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Ann Thorac Surg 1990;49:664-666
© 1990 The Society of Thoracic Surgeons

Articles

One-stage repair of absence of the aortopulmonary septum and interrupted aortic arch

Wen-Xiang Ding, MD*,a,b, Zhao-Kang Su, MDa,b, Ding-Fang Cao, MDa,b, Richard A. Jonas, MDa,b

a Department of Pediatric Cardiovascular Surgery, Xin Hua Hospital, Shanghai, People's Republic of China
b Department of Surgery, Shanghai Second Medical University, Shanghai, People's Republic of China

Accepted for publication September 5, 1989.

* Address reprint requests to Dr Ding, Department of Pediatric Cardiovascular Surgery, Xin Hua Hospilal, 1665 Kong Jiang Rd, Shanghai, People's Republic of China.

Absence of the aortopulmonary septum, interrupted aortic arch, aortic origin of the right pulmonary artery, intact ventricular septum, and patent ductus arteriosus is a rarely reported association. A 3-year-old boy underwent successful one-stage repair of this constellation of anomalies. A Dacron baffle was used both to close the huge aortopulmonary window and to direct blood to the right pulmonary artery. Type A interrupted aortic arch was repaired by direct anastomosis. Postoperatively, pulmonary artery pressure was less than half systemic pressure.




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