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J Thorac Cardiovasc Surg 2005;130:942-944
© 2005 The American Association for Thoracic Surgery

Brief Communication

Long-term outcome of left ventricular outflow tract after biventricular repair using Damus-Kaye-Stansel anastomosis for interrupted aortic arch and severe aortic stenosis

Department of Cardiovascular Surgery, Fukuoka Children's Hospital, Fukuoka, Japan.

Received for publication January 16, 2005; accepted for publication January 26, 2005.

^_* Address for reprints: Shin Takabayashi, MD, Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, Japan (Email: shin1111@clin.medic.mie-u.ac.jp).

The first 20% of the full text of this article appears below.

Interrupted aortic arch (IAA) with a ventricular septal defect (VSD) is rare but lethal in association with subaortic stenosis. The primary biventricular repair for this lesion consists of left ventricular outflow tract (LVOT) reconstruction by Damus-Kaye-Stansel (DKS) anastomosis and intracardiac rerouting through the VSD, along with concomitantly performed right ventricular outflow tract (RVOT) and aortic arch reconstruction (Yasui procedure ¹ ; Figure 1, A). In this study, we reported long-term follow-ups in 2 patients and estimated the transition of LVOT diameter.

View larger version (65K): [in this window] [in a new window]   Figure 1. A, Drawing of the Yasui procedure; B, 9.4 years after the biventricular repair.

Patient 1
An IAA (type B) was diagnosed in a 36-day-old boy weighing 3.4 kg, as was a perimembranous VSD. The subaortic diameter was 2.6 mm, and the aortic valve (diameter, 3.9 mm) was bicuspid. In primary biventricular repair, LVOT reconstruction consisted of intracardiac rerouting from the VSD (8 mm) to the pulmonary artery by using a Teflon patch and . . . [Full Text of this Article]

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