Document Detail


Off-pump aortic arch repair through a median sternotomy for type B interrupted aortic arch with single ventricle physiology.
MedLine Citation:
PMID:  17488417     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aortic arch repair for interrupted aortic arch (IAA) with the hypoplastic ascending aorta through a median sternotomy requires cardiopulmonary bypass (CPB), which is very invasive in neonates and complicates pulmonary artery banding (PAB) is staged repair. METHODS: A 22-day-old neonate with a type B IAA having a functional single ventricle underwent arch repair and PAB through a median sternotomy without CPB. A partial occlusion clamp could be placed on the ascending aorta without cerebral malperfusion and the descending aorta could be directly anastomosed to the ascending aorta in an end-to-side fashion under stable circulatory condition. Thereafter, the tight PAB was performed with a circumference of 23mm without any difficulty. RESULTS: The postoperative echocardiogram revealed no stenosis on the anastomotic site and the patient was discharged uneventfully. CONCLUSION: This approach is effective in neonates with IAA who require staged repair, and least invasive for them.
Authors:
Satoru Wakasa; Toshifumi Murashita; Takehiro Kubota; Hiroshi Sugiki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  22     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2007-05-09     Completed Date:  2007-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  215-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Hokkaido University Hospital, Kita-14, Nishi-5, Kita-ku, Sapporo 060-8648, Japan. wakasa@med.hokudai.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aortic Diseases / congenital,  surgery*
Cardiopulmonary Bypass
Cardiovascular Surgical Procedures / methods*
Heart Defects, Congenital / surgery*
Humans
Infant, Newborn
Male
Sternum / surgery
Thoracotomy

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


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