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The Journal of Thoracic and Cardiovascular Surgery, Vol 86, 37-40, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Interrupted aortic arch. A conservative approach for the sick neonate

IL Kron, KS Rheuban, MS Carpenter and SP Nolan

Interrupted aortic arch with associated ventricular septal defect is a congenital cardiovascular defect which, untreated, is lethal in nearly 100% of the cases. We have treated nine patients by reconstructing the aorta with endogenous arch vessels; in five of them, concomitant pulmonary artery banding was also done. If two infants with preoperative complete renal failure are excluded, the mortality with this approach is only 29%. Long-term follow-up of these patients demonstrates excellent hemodynamic results with marked reduction of the anastomotic gradient in the older survivors. Growth of the anastomosis has been noted in the older survivors.

This article has been cited by other articles:

				M. Hakimi, S. K. Clapp, H. L. Walters III, J. M. Lyons, and W. R. Morrow Arch Growth After Staged Repair of Interrupted Aortic Arch Using Carotid Artery Interposition Ann. Thorac. Surg., August 1, 1997; 64(2): 503 - 507. [Abstract] [Full Text]