Journal of Chest Surgery

  • 제47권2호
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  • Pages.129-132
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  • 2014
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Arch Reconstruction with Autologous Pulmonary Artery Patch in Interrupted Aortic Arch

  • Lee, Won-Young (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Jeong-Jun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2013.08.05
  • 심사 : 2013.10.15
  • 발행 : 2014.04.05
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초록

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.

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참고문헌

  1. Luciani GB, Ackerman RJ, Chang AC, Wells WJ, Starnes VA. J Thorac Cardiovasc Surg 1996;111:348-58.
  2. Mishra PK. Management strategies for interrupted aortic arch with associated anomalies. Eur J Cardiothorac Surg 2009;35:569-76. https://doi.org/10.1016/j.ejcts.2008.12.044
  3. Brown JW, Ruzmetov M, Okada Y, Vijay P, Rodefeld MD, Turrentine MW. Outcomes in patients with interrupted aortic arch and associated anomalies: a 20-year experience. Eur J Cardiothorac Surg 2006;29:666-73. https://doi.org/10.1016/j.ejcts.2006.01.060
  4. Bergoend E, Bouissou A, Paoli F, Roullet-Renoleau N, Duchalais A, Neville P. A new technique for interrupted aortic arch repair: the Neville tube. Ann Thorac Surg 2010;90: 1375-6. https://doi.org/10.1016/j.athoracsur.2009.11.069
  5. Roussin R, Belli E, Lacour-Gayet F, et al. Aortic arch reconstruction with pulmonary autograft patch aortoplasty. J Thorac Cardiovasc Surg 2002;123:443-8. https://doi.org/10.1067/mtc.2002.120733
  6. Ou P, Mousseaux E, Celermajer DS, et al. Aortic arch shape deformation after coarctation surgery: effect on blood pressure response. J Thorac Cardiovasc Surg 2006;132:1105-11. https://doi.org/10.1016/j.jtcvs.2006.05.061
  7. Tlaskal T, Hucin B, Hruda J, et al. Results of primary and two-stage repair of interrupted aortic arch. Eur J Cardiothorac Surg 1998;14:235-42. https://doi.org/10.1016/S1010-7940(98)00184-5

피인용 문헌

  1. One-Stage Repair of an Interrupted Aortic Arch with an Aortopulmonary Window in a Premature Neonate vol.48, pp.6, 2015, https://doi.org/10.5090/kjtcs.2015.48.6.411