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The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 285-288, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

One-stage correction of interrupted aortic arch combined with heart- lung transplantation

S Aranki, F Musumeci, A Khaghani, R Radley-Smith and M Yacoub
Harefield Hospital, Middlesex, England.

A technique for correction of interrupted aortic arch during heart-lung transplantation is described. This operation was performed in a 14-year- old patient with situs solitus, absent right atrioventricular connection, large atrial septal defect, ventricular septal defect, transposition of the great arteries, type B interrupted aortic arch, and severe pulmonary hypertension. The postoperative course was uneventful. Clinical, radiologic, and nuclear magnetic resonance investigation have shown evidence of good correction of the aortic arch anomaly. We concluded that donor tissue available during heart-lung transplantation is useful in correcting extracardiac anomalies.




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