Korean J Thorac Cardiovasc Surg.  2019 Feb;52(1):32-35. 10.5090/kjtcs.2019.52.1.32.

Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction

• Lee J
• Kim YH
• Lee C

• KMID: 2452021
• DOI: http://doi.org/10.5090/kjtcs.2019.52.1.32

Abstract

Surgical management of interrupted aortic arch (IAA) with systemic outflow tract obstruction is clearly a challenge. If both ventricles are adequate, the Yasui operation is a useful option. Otherwise, a staged approach through initial hybrid palliation and delayed biventricular repair, tailored to the degree of obstructed outflow, serves to avoid a high-risk neonatal procedure. Herein, we present a patient with IAA and severe systemic outflow tract obstruction whose treatment involved hybrid palliation, followed by a Yasui operation.

Keyword

Interrupted aortic arch; Systemic outflow tract obstruction; Hybrid palliation; Yasui operation; Congenital heart disease (CHD)

MeSH Terms

Aorta, Thoracic*
Humans