Document Detail

Interruption of the ascending aorta: a hitherto undescribed lesion.
MedLine Citation:
PMID:  18355555     Owner:  NLM     Status:  MEDLINE    
We are describing a most unusual variant of aortic arch interruption. The ascending aorta was atretic above the sinutubular junction forming a blind-ending pouch. The coronary arteries were the only vessels arising from the aortic trunk. All the brachiocephalic vessels were perfused in retrograde fashion through the arterial duct. The aortic valve itself was dysplastic, stenotic, and permitted severe regurgitation. There was no subaortic obstruction. A modified first stage Norwood palliation was performed. Due to myocardial insufficiency transthoracic extracorporeal membrane oxygenation had to be commenced at the end of surgery. Unfortunately the child died due to severe intracranial hemorrhage.
Michael Weidenbach; Ingo Daehnert; Vit Razek; Alexandra Beller; Jan Janousek; Martin Kostelka; Robert H Anderson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  85     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-21     Completed Date:  2008-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1451-3     Citation Subset:  AIM; IM    
Department of Pediatric Cardiology, Heart Center Leipzig, Leipzig, Germany.
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MeSH Terms
Abnormalities, Multiple / diagnosis,  surgery
Aneurysm, Ruptured / diagnosis,  surgery
Aorta / abnormalities*
Arteriovenous Malformations / diagnosis,  surgery*
Brachiocephalic Trunk / abnormalities*
Cardiac Surgical Procedures / methods
Disease Progression
Extracorporeal Membrane Oxygenation / methods
Fatal Outcome
Heart Defects, Congenital / diagnosis,  surgery*
Infant, Newborn
Postoperative Complications / diagnosis,  therapy
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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