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

This Article 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 Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ilbawi, M. N. Articles by Paul, M. H. Search for Related Content PubMed PubMed Citation Articles by Ilbawi, M. N. Articles by Paul, M. H.

The Annals of Thoracic Surgery, Vol 45, 174-180, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Surgical management of patients with interrupted aortic arch and severe subaortic stenosis

MN Ilbawi, FS Idriss, SY DeLeon, AJ Muster, DW Benson Jr and MH Paul
Division of Cardiovascular-Thoracic Surgery, Children's Memorial Hospital, Chicago, IL 60614.

Ten patients underwent palliative surgery for interrupted aortic arch and severe subaortic obstruction due to posterior displacement of the conal septum. Their ages ranged between 4 and 28 days (mean, 11.0 +/- 7.7 days) and their weights, between 2.1 and 4.2 kg (mean, 2.85 +/- 0.6 kg). Preoperative echocardiography and cardiac catheterization were performed on all patients. The ratios of the left ventricular outflow tract diameters and the ascending aortic diameters to the descending aortic diameters were 0.56 +/- 0.03 and 0.56 +/- 0.06, respectively, compared with 0.81 +/- 0.12 and 0.95 +/- 0.17, respectively, in 20 patients with interrupted aortic arch but without obstruction (p less than 0.001). Four of the 10 patients underwent pulmonary artery banding and insertion of a bypass graft between the ascending and the descending aorta. All 4 died of low cardiac output soon after operation (100% operative mortality). The remaining 6 patients underwent banding and insertion of a graft between the main pulmonary artery proximal to the band, and the descending aorta. All of these patients survived, and all except 1 are doing well 3 months to 4 years postoperatively. The use of a pulmonary artery-descending aorta conduit and of distal pulmonary artery banding provides good palliation for patients with interrupted aortic arch and major subaortic stenosis.

This article has been cited by other articles:

				P. K. Mishra Management strategies for interrupted aortic arch with associated anomalies Eur. J. Cardiothorac. Surg., April 1, 2009; 35(4): 569 - 576. [Abstract] [Full Text] [PDF]

				T. Tlaskal, B. Hucin, J. Hruda, J. Marek, V. Chaloupecky, M. Kostelka, J. Janousek, and J. Skovranek Results of primary and two-stage repair of interrupted aortic arch Eur. J. Cardiothorac. Surg., September 1, 1999; 14(3): 235 - 242. [Abstract] [Full Text] [PDF]

				R. D. Mainwaring and J. J. Lamberti Mid- to Long-Term Results of the Two-Stage Approach for Type B Interrupted Aortic Arch and Ventricular Septal Defect Ann. Thorac. Surg., December 1, 1997; 64(6): 1782 - 1785. [Abstract] [Full Text]

				A. Serraf, F. Lacour-Gayet, M. Robotin, J. Bruniaux, M. Sousa-Uva, R. Roussin, and C. Planche REPAIR OF INTERRUPTED AORTIC ARCH: A TEN-YEAR EXPERIENCE J. Thorac. Cardiovasc. Surg., November 1, 1996; 112(5): 1150 - 1160. [Abstract] [Full Text]

				G. B. Luciani, R. J. Ackerman, A. C. Chang, W. J. Wells, and V. A. Starnes ONE-STAGE REPAIR OF INTERRUPTED AORTIC ARCH, VENTRICULAR SEPTAL DEFECT, AND SUBAORTIC OBSTRUCTION IN THE NEONATE: A NOVEL APPROACH J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 348 - 358. [Abstract] [Full Text]

				M. L. Jacobs, J. Rychik, J. D. Murphy, S. C. Nicolson, J. M. Steven, and W. I. Norwood RESULTS OF NORWOOD'S OPERATION FOR LESIONS OTHER THAN HYPOPLASTIC LEFT HEART SYNDROME J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1555 - 1562. [Abstract] [Full Text]

				M. L. Jacobs, A. J. Chin, J. Rychik, J. M. Steven, S. C. Nicolson, and W. I. Norwood Interrupted Aortic Arch : Impact of Subaortic Stenosis on Management and Outcome Circulation, November 1, 1995; 92(9): 128 - 131. [Abstract] [Full Text]

				H. M. F. Al-Marsafawy, S. Y. Ho, A. N. Redington, and R. H. Anderson The relationship of the outlet septum to the aortic outflow tract in hearts with interruption of the aortic arch J. Thorac. Cardiovasc. Surg., June 1, 1995; 109(6): 1225 - 1236. [Abstract] [Full Text]

				K. R. Kanter, B. E. Miller, A. G. Cuadrado, and R. N. Vincent Successful Application of the Norwood Procedure for Infants Without Hypoplastic Left Heart Syndrome Ann. Thorac. Surg., February 1, 1995; 59(2): 301 - 304. [Abstract] [Full Text]

				J. M. Quaegebeur, R. A. Jonas, A. D. Weinberg, E. H. Blackstone, J. W. Kirklin, and the Congenital Heart Surgeons Society Outcomes in seriously ill neonates with coarctation of the aortaA multiinstitutional study J. Thorac. Cardiovasc. Surg., November 1, 1994; 108(5): 841 - 854. [Abstract] [Full Text]

				R. A. Jonas, Boston, Mass., J. M. Quaegebeur, N. York, N.Y., J. W. Kirklin, E. H. Blackstone, Birmingham, Ala., et al. Outcomes in patients with interrupted aortic arch and ventricular septal defectA multiinstitutional study J. Thorac. Cardiovasc. Surg., April 1, 1994; 107(4): 1099 - 1113. [Abstract] [Full Text]