A Novel Surgical Technique for Right-Sided Interrupted Aortic Arch by Interposition of a Pulmonary Autograft Tube

• Published in: The Annals of thoracic surgery Vol. 102; no. 2; pp. e125 - e127
• Main Authors: Kato, Nobuyasu, MD, Yamagishi, Masaaki, MD, PhD, Miyazaki, Takako, MD, PhD, Maeda, Yoshinobu, MD, Asada, Satoshi, MD, Hongu, Hisayuki, MD, Yamashita, Eijiro, MD, Yaku, Hitoshi, MD, PhD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.08.2016
• Subjects: Aorta, Thoracic - abnormalities; Aorta, Thoracic - surgery; Autografts; Cardiothoracic Surgery; Female; Follow-Up Studies; Heart Defects, Congenital - diagnostic imaging; Heart Defects, Congenital - surgery; Humans; Imaging, Three-Dimensional; Infant, Newborn; Infant, Premature; Multidetector Computed Tomography - methods; Pregnancy; Prenatal Diagnosis - methods; Pulmonary Artery - surgery; Rare Diseases; Reconstructive Surgical Procedures - methods; Risk Assessment; Surgery; Treatment Outcome; Vascular Surgical Procedures - methods
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2015.11.072

Right-sided interrupted aortic arch (IAA) is a rare cardiac anomaly. In general, the right bronchus sits higher than the left bronchus, so aortic arch reconstruction with a direct anastomosis has a risk of tracheal and bronchial obstruction. This report describes the successful definitive repair of a right-sided IAA in a 2.5-kg neonate by aortic arch reconstruction with a pulmonary autograft tube (PA tube). Postoperative three-dimensional multidetector computed tomography showed the reconstructed aortic arch without airway obstruction or aortic stenosis. The use of a PA tube is a simple and useful technique for aortic arch reconstruction in patients with a high risk of tracheal andbronchial obstruction, such as right-sided IAA.