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Hitoshi Ogino
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Ann Thorac Surg 1998;65:1151-1153
© 1998 The Society of Thoracic Surgeons

Case Reports

Two-Stage Repair for Aortic Regurgitation With Interrupted Aortic Arch

Hitoshi Ogino, MDa, Shigehito Miki, MDa, Keiji Matsubayashi, MDa, Yuichi Ueda, MDa, Takuya Nomoto, MDa

a Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara, Japan

Accepted for publication November 11, 1997.

Address reprint requests to Dr Ogino, Cardiovascular Surgery, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632 Japan

We performed two-stage repair for a rare adult case of interrupted aortic arch with aortic regurgitation and sinus of Valsalva aneurysm. A lateroisthmic bypass was established with minimal thoracotomy and partial clamping of the descending aorta to preserve collateral circulation. This was followed by aortic root reconstruction with a prosthetic graft and valve for aortic regurgitation with sinus of Valsalva aneurysm. This less invasive two-stage repair for such a rare pathology may facilitate smooth recovery of the patient.






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