HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Pat O. Daily Norman E. Shumway Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Daily, P. O. Articles by Shumway, N. E. Search for Related Content PubMed PubMed Citation Articles by Daily, P. O. Articles by Shumway, N. E.

Ann Thorac Surg 1975;19:180-190
© 1975 The Society of Thoracic Surgeons

---

Articles

Correction of Absence of the Aortopulmonary Septum by Creation of Concentric Great Vessels

From the Department of Cardiovascular Surgery, Division of Pediatric Cardiology, Department of Pediatrics, and Department of Radiology, Stanford University School of Medicine, Stanford, Calif.

Accepted for publication September 18, 1974.

^* Address reprint requests to Dr. Daily, Division of Cardiac Surgery, University Hospital, 225 W. Dickinson St., San Diego, Calif. 92103.

An 18-year-old patient is reported who had simultaneous occurrence of aortopulmonary septal absence, complete interruption of the aortic arch, and patent ductus arteriosus. This is the only known patient who has had total anatomical correction of this combination of defects. Correction was accomplished by staged procedures; the first stage consisted of obliteration of the patent ductus and establishment of aortic continuity; this was followed one year later by the second stage, which included a unique method for repair of absence of the aortopulmonary septum. The surgical desirability and embryological implications of criteria for differentiating truncus arteriosus from aortopulmonary septal defect are presented. Follow-up physiological evaluations and the patient's death from the effects of increasing pulmonary vascular disease (despite early symptomatic improvement) approximately two years after completion of the repair underscore the importance of early diagnosis and operative intervention.

This article has been cited by other articles:

				W.-X. Ding, Z.-K. Su, D.-F. Cao, and R. A. Jonas One-stage repair of absence of the aortopulmonary septum and interrupted aortic arch Ann. Thorac. Surg., April 1, 1990; 49(4): 664 - 666. [Abstract] [PDF]

				J. G. Jacobson, G. A. Trusler, and T. Izukawa Repair of Interrupted Aortic Arch and Aortopulmonary Window in an Infant Ann. Thorac. Surg., September 1, 1979; 28(3): 290 - 294. [Abstract] [PDF]

				G. F. O. Tyers Truncus Arteriosus Ann. Thorac. Surg., June 1, 1976; 21(6): 576 - 576. [PDF]

				P. O. Daily and N. J. Sissman Truncus Arteriosus: Reply Ann. Thorac. Surg., June 1, 1976; 21(6): 576 - 577. [PDF]