Henry J. Tannous, MD, Achintya N. Moulick, MD, Richard A. Jonas, MD

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Presentation transcript:

Interrupted Aortic Arch and Aortic Atresia With Circle of Willis-Dependent Coronary Perfusion Henry J. Tannous, MD, Achintya N. Moulick, MD, Richard A. Jonas, MD The Annals of Thoracic Surgery Volume 82, Issue 2, Pages e11-e13 (August 2006) DOI: 10.1016/j.athoracsur.2006.05.046 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Carotid ultrasound reveals parallel blood flow in the common carotid artery (CCA) and internal jugular (IJ) vein. The vertebral artery (VA) flow is reversed. The Annals of Thoracic Surgery 2006 82, e11-e13DOI: (10.1016/j.athoracsur.2006.05.046) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Aortic arch ultrasound shows the ascending aorta bifurcating into two common carotid arteries. The Annals of Thoracic Surgery 2006 82, e11-e13DOI: (10.1016/j.athoracsur.2006.05.046) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Magnetic resonance angiography of the head and neck vessels shows the basilar artery supplied by both vertebral arteries with more prominent flow from the left side. The aberrant right subclavian, arising from the descending aortic arch is also evident. The Annals of Thoracic Surgery 2006 82, e11-e13DOI: (10.1016/j.athoracsur.2006.05.046) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Preoperative diagram. Arrows indicate direction of blood flow. (VSD = ventricular septal defect.) The Annals of Thoracic Surgery 2006 82, e11-e13DOI: (10.1016/j.athoracsur.2006.05.046) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Postoperative diagram. Shaded areas indicate homograft conduits. The Annals of Thoracic Surgery 2006 82, e11-e13DOI: (10.1016/j.athoracsur.2006.05.046) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions