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Ann Thorac Surg 1988;45:441-444
© 1988 The Society of Thoracic Surgeons

Articles

Successful surgical repair of truncus arteriosus with interrupted aortic arch in infancy by an anterior approach

Keiichi Fujiwara, M.D., Yoshio Yokota, M.D.*, Fumio Okamoto, M.D., Yoshiharu Kiyota, M.D., Eiji Sugawara, M.D., Junzo Iemura, M.D., Seiichiro Makino, M.D.

From the Departments of Cardiovascular Surgery and Cardiology, the Heart Institute, Hyogo Kenritsu Amagasaki Hospital, Amagasaki, Hyogo, Japan

Accepted for publication August 7, 1987.

* Address reprint requests to Dr. Yokota, Department of Cardiovascular Surgery, Hyogo Kenritsu Amagasaki Hospital, 1-1-1 Higashi-Daimotsu, Amagasaki, Hyogo 660, Japan.

A 98-day-old infant was successfully operated on for truncus arteriosus (type I) with interrupted aortic arch (type B) using a one-stage anterior approach. The interrupted aortic arch was reconstructed by direct anastomosis between the ascending and descending aorta. The ventricular septal defect was closed, and a 12-mm porcine valved conduit was placed on the right side of the ascending aorta to establish continuity between the right ventricle and pulmonary artery. Surgical procedures for the repair of this malformation are the focus of discussion.




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