Staged Repair after Hybrid Palliation for Interrupted Aortic Arch with Systemic Outflow Tract Obstruction
10.5090/kjtcs.2019.52.1.32
- Author:
June LEE
1
;
Yong Han KIM
;
Cheul LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea. tscheul@hanmail.net
- Publication Type:Case Report
- Keywords:
Interrupted aortic arch;
Systemic outflow tract obstruction;
Hybrid palliation;
Yasui operation;
Congenital heart disease (CHD)
- MeSH:
Aorta, Thoracic;
Humans
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(1):32-35
- CountryRepublic of Korea
- Language:English
-
Abstract:
Surgical management of interrupted aortic arch (IAA) with systemic outflow tract obstruction is clearly a challenge. If both ventricles are adequate, the Yasui operation is a useful option. Otherwise, a staged approach through initial hybrid palliation and delayed biventricular repair, tailored to the degree of obstructed outflow, serves to avoid a high-risk neonatal procedure. Herein, we present a patient with IAA and severe systemic outflow tract obstruction whose treatment involved hybrid palliation, followed by a Yasui operation.
