Korean J Thorac Cardiovasc Surg.  2014 Apr;47(2):129-132.

Arch Reconstruction with Autologous Pulmonary Artery Patch in Interrupted Aortic Arch

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. pkjj@amc.seoul.kr

Abstract

Various surgical techniques have been developed for the repair of an interrupted aortic arch. However, tension and Gothic arch formation at the anastomotic site have remained major problems for these techniques: Excessive tension causes arch stenosis and left main bronchus compression, and Gothic arch configuration is related to cardiovascular complications. To resolve these problems, we adopted a modified surgical technique of distal aortic arch augmentation using an autologous main pulmonary artery patch. The descending aorta was then anastomosed to the augmented aortic arch in an end-to-side manner. Here, we report two cases of interrupted aortic arch that were repaired using this technique.

Keyword

Interrupted aortic arch; Main pulmonary artery patch; Gothic arch

MeSH Terms

Aorta, Thoracic*
Bronchi
Constriction, Pathologic
Pulmonary Artery*
Full Text Links
  • KJTCS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error