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Ann Thorac Surg 1998;65:829-831
© 1998 The Society of Thoracic Surgeons

Case Reports

One-Stage Repair of Interrupted Aortic Arch and Aortopulmonary Window

Hiroaki Hata, MD, Motomi Shiono, MD, Yukiyasu Sezai, MD, Naokata Sumitomo, MD, Masahiro Otsuka, MD, Kensuke Harada, MD

Second Department of Surgery, Nihon University, Tokyo, Japan
Department of Pediatrics, Nihon University, Tokyo, Japan

Accepted for publication September 29, 1997.

Dr Hata, The Second Department of Surgery, Nihon University School of Medicine, 30-1, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173, Japan.

Interrupted aortic arch type A with aortopulmonary window was diagnosed in a 12-day-old neonate. A successful one-stage repair was undertaken through a midline sternotomy without circulatory arrest. The aortopulmonary window was closed through the anterior wall of communication between ascending aorta and main pulmonary artery with a patch. Position of the arterial cannula was changed during the repair, which made it possible to mobilize and expose the aortic arch for the completion of direct anastomosis.




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