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Ann Thorac Surg 1991;51:312-314
© 1991 The Society of Thoracic Surgeons

Articles

Aortic atresia with normal left ventricle: One-stage repair in early infancy

Ad J.J.C. Bogers, MD*, Narayanswami Sreeram, MRCP1, John Hess, MD, George R. Sutherland, FRCP, Jan M. Quaegebeur, MD

Departments of Thoracic Surgery and Cardiology, Thoraxcenter, Dijkzigt University Hospital, and Pediatric Cardiology, Sophia Children's Hospital, Rotterdam, the Netherlands

Accepted for publication August 27, 1990.

* Address reprint requests to Dr Bogers, Thoraxcenter Bd 156, Dijkzigt University Hospital, Dr Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.

Successful one-stage repair of aortic atresia with a left ventricle was performed in a 6-week-old infant using a new technique. After patch enhancement of the hypoplastic aortic arch, the transected proximal pulmonary artery was directly anastomosed to the aortic arch. An intraventricular baffle established continuity between the left ventricle and neoaortic valve, and a homograft conduit was inserted between the right ventricle and pulmonary artery bifurcation.




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