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Ann Thorac Surg 1989;48:587-589
© 1989 The Society of Thoracic Surgeons

Articles

Truncus Arteriosus With Interrupted Aortic Arch: Successful Correction in a Neonate

Roxane McKay, MD, FRCS*, Satoru Miyamoto, MD, Ian Peart, MB, BCh, MRCP, Sergio A. Battistessa, MD, Christopher Wren, MB, ChB, MRCP, Mary Cunliffe, MB, BS, FFARCS, Alfonso Robles, MD

The Royal Liverpool Children's Hospital, Liverpool, and Freeman Hospital, Newcastle-upon-Tyne, England

Accepted for publication March 15, 1989.

* Address reprint requests to Dr McKay, Royal Liverpool Children's Hospital, Myrtle Street, Liverpool L7 7DG England

Truncus arteriosus (type II) with interrupted aortic arch (type B) was successfully repaired at 11 days of age using anterior translocation of the pulmonary arteries, resection of the ductus arteriosus, and direct anastomosis between the descending aorta and truncus. This technique permitted wide reconstruction of the aortic arch and minimized the number of suture lines. It also positioned the right ventricle-pulmonary artery conduit anteriorly, which may simplify its subsequent replacement.




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