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The Annals of Thoracic Surgery, Vol 39, 82-85, Copyright © 1985 by The Society of Thoracic Surgeons
JT Davis, R Ehrlich, WS Blakemore, M Lev and S Bharati
The association of truncus arteriosus with interrupted aortic arch
represents a formidable surgical challenge. Two successful repairs have
been reported, but none for the past ten years. This report presents a
third successful repair using a technique that allows the widely patent
ductus arteriosus to maintain continuity between the truncus (with
pulmonary arteries detached) and the descending aorta. Right ventricle-
pulmonary artery continuity is established in the usual way with a
porcine-valved conduit. While long-term potential difficulties with this
approach are recognized, it appears to give satisfactory initial palliation
and to be an acceptable method of treatment for this combination of
defects. The embryology and the anatomy of the lesion are briefly
discussed.
ARTICLES
Truncus arteriosus with interrupted aortic arch: report of a successful surgical repair
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J. T. Davis and I.-S. Chiu Use of ductal tissue in repair of interrupted aortic arch: a note of caution. Ann. Thorac. Surg., April 1, 1995; 59(4): 1045 - 1046. [Full Text] |
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