Anatomic correction of interrupted aortic arch complex in neonates. Bailey LL, Jacobson JG, Doroshow RW, Merritt WH, Petry EL.Dilatation of the ductus arteriosus by prostaglandin E1 in aortic arch abnormalities. Heymann MA, Berman W, Jr, Rudolph AM, Whitman V.The use of prostaglandin E1 in an infant with interruption of the aortic arch. Lang P, Freed MD, Rosenthal A, Castaneda AR, Nadas AS.Resection of the aortic arch with moderate hypothermia and temporary circulatory arrest. Technique of "open" distal anastomosis for ascending and transverse arch resection. Association of interrupted aortic arch with malformations producing reduced blood flow to the fourth aortic arches. Aortic arch interruption in infancy: radio- and angiographic features. The triad of congenital absence of aortic arch (isthmus aortae), patent ductus arteriosus and interventricular septal defect a trilogy. Interrupted aortic arch-anatomical features of surgical significance. Ho SY, Wilcox BR, Anderson RH, Lincoln JC.Correction of type B aortic arch interruption with ventricular and atrial septal defects in a three-day-old infant. Murphy DA, Lemire GG, Tessler I, Dunn GL.CONCEPCION RUIZ VILLALOBOS M, DE BALDERRAMA DP, LOPEZ Y LOPEZ J, CASTELLANOS M.Complete interruption of the aorta at the arch. Interrupted aortic arch: surgical treatment. Van Praagh R, Bernhard WF, Rosenthal A, Parisi LF, Fyler DC.Solitary interruption of the arch of the aorta. Links to PubMed are also available for Selected References. Get a printable copy (PDF file) of the complete article (1.0M), or click on a page image below to browse page by page. Full textįull text is available as a scanned copy of the original print version. The three basic techniques were (1) direct aortic to aortic anastomosis bridging the gap, (2) “turndown” or “turnup” of one of the arch vessels to the aorta across the gap, or (3) bypass of the interruption with graft material.īecause aortic arch and associated cardiac anomalies represent a neonatal surgical emergency, our therapeutic plan consists of treatment for biventricular failure and PGE 1 infusion to maintain ductal patency, and surgical correction as soon as feasible. A variety of individualized techniques were used to repair the defects. There were 12 Type A (30%), 26 Type B (67%) and one Type C (3%). Two of these (4.6%) had no associated intracardiac lesions, and both survived bypass grafting without complications. Since the first patient with this congenital anomaly was treated at our institution in 1965, 39 patients have undergone surgical treatment. Type C, which is the most uncommon type, is interrupted between the innominate and left common carotid arteries. Type B, which is the most common form, is interrupted between the left common carotid and the left subclavian arteries. There are three types of IAA: Type A is interrupted distal to the left subclavian artery. Because the median age at death in untreated cases is 10 days, this condition usually occurs as a complicated neonatal surgical emergency. More than 97% of the cases also have associated cardiac anomalies complicating their treatment. IAA repair and VSD closure are planned as second stage surgery.Interrupted aortic arch (IAA) is an uncommon congenital anomaly representing approximately 1% of congenital heart disease. Bilateral PA banding was done as first stage surgery. The patient was managed with two stages surgery. Cardiac MSCT showed LSCA and descending aorta come from PDA. The echocardiography showed aortic interruption between the left common carotid artery (LCCA) and left subclavian artery (LSCA). The CXR examination revealed absent of aortic knob. Physical examination revealed b lood pressures and oxygen saturation were lower at upper right arm and both legs. A four months old female baby was referred with dyspnea, failure to thrive and recurrent respiratory infection. In the absence of surgical repair, mortality approaches 75% in the first month of life and 90% by one year. Its hallmark feature is a lack of luminal continuity between the ascending aorta and the descending aorta. Interrupted aortic arch (IAA) is a rare genetic disorder of the cardiovascular system, present in approximately 2 cases per 100,000 live births and comprising 1.5% of all cases of congenital heart disease (CHD). IAA, diagnosis, management Abstract Abstract
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