Truncus Arteriosus associated with Interrupted Aortic Arch.
- Author:
Kwan Chang KIM
1
;
Sae Hoon CHOI
;
Woo Sung JANG
;
In Gwon YEO
;
Woong Han KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea. woonghan@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic arch interruption;
Truncus arteriosus;
Rastelli operation;
Aorta, arch
- MeSH:
Aorta;
Aorta, Thoracic*;
Bronchi;
Constriction, Pathologic;
Follow-Up Studies;
Heart Ventricles;
Humans;
Infant;
Perfusion;
Pulmonary Artery;
Reoperation;
Truncus Arteriosus*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2005;38(12):852-855
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 85-day-old infant was successfully operated on for truncus arteriosus (type I) with interrupted aortic arch (type A) using one-stage anterior approach without circulatory arrest. Aortic arch was reconstructed by direct anastomosis of ascending aorta and descending aorta with regional perfusion and continuity of right ventricle to pulmonary artery was established with Shelhigh(R) pulmonic conduit. The patient experienced left bronchus compression by descending aorta immediately postoperatively, which was improved with positional change and physiotherapy. The patient had reoperation due to stenosis of valved conduit at 13 months later. The patient is currently well under follow-up of 14 months from initial repair.
