Surgical Repair of Double Outlet Right Ventricle and Coarctation of the Aorta in a Neonate with a Right Aortic Arch
10.4326/jjcvs.35.188
- VernacularTitle:右側大動脈弓に大動脈縮窄症を合併した両大血管右室起始症の一期的手術の１例
- Author:
Yoshifumi Kunii
;
Keiichiro Kasama
;
Motohiko Goda
;
Hiroharu Hikawa
;
Yukihisa Isomatsu
;
Masatsugu Terada
;
Yoshinori Takanashi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(3):188-191
- CountryJapan
- Language:Japanese
-
Abstract:
Coarctation of the aorta (CoA) complicates with right aortic arch (RAA) is very rare, and its surgical treatment in the neonatal period is extremely uncommon. We performed surgical repair for a 27-day-old boy given a diagnosis of double outlet right ventricle (DORV) and CoA with RAA. The procedures consisted of an arterial switch, intra-ventricular re-routing, aortic arch reconstruction using an equine-pericardial roll and right ventricular outflow reconstruction (RVOTR) with autologous pericardium. We performed re-RVOTR 41 days after the operation because the autologous pericardium used for RVOTR showed aneurysmal dilatation. After the second operation, this patient has done well.
