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Ann Thorac Surg 1991;51:646-648
© 1991 The Society of Thoracic Surgeons

Articles

Palliative repair of aortic atresia associated with tricuspid atresia and transposition of the great arteries

Yasuharu Imai, MD*, Hiromi Kurosawa, MD, Tadashi Fujiwara, MD, Shinji Fukuchi, MD, Kouzou Matsuo, MD, Masaaki Kawada, MD, Goro Ohtsuka, MD

Department of Pediatric Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan

Accepted for publication August 23, 1990.

* Address reprint requests to Dr Imai, Department of Pediatric Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical College, 8-1 Kawadacho, Shinjuku-ku, Tokyo 162, Japan.

Successful palliative repair of aortic atresia and hypoplastic aortic arch associated with tricuspid atresia in a neonate is described. The repair consisted of reconstruction of the hypoplastic aortic arch with an equine pericardial patch, division of the patent ductus arteriosus, connection of the pulmonary artery to the aorta, implantation of the proximal part of the ascending aorta into the main pulmonary artery, and anastomosis of a polytetrafluoroethylene graft 5 mm in diameter between the right ventricular outflow tract and the central pulmonary artery, which was transferred anteriorly to the main pulmonary artery.




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