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Ann Thorac Surg 1994;58:1750-1752
© 1994 The Society of Thoracic Surgeons

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Articles

Side-to-side carotid-subclavian anastomosis for interrupted aortic arch

Renato A.K. Kalil, MD^_*, Raul I.Rossi Filho, MD, Paulo Roberta Prates, MD, Joo R.M.Sant Anna, MD, Fernando A. Lucchese, MD, Ivo A. Nesralla, MD

Institute de Cardiologia do Rio Gronde do Sul, Porto Alegre, Brazil

Accepted for publication March 31, 1994.

^_* Address reprint requests to Dr Kalil, Institute de Cardiologia do Rio Grande do Sul, Fundaço Universitâria de Cardiologia, Av. Princesa Isabel 395, 90620-001 Porto Alegre, RS, Brazil.

A simple technique is proposed for restorating aortic flow in an interrupted aortic arch simulating a type B interruption that does not require aortic cross-clamping, circulatory arrest, or the ligation of major aortic branches. Side-to-side anastomosis between the left carotid and subclavian arteries together with division of the ductus arteriosus and pulmonary artery banding proved effective for relieving aortic arch stricture in that location.