Abstract
A 26 day old neonate with Type B interrupted aortic arch, a ventricular septal defect and severe subaortic stenosis underwent a successful modified Van Praagh's operation, consisting of insertion of a graft between the main pulmonary artery and descending aorta, ligation of the patent ductus arteriosus and main pulmonary artery banding distal to the graft. This palliative procedure was effective and easily performed without the aid of cardiopulmonary bypass even in this severely ill neonate with such a complex defect.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Moller JH, Edwards JE (1965) Interruption of aortic arch: anatomic patterns and associated cardiac malformations. AJR 95:557–572
Roberts WC, Morrow AG, Braunwald E (1962) Complete interruption of the aortic arch. Circulation 26:39–59
Moulton AL, Bowman FO (1981) Primary definitive repair of type B interrupted aortic arch, ventricular septal defect, and patent ductus arteriosus. Early and late results. J Thorac Cardiovasc Surg 82:501–510
Norwood WI, Lang P, Castaneda AR, Hougen TJ (1983) Reparative operations for interrupted aortic arch with ventricular septal defect. J Thorac Cardiovasc Surg 86:832–837
Rochette M, Stanley P, Ethier MF, Davignon A (1968) Complete interruption of the aortic arch in infancy. Can Med Ass J 98:131–139
Van Praagh R, Bernhard WF, Rosenthal A, Parisi LF, Fyler DC (1971) Interrupted aortic arch: surgical treatment. Am J Cardiol 27:200–211
Lang P, Freed MD, Rosenthal A, Castaneda AR, Nadas AS (1977) The use of prostaglandin E1 in an infant with interruption of the aortic arch. J Pediatr 91:805–807
Heymann MA, Berman W Jr, Rudolph AM, Whitman V (1979) Dilatation of the ductus arteriosus by prostaglandin E1 in aortic arch abnormalities. Circulation 59:169–173.
Braunlin EA, Lock JE, Foker JE (1983) Repair of type B interruption of the aortic arch. Results and follow-up. J Thorac Cardiovasc Surg 86:920–925
Hammon JW Jr, Merrill WH, Prager RL, Graham TP Jr, Bender HW Jr (1986) Repair of interrupted aortic arch and associated malformations in infancy: indications for complete or partial repair. Ann Thorac Surg 42:17–21
Scott WA, Rocchini AP, Bove EL, Behrendt DM, Beekman RH, Dick M, Serwer G, Snider R, Rosenthal A (1988) Repair of interrupted aortic arch in infancy. J Thorac Cardiovasc Surg 96:564–568
Sell JE, Jonas RA, Mayer JE, Blackstone EH, Kirklin JW, Castaneda AR (1988) The results of a surgical program for interrupted aortic arch. J Thorac Cardiovasc Surg 96:864–877
Norwood WI, Lang P, Castaneda AR, Murphy JD (1983) Management of infants with left ventricular outflow obstruction by conduit interposition between the ventricular apex and thoracic aorta. J Thorac Cardiovasc Surg 86:771–776
Yasui H, Kado H, Nakano E, Yonenaga K, Mitani A, Tomita Y, Iwao H, Yoshii K, Mizoguchi Y, Sunagawa H (1987) Primary repair of interrupted aortic arch and severe aortic stenosis in neonates. J Thorac Cardiovasc Surg 93:539–545
Ilbawi MN, Idriss FS, DeLeon SY, Muster AJ, Benson DW Jr, Paul MH (1988) Surgical management of patients with interrupted aortic arch and severe subaortic stenosis. Ann Thorac Surg 45:174–180
Becu LM, Tauxe WN, DuShane JW, Edwards JE (1955) A complex of congenital cardiac anomalies: ventricular septal defect, biventricular origin of the pulmonary trunk, and subaortic stenosis. Am Heart J 50:901–911
Moulaert AJ, Oppenheimer-Dekker A (1976) Anterolateral muscle bundle of the left ventricle, bulvoventricular flange and subaortic stenosis. Am J Cardiol 37:78–81
Monro JL, Bunton RW, Sutherland GR, Keeton BR (1989) Correction of interrupted aortic arch. J Thorac Cardiovasc Surg 98:421–427
Kron IL, Rheuban KS, Carpenter MS, Nolan SP (1983) Interrupted aortic arch. A conservative approach for the sick neonate. J Thorac Cardivasc Surg 86:37–40
Konno S, Imai Y, Iida Y, Nakajima M, Tatsuno K (1975) A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring. J Thorac Cardiovasc Surg 70:909–917
Litwin SB, Van Praagh R, Bernhard WF (1972) A palliative operation for certain infants with aortic arch interruption. Ann Thorac Surg 14:369–375
Freedom RM, Bain HH, Esplugas E, Dische R, Rowe RD (1977) Ventricular septal defect in interruption of aortic arch. Am J Cardiol 39:572–582
Tucker WY, McKone RC, Weesner KM, Kon ND (1990) Hypoplastic left heart syndrome: palliation without cardiopulmonary bypass. J Thorac Cardiovasc Surg 99:885–888
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Matsui, K., Kohno, H., Hisahara, M. et al. Modified Van Praagh's operation for interrupted aortic arch with severe subaortic stenosis in a neonate. Surg Today 22, 166–170 (1992). https://doi.org/10.1007/BF00311344
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00311344