The Journal of Thoracic and Cardiovascular Surgery, Vol 91, 200-204, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Primary reconstruction of interrupted aortic arch by total aortic outflow obstruction
JD Galla, SL Lansman, RC Lowery, MA Ergin and RB Griepp
Primary aortic arch reconstruction was undertaken in three neonates with
interrupted aortic arch and ventricular septal defect. Total ascending
aortic occlusion without cardiopulmonary bypass or profound hypothermia
permitted, in each case, a rapid tension-free end-to-side
descending-to-ascending aortic anastomosis without resulting neurologic or
cardiac sequelae. This technique offers distinct advantages over previously
described methods and should be considered whenever interrupted aortic arch
is present with a ventricular septal defect.