A New Method of One Stage Correction of Taussig-Bing Anomaly with Interrupted Aortic Arch: 1 case report.
- Author:
Jong Pil JUNG
1
;
Dong Man SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Korea.
- Publication Type:Case Report
- Keywords:
Taussig-Bing anomaly;
interrupted aortic arch;
total correction
- MeSH:
Alprostadil;
Aorta;
Aorta, Thoracic*;
Arteries;
Catheterization;
Catheters;
Diagnosis;
Double Outlet Right Ventricle*;
Humans;
Infant;
Male;
Pulmonary Artery;
Ventricular Outflow Obstruction
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(1):83-87
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Taussig-Bing anomaly is infrequently associated with interrupted aortic arch and size discrepancy of great arteries makes it difficult to undergo arch recons- truction and arterial switch operation. A 20-day old male infant was admitted with the diagnosis of Taussig-Bing anomaly with type B interrupted aortic arch. Multi-organ failure, due to the diminution of ductal flow, was stabilized after 3 weeks of prostaglandin E1 and controlled ventilatory support. The surgical correction consisted of VSD closure, arterial swtich and extended aortic arch reconstruction. The marked disparity between the hypoplastic ascending aorta and the dilated main pulmonary artery was overcome by constructing distal neoaorta using both native ascending and descending aortic tissue. The patient was extubated on postoperative 2nd day. Postoperative catheterization showed no left ventricular outflow obstruction, no intracardiac shunt, and no incompetence of neoaortic valve.
