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Ann Thorac Surg 1991;51:680-682
© 1991 The Society of Thoracic Surgeons

Articles

New operative method for distal aortopulmonary septal defect

Tetsuya Kitagawa, MD*, Itsuo Katoh, MD, Hiroki Taki, MD, Yoshinari Wakisaka, MD, Yoshiyasu Egawa, MD, Yoshio Takahashi, MD, Hiroshi Akita, MD, Suguru Matsuoka, MD

Department of Cardiovascular Surgery, Second Department of Surgery, and Department of Pediatrics, The University of Tokushima, Tokushima, Japan

Accepted for publication January 25, 1991.

* Address reprint requests to Dr Kitagawa, Department of Cardiovascular Surgery, The University of Tokushima, Kuramoto 2, Tokushima 770, Japan.

A new technique is described for repairing distal aortopulmonary septal defect with aortic origin of the right pulmonary artery in a 26-day-old neonate. To prevent the narrowing of the proximal right pulmonary artery in the distal aortopulmonary septal defect caused by conventional intraluminal prosthetic patch reconstruction, rerouting of the right pulmonary artery using native aortic wall tissue without artificial material was performed. This method seems to be superior to the conventional method, especially during the neonatal period.




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