Document Detail

Repair of truncus arteriosus and interrupted aortic arch.
MedLine Citation:
PMID:  2133837     Owner:  NLM     Status:  MEDLINE    
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.
S Sano; W J Brawn; R B Mee
Related Documents :
10369647 - Taussig-bing anomaly and arterial switch: aortic arch obstruction does not influence ou...
2346227 - The early development of the tunica media in the vascular system of rat embryos.
10758387 - Surgical management of atherosclerotic aortic arch aneurysms using selective cerebral p...
16779507 - Aberrant right subclavian artery associated with a common origin of carotid arteries.
20028907 - Clinical utility of multiplanar reformation in pulmonary ct angiography.
19749227 - Intrinsic pathway-mediated apoptosis in elastase-induced aneurysms in rabbits.
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    
Department of Victorian Paediatric Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anastomosis, Surgical / methods
Aorta, Thoracic / abnormalities*,  surgery
Blood Vessel Prosthesis
Cardiopulmonary Bypass
Follow-Up Studies
Hypothermia, Induced
Infant, Newborn
Postoperative Complications
Pulmonary Valve / surgery
Sternum / surgery
Truncus Arteriosus, Persistent / surgery*
Reg. No./Substance:

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

Previous Document:  Sudden development of intraoperative left ventricular outflow obstruction: differential and mechanis...
Next Document:  Reoperative cardiac surgery using a new femoral venous right atrial cannula.