Open AccessArch Reconstruction with Autologous Pulmonary Artery Patch in Interrupted Aortic Arch
Author(s) -
Won Young Lee,
Jeong-Jun Park
Publication year - 2014
Publication title -
the korean journal of thoracic and cardiovascular surgery/daehan hyungbu oe'gwa haghoeji. hyungbu simjang hyeolgwan
Language(s) - English
Resource type - Journals
eISSN - 2093-6516
pISSN - 0301-2859
DOI - 10.5090/kjtcs.2014.47.2.129
Subject(s) - medicine , arch , aortic arch , interrupted aortic arch , anastomosis , surgery , double aortic arch , aorta , pulmonary artery , stenosis , bronchus , descending aorta , left pulmonary artery , cardiology , respiratory disease , lung , civil engineering , engineering
Various surgical techniques have been developed for the repair of an interrupted aortic arch. However, tension and Gothic arch formation at the anastomotic site have remained major problems for these techniques: Excessive tension causes arch stenosis and left main bronchus compression, and Gothic arch configuration is related to cardiovascular complications. To resolve these problems, we adopted a modified surgical technique of distal aortic arch augmentation using an autologous main pulmonary artery patch. The descending aorta was then anastomosed to the augmented aortic arch in an end-to-side manner. Here, we report two cases of interrupted aortic arch that were repaired using this technique.