A new surgical technique for one-stage repair of interrupted aortic arch with valvular aortic stenosis Masaaki Yamagishi, MD, Katsuji Fujiwara, MD, Yoshiaki.

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Presentation transcript:

A new surgical technique for one-stage repair of interrupted aortic arch with valvular aortic stenosis Masaaki Yamagishi, MD, Katsuji Fujiwara, MD, Yoshiaki Yamada, MD, Keisuke Shuntoh, MD, Nobuo Kitamura, MD The Journal of Thoracic and Cardiovascular Surgery Volume 122, Issue 2, Pages 392-393 (August 2001) DOI: 10.1067/mtc.2001.113748 Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Schematic diagram of the surgical technique. A, Dashed lines represent the sites of incision. B, MPA is transected at the bifurcation. AAo is also transected at the level of pulmonary bifurcation. Dashed lines represent additional vertical incisions. C, Pulmonary bifurcation translocates anterior to the AAo and MPA stumps. Inferior half of DAo orifice is anastomosed to the posterior half of MPA orifice. D, Side-to-end anastomosis between posterior half of AAo orifice and superior half of DAo orifice. E, End-to-end anastomosis between anterior half of DAo orifice and anterior half of MPA orifice. Proximal AAo stump is anastomosed directly to the posterolateral wall of the MPA stump. Right ventricular outflow tract is reconstructed with an autologous pericardial roll bearing a tricuspid polytetrafluoroethylene valve. F, Lateral view of a reconstructed neoaortic arch. AAo , Ascending aorta; DAo , descending Ao; MPA , main pulmonary artery; PA , pulmonary artery; RV , right ventricle. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 392-393DOI: (10.1067/mtc.2001.113748) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions