Korean J Thorac Cardiovasc Surg.
2003 Oct;36(10):759-765.
One-stage Repair of Truncus Arteriosus with Interrupted Aortic Arch
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Pusan National University, Pusan, Korea. scsung@pusan.ac.kr
- 2Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dong-A University, Pusan, Korea.
- 4Department of Pediatrics, College of Medicine, Dong-A University, Pusan, Korea.
Abstract
- Truncus arteriosus with interrupted aortic arch is a very rare congenital cardiac anomaly that has an unfavorable natural course. We report a successful one-stage repair of truncus arteriosus with interrupted aortic arch through median sternotomy in a 25-day-old neonate weighing 3.1 kg. We reconstructed the aortic arch with direct side-to-end anastomosis between ascending and descending aortas. The right ventricular outflow reconstruction was performed with untreated autologous pericardial conduit without valve following Lecompte maneuver. The patient has been grown-up in good condition (25~50 percentile of body weight) and shows the right ventricular outflow tract wide 1 year after the operation.
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