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The Annals of Thoracic Surgery, Vol 56, 142-148, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Repair of interrupted aortic arch with an augmented aortic anastomosis

CA Dietl and AR Torres
Institute of Cardiology and Cardiovascular Surgery, Fundacion Favaloro, Buenos Aires, Argentina.

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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