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Ann Thorac Surg 1999;67:260-262
© 1999 The Society of Thoracic Surgeons

How To Do It

Technique for repair of single-ventricle hearts with transposition of the great arteries and aortic arch hypoplasia

Patricia A. Thistlewaite, MD, PhDa, John L. Myers, MDa, Ralph D. Siewers, MDa, José A. Ettedgui, MDa

a Divisions of Cardiothoracic Surgery and Pediatric Cardiology, University of Pittsburgh School of Medicine, The Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA

Accepted for publication June 30, 1998.

Address reprint requests to Dr. Myers, Pediatric and Congenital Cardiovascular Surgery, Children’s Hospital, Milton S. Hershey Medical Center, MC H165, Box 850, Hershey, PA 17033

We describe a modified technique of aortopulmonary anastomosis for palliative repair of hearts with a single left ventricle, a rudimentary right ventricle, transposition of the great vessels, and a hypoplastic aortic arch. This procedure creates an unobstructed left ventricular outflow tract and avoids the problems of spiral patch grafting and multiple patch enlargements of the ascending aorta and arch.




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