Concomitant repair of aortopulmonary window and interrupted aortic arch.

Ingram, M T; Ott, D A · Ann Thorac Surg · 1992

case_report · Level V

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Abstract

Aortopulmonary window with type A interrupted aortic arch was diagnosed in 2 critically ill neonates. Echocardiographic diagnostic methods provided precise anatomic information, which allowed cardiac catheterization to be avoided before operation. Repair was undertaken through a midline sternotomy using hypothermic, low-flow cardiopulmonary bypass with subclavian turn-down in one patient and hypothermic circulatory arrest with direct aortoaortic anastomosis in the other. Both methods provided good exposure and allowed favorable anatomic repair.

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