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Ann Thorac Surg 1990;49:664-666
© 1990 The Society of Thoracic Surgeons

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Articles

One-stage repair of absence of the aortopulmonary septum and interrupted aortic arch

^a Department of Pediatric Cardiovascular Surgery, Xin Hua Hospital, Shanghai, People's Republic of China
^b Department of Surgery, Shanghai Second Medical University, Shanghai, People's Republic of China

Accepted for publication September 5, 1989.

^_* Address reprint requests to Dr Ding, Department of Pediatric Cardiovascular Surgery, Xin Hua Hospilal, 1665 Kong Jiang Rd, Shanghai, People's Republic of China.

	Abstract

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Absence of the aortopulmonary septum, interrupted aortic arch, aortic origin of the right pulmonary artery, intact ventricular septum, and patent ductus arteriosus is a rarely reported association. A 3-year-old boy underwent successful one-stage repair of this constellation of anomalies. A Dacron baffle was used both to close the huge aortopulmonary window and to direct blood to the right pulmonary artery. Type A interrupted aortic arch was repaired by direct anastomosis. Postoperatively, pulmonary artery pressure was less than half systemic pressure.

	References

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1. Richardson JV, Doty DB, Rossi NP, Ehrenhaft JL. The spectrum of anomalies of aortopulmonary septation J Thorac Cardiovasc Surg 1979;78:21-27.[Abstract]
2. Berry TE, Bharati S, Musier AJ, et al. Distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, intact ventricular septum, patent ductus arteriosus and hypoplasia of the aortic isthmus: a newly recognized syndrome Am J Cardiol 1982;49:108-116.[Medline]
3. Daily PO, Sissman NJ, Lipton MJ, Shumway NE. Correction of absence of the aortopulmonary septum by creation of concentric great vessels Ann Thorac Surg 1975;19:180-190.[Abstract/Free Full Text]

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