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Ann Thorac Surg 2006;82:1126
© 2006 The Society of Thoracic Surgeons

Images in cardiothoracic surgery

Unusual Vascular Anatomy in Interrupted Aortic Arch With Ventricular Septal Defect

Marco Ricci, MD*, Steven Schultz, MD, Eliot Rosenkranz, MD

Holtz Children's Hospital, University of Miami Miller School of Medicine, Miami, Florida

* Address correspondence to Dr Ricci, Division of Cardiothoracic Surgery, University of Miami, Holtz Center 3072, (R-114), 1611 NW 12th Ave, Miami, FL 33136 (Email: mricci@med.miami.edu).

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

A 5-day-old boy weighing 3.3 kg presented with type B interrupted aortic arch, ventricular septal defect, and absent femoral, as well as radial pulses. An umbilical arterial line revealed no waveform with an adequate mean pressure of 40 to 45 mm Hg. The boy had no metabolic acidosis and satisfactory renal function. A 2-dimensional echocardiogram revealed severe biventricular hypertrophy (Fig 1A; LA = left atrium; LV = left ventricle), an unusually large pulmonary artery, and absent ductus arteriosus. The left ventricular outflow was unobstructed. Further evaluation . . . [Full Text of this Article]






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Copyright © 2006 by The Society of Thoracic Surgeons.