One-stage repair of interrupted aortic arch and aortopulmonary window withan autologous arterial flap

Interrupted aortic arch associated with an aortopulmonary window is a rare congenital malformation that requires an early diagnosis and surgical treat ment to avoid irreversible pulmonary vascular changes. We describe herein s uccessful one-stage repair in a neonate without the use of pericardium or o ther prosthetic material. Use of a transaortic approach permitted both accu rate planning of the appropriate size of pulmonary trunk flap and also faci litated easy repair of the aortopulmonary septal defect. The growth potenti al of both great arteries was optimized.