Abstract
Interruption of the aortic arch is defined as the loss of luminal continuity between the ascending and descending aorta. This chapter elaborates:
1. Anatomy
2. Indication for surgery
3. Approach and cardiopulmonary bypass strategy
4. Aortic arch reconstruction by subclavian flap and pericardial patch plasty for a patient with an interrupted aortic arch type B (video)
5. Yasui operation for a patient with an interrupted aortic arch type B, a ventricular septal defect and left ventricular outflow obstruction (video)
6. Tracheo-bronchial compression after repair of an interrupted aortic arch type B repaired by anteposition of the pulmonary arteries (video)
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Aortic Arch Reconstruction by Subclavian Flap and Pericardial Patch Plasty in a Patient with an Interrupted Aortic Arch Type B
Clip 1: Preoperative findings.
Clip 2: Orientation and anatomy.
Clip 3: Transection of the left subclavian artery and clipping of the left vertebral artery.
Clip 4: Subclavian flap plasty of the posterior wall of the aortic arch.
Clip 5: Pericardial patch plasty of the aortic arch.
Clip 6: Final result.
Clip 7: Postoperative findings.
Fullversion
Yasui Operation for a Patient with an Interrupted Aortic Arch Type B, a Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction
Clip 1: Preoperative findings.
Clip 2: Orientation and anatomy.
Clip 3: Transection of the pulmonary trunk, inspection of the VSD.
Clip 4: Right ventriculotomy.
Clip 5: Intracardiac anatomy.
Clip 6: Resection of the ductal tissue and incision of the aorta.
Clip 7: Anastomosis between the ascending and descending aorta.
Clip 8: Damus-Kaye-Stansel anastomosis.
Clip 9: Distal conduit anastomosis.
Clip 10: Final result.
Clip 11: Postoperative findings.
Fullversion
Tracheo-Bronchial Compression After Repair of an Interrupted Aortic Arch Type B Repaired by Anteposition of the Pulmonary Arteries
Clip 1: Preoperative findings.
Clip 2: Anteposition of the pulmonary arteries.
Clip 3: Postoperative findings.
Fullversion
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Hraška, V., Murín, P. (2015). Interruption of the Aortic Arch. In: Surgical Management of Congenital Heart Disease II. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44070-4_4
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DOI: https://doi.org/10.1007/978-3-662-44070-4_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-44069-8
Online ISBN: 978-3-662-44070-4
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