Skip to main content
SpringerLink
Log in

One-stage repair with separated cardiopulmonary bypass for coarctation of the aorta with left aortic arch and right thoracic descending aorta

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

We treated a 7-day-old neonate with aortic coarctation, left aortic arch, right-side descending aorta, aberrant right subclavian artery, and outlet ventricular septal defect. Surgical one-stage repair consisting of coarctation repair by extended direct anastomosis, patch closure of the ventricular septal defect, and translocation of the right subclavian artery was performed under a separated (upper and lower body) perfusion with ascending and thoracic descending aortic cannulation. The postoperative course was complicated with massive chylous effusion, which was successfully treated by thoracic duct ligation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Hartyánszky I, Lozsádi K, Medgyesy M. Left-side aortic arch and right-side aorta descendens, associated with aortic coarctation. Orv Hetil. 1977;118:2155–8.

    PubMed  Google Scholar 

  2. Bowen TE, Brott WH, Green DC, Zajtchuk R, Dawson JT, Diana DJ. Coarctation of the aorta with left aortic arch and right descending aorta: case report. Mil Med. 1980;145:123–5.

    PubMed  CAS  Google Scholar 

  3. Korbmacher B, Rammos S, Schmitt HH, Heusch A, Schulte HD, Bircks W. Left aortic arch and right descending aorta–interruption or severe coarctation of the aortic arch in the newborn. Cardiovasc Surg. 1995;3:73–7.

    Article  PubMed  CAS  Google Scholar 

  4. Bove EL, Minich LL, Pridjian AK, Lupinetti FM, Snider AR, Dick M 2nd, et al. The management of severe subaortic stenosis, ventricular septal defect, and aortic arch obstruction in the neonate. J Thorac Cardiovasc Surg. 1993;105:289–95.

    PubMed  CAS  Google Scholar 

  5. Imoto Y, Kado H, Shiokawa Y, Minami K, Yasui H. Experience with the Norwood procedure without circulatory arrest. J Thorac Cardiovasc Surg. 2001;122:879–82.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1, Fujishirodai, Suita, Osaka, 565-8565, Japan

    Masatoshi Shimada, Takaya Hoashi, Koji Kagisaki, Tatsuya Oda & Hajime Ichikawa

  2. Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, 565-8565, Japan

    Isao Shiraishi, Kenichi Kurosaki & Masataka Kitano

Authors
  1. Masatoshi Shimada
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takaya Hoashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Koji Kagisaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tatsuya Oda
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Isao Shiraishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kenichi Kurosaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Masataka Kitano
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Hajime Ichikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Takaya Hoashi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shimada, M., Hoashi, T., Kagisaki, K. et al. One-stage repair with separated cardiopulmonary bypass for coarctation of the aorta with left aortic arch and right thoracic descending aorta. Gen Thorac Cardiovasc Surg 60, 575–577 (2012). https://doi.org/10.1007/s11748-012-0049-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-012-0049-8

Keywords

Search

Navigation