proximal descending aorta thrombus, who underwent transcatheter mechanical thrombectomy using an Amplatzer Piccolo PDA occluder (Abbott, North Chicago, IL, USA). The procedure was successful with no subsequent distal thromboembolic events.

A Case of Interrupted Aortic Arch(Type B)

1994 ◽  
Vol 24 (3) ◽  
pp. 523
Author(s):  
Seung Ho Park ◽  
Hyuck Moon Kwon ◽  
June Kwan ◽  
Joon Han Shin ◽  
Myeong Ki Hong ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Interrupted Aortic Arch ◽  
Type B

Fetal Cardiovascular Morphology of Interrupted Aortic Arch Type B in Rats

1994 ◽  
Vol 9 (1) ◽  
pp. 44-52 ◽  
Author(s):  
Kazuo Momma ◽  
Masahiko Ando
Keyword(s):  
Aortic Arch ◽  
Interrupted Aortic Arch ◽  
Type B

Aortic atresia with interrupted aortic arch and bilateral arterial ductus: a successful initial palliation

2020 ◽  
Vol 30 (11) ◽  
pp. 1732-1734
Author(s):  
Muhammed Riyas K. Rahmath ◽  
Younes Boudjemline ◽  
Reema Y. Kamal
Keyword(s):  
Aortic Valve ◽  
Aortic Arch ◽  
Hybrid Approach ◽  
Pulmonary Arteries ◽  
Interrupted Aortic Arch ◽  
Type B ◽  
Aortic Atresia ◽  
The Brain

AbstractA combination of aortic valve atresia and an interrupted aortic arch is a unique disease in which perfusion to the brain and myocardium depends on coexisting lesions or type of interruption. We report a case of aortic valve atresia with type B interrupted arch, bilateral arterial ductus in a neonate who was successfully palliated using a hybrid approach by placing stents in both arterial ductus and banding of branch pulmonary arteries.

scholarly journals Swing-back and trap-door technique repair for interrupted aortic arch with right-sided descending aorta

2019 ◽  
Vol 29 (5) ◽  
pp. 818-819
Author(s):  
Shuichi Shiraishi ◽  
Ai Sugimoto ◽  
Masanori Tsuchida
Keyword(s):  
Congenital Anomaly ◽  
Aortic Arch ◽  
Surgical Repair ◽  
Interrupted Aortic Arch ◽  
Thoracic Cavity ◽  
Descending Aorta ◽  
Rare Congenital Anomaly ◽  
Trap Door ◽  
Oesophageal Obstruction ◽  
The Right

Abstract A right-sided descending aorta with a left aortic arch is a rare congenital anomaly in which the aortic arch crosses the midline from the left side of the trachea coursing to the descending aorta in the right thoracic cavity. The surgical repair of an interrupted aortic arch with a right-sided descending aorta carries great risks of bronchial and oesophageal obstruction. Herein, we describe a case of successful surgical repair of an interrupted aortic arch with a right-sided descending aorta using the swing-back and trap-door techniques.

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