Priti M. Patel, MD, Heather L

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Presentation transcript:

Norwood modification in a patient with hypoplastic left heart and a right aortic arch Priti M. Patel, MD, Heather L. Bartlett, MD, FACC, Thomas Scholz, MD, FACC, Jeffrey Burzynski, MD, FACP, Douglas M. Behrendt, MD, Harold M. Burkhart, MD The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 4, Pages 1065-1066 (October 2007) DOI: 10.1016/j.jtcvs.2007.04.066 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Diagrams illustrating the anatomy (A) and subsequent reconstruction (B). In addition to a Damus–Kaye–Stansel anastomosis, the left common carotid was used as the transverse arch with the proximal descending thoracic aorta was spatulated anteriorly and a homograft patch was sutured to augment the left common carotid artery. LCCA, Left common carotid artery; LSCA, left subclavian artery; PDA, patent ductus arteriosus; RAA, right aortic arch; RCCA, right common carotid artery. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1065-1066DOI: (10.1016/j.jtcvs.2007.04.066) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A straight anteroposterior cineangiogram of the aortic reconstruction via a prograde catheter advanced across the pulmonary valve into the neoaorta. The angiogram demonstrates the right subclavian, right carotid, left carotid, and left subclavian arteries in the order visualized from the patent reconstructed arch. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1065-1066DOI: (10.1016/j.jtcvs.2007.04.066) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions