REPAIR OF INTERRUPTED AORTIC-ARCH WITH AN AUGMENTED AORTIC ANASTOMOSIS

Citation
Ca. Dietl et Ar. Torres, REPAIR OF INTERRUPTED AORTIC-ARCH WITH AN AUGMENTED AORTIC ANASTOMOSIS, The Annals of thoracic surgery, 56(1), 1993, pp. 142-148
Citations number
34
Categorie Soggetti
Surgery
ISSN journal
00034975
Volume
56
Issue
1
Year of publication
1993
Pages
142 - 148
Database
ISI
SICI code
0003-4975(1993)56:1<142:ROIAWA>2.0.ZU;2-D
Abstract
In cases of interrupted aortic arch type A, the end-to-end aortic anas tomosis can be enlarged with a left subclavian flap. In type B interru ption, the divided left carotid artery is anastomosed to the distal ao rta, and the anastomosis can be augmented with a reversed left subclav ian flap. These techniques provide a tension-free, much wider, and non circumferential anastomosis with potential for growth. Using a combine d lateral and anterior approach, the duration of circulatory arrest fo r the intracardiac repair is minimized.