One stage combined repair of intracardiac defects with vascular ring employing sternotomy approach
- PMID: 32939808
- DOI: 10.1111/jocs.15015
One stage combined repair of intracardiac defects with vascular ring employing sternotomy approach
Abstract
We present an unusual case of atrial septal defect and ventricular septal defect with a vascular ring formed by a right-sided aortic arch with an aberrant left subclavian artery that gave rise to a patent ductus arteriosus connecting to the main pulmonary artery. We performed a single-stage repair of the intracardiac defects and division of vascular ring with a sternotomy instead of the traditionally practiced dual approach. This included division and reimplantation of the aberrant left subclavian artery to the left carotid artery after transection. This approach has not been described so far.
Keywords: aorta and great vessels; cardiovascular pathology; congenital heart disease; intracardiac defects; single stage repair; vascular ring.
© 2020 Wiley Periodicals LLC.
References
REFERENCES
-
- Hanneman K, Newman B, Chan F. Congenital variants and anomalies of the aortic arch. Radiographics. 2017;37(1):32-51.
-
- Roberts CS, Othersen HBJ, Sade RM, Smith CD, Tagge EP, Crawford FA, Jr. Tracheoesophageal compression from aortic arch anomalies: analysis of 30 operatively treated children. J Pediatr Surg. 1994;29:334-337.
-
- Bidar E, Arrigoni SC, Accord RE. Resection of Kommerell diverticulum and reimplantation of aberrant left subclavian artery in right aortic arch vascular ring. Semin Thorac Cardiovasc Surg. 2019;31(3):561-563.
-
- Doenst T, Diab M, Sponholz C, Bauer M, Färber G. The opportunities and limitations of minimally invasive cardiac surgery. Dtsch Arztebl Int. 2017;114(46):777-784.
-
- Backer CL, Hillman N, Mavroudis C, Holinger LD. Resection of Kommerell′s diverticulum and left subclavian artery transfer for recurrent symptoms after vascular ring division. Eur J Cardiothorac Surg. 2002;22:64-69.
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