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Ann Thorac Surg 2006;82:e11-e13
© 2006 The Society of Thoracic Surgeons

Case report

Interrupted Aortic Arch and Aortic Atresia With Circle of Willis-Dependent Coronary Perfusion

Henry J. Tannous, MD*, Achintya N. Moulick, MD, Richard A. Jonas, MD

Children's National Medical Center, Washington, District of Columbia

Accepted for publication May 11, 2006.

* Address correspondence to Dr Tannous, 7050 Ducketts Ln, Apt 304, Elkridge, MD 21075. (Email: henrytannous{at}hotmail.com).

We present a case of type B interrupted aortic arch and aortic atresia. This combination is usually incompatible with life. However, the presence of an aberrant right subclavian artery and enough blood flow through the circle of Willis allowed perfusion of the coronary arteries through retrograde carotid and aortic blood flow. A two-ventricular repair was successfully undertaken.






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