Truncus Arteriosus Communis With Interrupted Aortic Arch: Successful Repair Using a Novel Technique Shinya Yokoyama, MD, Shigeo Nagasaka, MD, PhD, Yuichi.

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Truncus Arteriosus Communis With Interrupted Aortic Arch: Successful Repair Using a Novel Technique Shinya Yokoyama, MD, Shigeo Nagasaka, MD, PhD, Yuichi Yoshida, MD, Daisuke Heima, MD, Yoshiharu Soga, MD, PhD, Kozo Kaneda, MD, Noboru Nishiwaki, MD, PhD The Annals of Thoracic Surgery Volume 95, Issue 2, Pages 714-716 (February 2013) DOI: 10.1016/j.athoracsur.2012.06.019 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Schematic diagram of the surgical technique. (A) Dashed lines represent the sites of incision. (B) The ascending aorta (AAo) is transected from the truncal root, and the central pulmonary artery is transected at the level of the bifurcation. (C) The truncal root defect is repaired using an autologous pericardial patch. The descending aorta (DAo) is anastomosed to the distal stump of the AAo in an end-to-end fashion (swing-back technique). (D) The distal end of the truncal root is anastomosed in an end-to-side fashion to the underside of the neoaortic arch. The right ventricular outflow tract is reconstructed using an autologous monocuspid pericardial patch. The Annals of Thoracic Surgery 2013 95, 714-716DOI: (10.1016/j.athoracsur.2012.06.019) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pulmonary angiography at 1 year after surgical repair shows no branch stenosis of the pulmonary artery. The Annals of Thoracic Surgery 2013 95, 714-716DOI: (10.1016/j.athoracsur.2012.06.019) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Aortography at 1 year after surgical repair. The aortic arch has a good shape and there is no truncal valve regurgitation. (A) Anterior-posterior view; (B) lateral view. The Annals of Thoracic Surgery 2013 95, 714-716DOI: (10.1016/j.athoracsur.2012.06.019) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions