The Korean Journal of Thoracic and Cardiovascular Surgery  2014;47(2):129-132

Arch Reconstruction with Autologous Pulmonary Artery Patch in Interrupted Aortic Arch.

Won Young LEE 1 ; Jeong Jun PARK

Affiliations

+expand

Keywords

Interrupted aortic arch; Main pulmonary artery patch; Gothic arch

Country

Republic of Korea

Language

English

Abstract

Various surgical techniques have been developed for the repair of an interrupted aortic arch. However, tension and Gothic arch formation at the anastomotic site have remained major problems for these techniques: Excessive tension causes arch stenosis and left main bronchus compression, and Gothic arch configuration is related to cardiovascular complications. To resolve these problems, we adopted a modified surgical technique of distal aortic arch augmentation using an autologous main pulmonary artery patch. The descending aorta was then anastomosed to the augmented aortic arch in an end-to-side manner. Here, we report two cases of interrupted aortic arch that were repaired using this technique.