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Ann Thorac Surg 2004;78:1993
© 2004 The Society of Thoracic Surgeons

INVITED COMMENTARY

Department of Surgery, Children's Hospital of New York, Columbia Presbyterian Medical Center, 3959 Broadway, CHN #274, New York, NY 10032, USA

rm891@columbia.edu

The first 20% of the full text of this article appears below.

The surgical treatment of patients with aortic arch obstruction (AAO) and ventricular septal defect (VSD) has mirrored the development of the field of pediatric cardiac surgery. Early surgical attempts were approached as a two-stage undertaking. Aortic arch repair with pulmonary artery banding, performed through a left thoracotomy, was followed by subsequent repair of intracardiac defects and de-banding. The mid-1970s saw the introduction of prostaglandin E1, and with it, improved preoperative status of the patients. Median sternotomy and single-stage repair was advocated and gradually supplanted the two-stage . . . [Full Text of this Article]