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One stage combined repair of intracardiac defects with vascular ring employing sternotomy approach
Author(s) -
Raythatha Jineel H.,
Choudhury Himanshu,
Dalvi Bharat V.,
Shivaprakasha Krishnanaik
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15015
Subject(s) - medicine , intracardiac injection , vascular ring , ductus arteriosus , median sternotomy , cardiology , subclavian artery , sinus (botany) , aortic arch , common carotid artery , left subclavian artery , pulmonary artery , surgery , aorta , carotid arteries , botany , genus , biology
We present an unusual case of atrial septal defect and ventricular septal defect with a vascular ring formed by a right‐sided aortic arch with an aberrant left subclavian artery that gave rise to a patent ductus arteriosus connecting to the main pulmonary artery. We performed a single‐stage repair of the intracardiac defects and division of vascular ring with a sternotomy instead of the traditionally practiced dual approach. This included division and reimplantation of the aberrant left subclavian artery to the left carotid artery after transection. This approach has not been described so far.