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Toshikatsu Yagihara
Fumio Yamamoto
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Hideki Uemura
Yasunaru Kawashima
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Ann Thorac Surg 1992;54:991-992
© 1992 The Society of Thoracic Surgeons

Articles

New surgical technique for total-defect aortopulmonary window

Osamu Matsuki, MD*, Toshikatsu Yagihara, MD, Fumio Yamamoto, MD, Kyoichi Nishigaki, MD, Hideki Uemura, MD, Yasunaru Kawashima, MD

Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Japan

Accepted for publication June 30, 1992.

* Address reprint requests to Dr Matsuki, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, 565 Japan.

A new technique is described to repair aortopulmonary window with total defect in an 8-day-old baby. Because we expected the future growth of aorta, we used the anterior wall of the pulmonary artery as a large flap to reconstruct the posterolateral aortic wall. An equine pericardial patch was used to repair the defect in the pulmonary artery. This is a logically effective method for aortic reconstruction in a neonate with a large aortopulmonary septal defect.




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