Complete Repair of Double Outlet Right Ventricle and Interrupted Aortic Arch (Arch Reconstruction+Arterial Switch Operation+Intra-ventricular Rerouting) after Bilateral Pulmonary Artery Banding

VernacularTitle:両側肺動脈絞扼術後に根治手術（大動脈弓再建＋動脈スイッチ手術＋心室内血流路作成）を施行した両大血管右室起始・大動脈弓離断症の1例
Author: Shuichi Shiraishi ; Masashi Takahashi ; Maya Watanabe ; Ai Sugimoto ; Masanori Tsuchida
Publication Type:Journal Article
Keywords: double outlet right ventricle; interrupted aortic arch; pulmonary artery banding; staged operation
From:Japanese Journal of Cardiovascular Surgery 2014;43(5):265-269
CountryJapan
Language:Japanese
Abstract: We performed bilateral pulmonary artery banding (BPAB) through a median sternotomy on a four-day-old male infant with a double-outlet right ventricle (DORV) and interrupted aortic arch (IAA) who was delivered at 40 weeks of gestation. After urinary output improved, definitive repair was carried out 5 days later. Intra-ventricular rerouting was followed by arterial switch with the Lecompte maneuver. The aortic arch was reconstructed with direct anastomosis and the right ventricular outflow tract was augmented with a patch. The sternum was left open at the end of the procedure and the chest was closed on post-operative day (POD) 4. The patient was discharged from hospital on POD 78 after receiving treatment for pneumonia and chylothorax.