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Truncus Arteriosus associated with Interrupted Aortic Arch  

Kim Kwan Chang (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine)
Choi Sae Hoon (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine)
Jang Woo Sung (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine)
Yeo In Gwon (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine)
Kim Woong-Han (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine)
Publication Information
Journal of Chest Surgery / v.38, no.12, 2005 , pp. 852-855 More about this Journal
Abstract
A 85-day-old infant was successfully operated on for truncus arteriosus (type I) with interrupted aortic arch (type A) using one-stage anterior approach without circulatory arrest. Aortic arch was reconstructed by direct anastomosis of ascending aorta and descending aorta with regional perfusion and continuity of right ventricle to pulmonary artery was established with $Shelhigh^{circledR}$ pulmonic conduit. The patient experienced left bronchus compression by descending aorta immediately postoperatively, which was improved with positional change and physiotherapy. The patient had reoperation due to stenosis of valved conduit at 13 months later. The patient is currently well under follow-up of 14 months from initial repair.
Keywords
Aortic arch interruption; Truncus arteriosus; Rastelli operation; Aorta, arch;
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