Aortic Arch Reconstruction with an Autologous Pulmonary Arterial-Roll Tube in an Interrupted Aortic Arch
DOI:
https://doi.org/10.1532/HSF98.20091073Abstract
We report a case of aortic arch reconstruction with an autologous pulmonary arterial-roll tube in a 4-year-old child with a type A interrupted aortic arch. The autologous pulmonary arterial-roll tube dilated progressively after the operation, and some severe complications occurred, including formation of an aneurysm. A second operation was performed to resect the aortic aneurysm and to interpose a Dacron tube graft. We conclude that the aforementioned dilation may limit the use of an autologous pulmonary arterial-roll tube in the construction of the aortic arch.References
Brown JW, Ruzmetov M, Okada Y, Vijay P, Rodefeld MD, Turrentine MW. 2006. Outcomes in patients with interrupted aortic arch and associated anomalies: a 20-year experience. Eur J Cardiothorac Surg 29:666-73.nKawashima Y, Oyama C, Mori T, Manabe H. 1975. Interruption of the aortic arch associated with patent ductus arteriosus and ventricular septal defect. Proposal of a new surgical technique for total correction. J Cardiovasc Surg (Torino) 16:426-31.nKoul B, Al-Rashidi F, Bhat M, Meurling C. 2007. A modified Ross operation to prevent pulmonary autograft dilatation. Eur J Cardiothorac Surg. 31:127-8.nRoussin R, Belli E, Lacour-Gayet F, et al. 2002. Aortic arch reconstruction with pulmonary autograft patch aortoplasty. J Thorac Cardiovasc Surg 123:443-8; discussion 449-50.nSchreiber C, Eicken A, Vogt M, et al. 2000. Repair of interrupted aortic arch: results after more than 20 years. Ann Thorac Surg 70:1896-9.n
