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Ivatury M. Rao
Jeffrey S. Swanson
Hagop Hovaguimian
Albert Starr
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Ann Thorac Surg 1995;59:216-218
© 1995 The Society of Thoracic Surgeons


Articles

Anterior pulmonary translocation for repair of truncus arteriosus with interrupted arch

MD Ivatury M. Rao, MD Jeffrey S. Swanson, MD Hagop Hovaguimian, MD David M. Mclrvin, MD Douglas H. King, MD Albert Starr*

Children's Cardiac Center of Oregon, Portland, Oregon

Accepted for publication April 21, 1994.

* Dr Starr, Children's Cardiac Center of Oregon, 9155 SW Barnes Rd, Suite 240, Portland, OR 97225-6689.

A newborn was found to have truncus arteriosus and an interrupted aortic arch, and underwent primary repair. The patient did well initially, but, by 8 weeks postoperatively, showed evidence of severe compression of the right pulmonary artery. At reoperation, the pulmonary artery was found to be compressed by a large aortic root (truncal root) and the retroaortic area was narrowed. The pulmonary artery bifurcation was therefore translocated anteriorly to alleviate the compression.




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