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Ann Thorac Surg 1992;53:909-911
© 1992 The Society of Thoracic Surgeons

Articles

Concomitant repair of aortopulmonary window and interrupted aortic arch

Michael T. Ingram, MD, David A. Ott, MD*

Divisions of Surgery, Texas Heart Institute and Texas Children's Hospital, Houston, Texas USA

Accepted for publication January 9, 1992.

* Address reprint requests to Dr Ott, Texas Heart Insture, PO Box 21)345, Houston, TX 77225.

Aortopulmonary window with type A interrupted aortic arch was diagnosed in 2 critically ill neonates. Echocardlographic diagnostic methods provided precise anatomic information, which allowed cardiac catheterization to be avoided before operation. Repair was undertaken through a midline sternotomy using hypothermie, low-flow cardiopulmonary bypass with subclavian turndown in one patient and hypothermic circulatory arrest with direct aortoaortic anastomosis in the other. Both methods provided good exposure and allowed favorable anatomic repair.




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