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J Thorac Cardiovasc Surg 2009;138:781-783
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Single-stage repair of aortopulmonary window with interrupted aortic arch by transection of the aorta and direct reconstruction

^a Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan
^b Department of Cardiovascular Surgery, Akashi Medical Center, Akashi, Japan
^c Division of Cardiovascular, Thoracic, and Pediatric Surgery, Kobe University Hospital, Kobe, Japan

Received for publication April 10, 2008; accepted for publication July 6, 2008.

^_* Address for reprints: Masahiro Yoshida, MD, Department of Cardiothoracic Surgery, Kobe Children's Hospital, 1-1-1 Takakuradai Suma-ku, Kobe, 654-0081, Japan. (Email: masahiro.yoshida@chp.edu).

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

	Introduction

 
Aortopulmonary window (APW) associated with interrupted aortic arch (IAA) is a rare congenital heart defect that requires early surgical treatment to avoid the progression of pulmonary hypertension.¹ Single-stage repair is currently the preferred approach because of its potential to provide normal systemic and pulmonary circulations.^2,3 We report a new technique of single-stage repair for this complex entity by transection of the aorta and direct reconstruction of both aorta and pulmonary artery.

	Technique

 
The operation is performed through a median sternotomy. Cardiopulmonary bypass is established by brachiocephalic arterial and bicaval cannulations. The aortic arch and the descending aorta are dissected completely. After clamping of the proximal arch, the left carotid artery, the left subclavian artery, and the descending aorta, the lesser curvature of the aortic arch is opened. Ductal tissue is removed completely after transection of the descending aorta. The aortic arch reconstruction is completed with side-to-end anastomosis between the arch and the descending aorta (Figure 1, A). After crossclamping of the aorta, the blood cardioplegia is infused, and the ascending . . . [Full Text of this Article]

Related Article

Optimal surgical approach for repair of aortopulmonary window with aortic origin of the right pulmonary artery

Tetsuya Kitagawa, Takashi Kitaichi, and Homare Yoshida
J. Thorac. Cardiovasc. Surg. 2010 139: 238. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

				T. Kitagawa, T. Kitaichi, and H. Yoshida Optimal surgical approach for repair of aortopulmonary window with aortic origin of the right pulmonary artery J. Thorac. Cardiovasc. Surg., January 1, 2010; 139(1): 238 - 238. [Full Text] [PDF]

				M. Yoshida and M. Yamaguchi Reply to the Editor J. Thorac. Cardiovasc. Surg., January 1, 2010; 139(1): 238 - 239. [Full Text] [PDF]