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Aortopulmonary Window and the Interrupted Aortic Arch: Midterm Results With Use of the Single-Patch Technique  François Roubertie, MD, David Kalfa, MD,

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Presentation on theme: "Aortopulmonary Window and the Interrupted Aortic Arch: Midterm Results With Use of the Single-Patch Technique  François Roubertie, MD, David Kalfa, MD,"— Presentation transcript:

1 Aortopulmonary Window and the Interrupted Aortic Arch: Midterm Results With Use of the Single-Patch Technique  François Roubertie, MD, David Kalfa, MD, Mathieu Vergnat, MD, Mohamed Ly, MD, Virginie Lambert, MD, Emre Belli, MD  The Annals of Thoracic Surgery  Volume 99, Issue 1, Pages (January 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The aortopulmonary window (dashed line) is associated with a type A interrupted aortic arch. The pulmonary artery trunk is dilated compared with the ascending aorta. A single aortic cannula is placed through a 3.5-mm polytetrafluoroethylene graft anastomosed to the right innominate artery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The arch vessels are occluded with snares after selective cerebral perfusion is performed. The aortopulmonary window is opened and the incision is continued on to the ascending aorta and aortic arch (dashed line). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 A partial anastomosis is carried out between the descending aorta and the aortic arch; then, an incision (1.5 cm long) is made on the descending aorta. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 An autologous pericardial patch is used to enlarge the descending aorta, the arch concavity, and the ascending aorta. When the suture reaches the anterior–superior edge of the aortopulmonary window, a continuous mattress suture incorporates the wall of the pulmonary artery, the patch, and the aortic wall (the “sandwich” patch technique, used to close the aortopulmonary window, can be seen in the magnified insert). (Ant = anterior part of the aortopulmonary window in the magnified insert; Post = posterior part of the aortopulmonary window in the magnified insert.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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