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Daniel J. DiBardino
Jeffrey S. Heinle
David L. S. Morales
Charles D. Fraser, Jr
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Ann Thorac Surg 2005;79:1758-1760
© 2005 The Society of Thoracic Surgeons

Case report

Aortic Atresia and Type B Interrupted Aortic Arch: Diagnosis by Physiologic Cerebral Monitoring

Daniel J. DiBardino, MD*,a, Jeffrey S. Heinle, MDa, Dean A. Andropoulos, MDb, Caroline D. Kerr, David L. S. Morales, MDa, Charles D. Fraser, Jr, MDa

a Division of Congenital Heart Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
b Division of Pediatric Cardiac Anesthesia, Department of Anesthesia, Baylor College of Medicine, Houston, Texas, USA

Accepted for publication November 19, 2003.

* Address reprint requests to Dr DiBardino, Division of Congenital Heart Surgery, Texas Children's Hospital, 6621 Fannin St, MC WT 19345H, Houston, TX 77030, USA
djd{at}bcm.tmc.edu

Physiologic cerebral monitoring has become an important part of our cardiovascular surgical unit. We recently encountered an unusual variant of aortic atresia that was first suggested by physiologic cerebral monitoring and required modification of our operative technique. We describe and discuss the anatomy, its translation into cerebral monitor findings, and how we modified our operative technique.






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