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Ann Thorac Surg 1993;56:142-148
© 1993 The Society of Thoracic Surgeons

Articles

Repair of interrupted aortic arch with an augmented aortic anastomosis

Charles A. Dietl, MD*, Alberto R. Torres, MD

Institute of Cardiology and Cardiovascular Surgery, Fundación Favaloro, Buenos Aires, Argentina

Accepted for publication November 24, 1992.

* Address reprint requests to Dr Dietl, Department of Cardiothoracic Surgery, Foss-8, Geisinger Medical Center, Danvilie, PA 17822-1343.

In cases of interrupted aortic arch type A, the end-to-end aortic anastomosis can be enlarged with a left subclavian flap. In type B interruption, the divided left carotid artery is anastomosed to the distal aorta, and the anastomosis can be augmented with a reversed left subclavian flap. These techniques provide a tension-free, much wider, and noncircumferential anastomosis with potential for growth. Using a combined lateral and anterior approach, the duration of circulatory arrest for the intracardiac repair is minimized.




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