Document Detail


Repair of truncus arteriosus and interrupted aortic arch.
MedLine Citation:
PMID:  2133837     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of seven patients with truncus arteriosus and interrupted aortic arch (IAA) comprises our surgical experience in this condition. All underwent primary complete repair via median sternotomy between June 1985 and December 1989. Median age at repair was 8 days and median weight, 3.2 kg. Anatomy of these seven patients was truncus arteriosus type "1 1/2" in five patients and type II in two patients, IAA type B in six patients and type A in one patient. Aortic arch was reconstructed by direct anastomosis of ascending aorta and descending aorta. Right ventricle to pulmonary artery continuity was established with a porcine valved conduit in four patients, aortic homograft in two, and aortic homograft monocusp patch in one. Three patients have required five reoperations (three in one patient). One reoperation was due to compression of the left main bronchus from the reconstructed aorta, one was due to obstruction of the aorta at the site of IAA repair, and one was due to compression of the left main bronchus, right pulmonary artery, and residual stenosis across the hypoplastic ascending aorta. There were no early or late deaths and all seven survivors are currently well with a mean follow-up of 29 months from initial repair.
Authors:
S Sano; W J Brawn; R B Mee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  5     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1992-04-09     Completed Date:  1992-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  157-62     Citation Subset:  IM    
Affiliation:
Department of Victorian Paediatric Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Aorta, Thoracic / abnormalities*,  surgery
Blood Vessel Prosthesis
Cardiopulmonary Bypass
Follow-Up Studies
Humans
Hypothermia, Induced
Infant
Infant, Newborn
Polytetrafluoroethylene
Postoperative Complications
Pulmonary Valve / surgery
Sternum / surgery
Thoracotomy
Truncus Arteriosus, Persistent / surgery*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

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


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