Two-stage repair of interrupted aortic arch type A: Arch reconstruction and pulmonary artery banding without CPB through a left thoracotomy.

Details

Serval ID
serval:BIB_A39F9C049050
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Two-stage repair of interrupted aortic arch type A: Arch reconstruction and pulmonary artery banding without CPB through a left thoracotomy.
Journal
Multimedia manual of cardiothoracic surgery
Author(s)
Di Pasquale L., Dranseika V., Erdil T., Prêtre R., Dave H.
ISSN
1813-9175 (Electronic)
ISSN-L
1813-9175
Publication state
Published
Issued date
06/07/2020
Peer-reviewed
Oui
Volume
2020
Language
english
Notes
Publication types: Case Reports ; Video-Audio Media
Publication Status: epublish
Abstract
Treatment of interrupted aortic arch (IAA) is inherently challenging. Single-stage complete repair has become the norm in contemporary practice. While palliation, in general, has fallen out of favor, a 2-stage approach to correcting selected type A IAA appears to be a productive, safe, and effective option, considering the neonatal age at repair. In this video tutorial, we demonstrate our preferred technique for neonatal aortic arch repair and pulmonary artery banding, which constitute the first stage of the 2-stage repair. Key steps of stage 1 repair are demonstrated and the arguments supporting our approach are presented. This approach significantly reduces morbidity and results in a well-palliated ventricular septal defect (VSD). We also briefly discuss stage 2 of the repair, which is a straightforward VSD closure and pulmonary artery debanding procedure when the child is older and more resilient.
Keywords
Aorta, Thoracic/abnormalities, Aorta, Thoracic/surgery, Cardiovascular Abnormalities/diagnosis, Cardiovascular Abnormalities/surgery, Female, Heart Septal Defects, Ventricular/diagnosis, Humans, Infant, Newborn, Patient Care Planning, Pulmonary Artery/surgery, Plastic Surgery Procedures/methods, Thoracotomy/methods, Vascular Surgical Procedures/methods
Pubmed
Create date
13/07/2020 12:22
Last modification date
06/04/2024 7:23
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