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Qiang Chen
Paul Modi
Massimo Caputo
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Right arrow Congenital - cyanotic

Ann Thorac Surg 2006;82:1884-1886
© 2006 The Society of Thoracic Surgeons

Case Reports

Truncus Arteriosus With Interrupted Aortic Arch: Successful Repair Using Modified Cardiopulmonary Bypass and Surgical Techniques

Qiang Chen, MD, PhD, Paul Modi, FRCS, Massimo Caputo, MD, Ash Pawade, FRCS*

Department of Cardiac Surgery, Bristol Royal Hospital for Children, Bristol, United Kingdom

Accepted for publication March 27, 2006.

* Address correspondence to Dr Pawade, Department of Cardiac Surgery, Bristol Royal Hospital for Children, Bristol, BS2 8HW United Kingdom. (Email: qchen{at}doctors.org.uk).

A neonate with truncus arteriosus (type 1) and interrupted aortic arch (type A) associated with an excessively large gap between interrupted aortic segments underwent successful reconstruction of the aortic arch with a partial subclavian flap aortoplasty plus bovine jugular patch (Contegra 200, Medtronic, Inc, Minneapolis, MN) using continuous selective low-flow cardiopulmonary bypass without circulatory arrest. The ventricular septal defect was closed with a Dacron (IMPRA, Inc, Tempe, AZ) patch, and a Contegra prosthesis was used to re-establish right ventricle to pulmonary artery continuity. At an 18-month follow-up, the patient was free of symptoms with normal development. Echocardiography revealed a widely patent aortic arch and an unobstructed right ventricle to pulmonary artery connection.






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Copyright © 2006 by The Society of Thoracic Surgeons.