![]() ![]() ![]() Moes CAF, Freedom RM (1980) Aortic arch interruption with truncus arteriosus or aorticopulmonary septal defect. Litwin SB, Friedberg DZ (1975) Surgical management of a neonate with interrupted aortic arch, transposition of the great arteries, and tricuspid atresia. Lang P, Freed MD, Rosenthal A, Castaneda AR, Nadas AS (1977) The use of prostaglandin E 1 in infants with interruption of the aortic arch. Kunkel R, Hagl S, Richter JA, Habermeyer P, Sebening F (1979) The effects of deep hypothermia and circulatory arrest on systemic metabolic state of infants undergoing corrective open heart surgery: a comparison of two methods. Higgins CB, French JW, Silverman JF, Wexler L (1977) Interruption of the aortic arch: preoperative and postoperative clinical, hemodynamic and angiographic features. Heymann MA, Berman W Jr, Rudolph AM, Whitman V (1959) Dilatation of the ductus arteriosus by prostaglandin E 1 in aortic arch abnormalities. ![]() Gomes MMR, McGoon DC (1971) Truncus arteriosus with interruption of the aortic arch: Report of a case successfully repaired. J Thorac Cardiovasc Surg 71:35įreedom RM, Bain H, Esplugas E, Dische MR, Rowe RD (1977) The ventricular septal defect in interruption of the aortic arch. Amer J Cardiol 35:271įishman NH, Bronstein MH, Berman W Jr, Roe BB, Edmunds LH Jr, Robinson SJ, Rudolph AM (1976) Surgical management of severe aortic coarctation and interrupted aortic arch in neonates. J Thorac Cardiovasc Surg 76:495ĭische MR, Tsai M, Baltaxe HA (1975) Solitary interruption of the arch of the aorta: clinicopathologic review of eight cases. J Pediatr 88:959Ĭopeland JG, Record JA, Salomon NW, Sahn DJ, Allen HD, Goldberg SJ (1978) Successful palliation using partial cardiopulmonary bypass in a two-day-old infant with type B interruption of the aortic arch. Am Heart J 58:407Ĭollins-Nakai RL, Dick M, Parisi-Buckley L, Fyler DC, Castaneda AR (1976) Interrupted aortic arch in infancy. J Thorac Cardiovasc Surg 63:367Ĭeloria GC, Patton RB (1959) Congenital absence of the aortic arch. In: World congress of pediatric cardiology, Londonīarrat-Boyes BG, Nicholls TT, Brandt PWT, Neutze JM (1972) Aortic arch interruption associated with patent ductus arteriosus, ventricular septal defect, and total anomalous pulmonary venous connection: total correction in an 8-day-old infant by means of profound hypothermia and limited cardio-pulmonary bypass. ![]() In the patients with associated VSD and PDA as well as in the one patient with associated truncus arteriosus, the primary correction-direct anastomosis of the interrupted segments without prosthesis and VSD closure and in the case with truncus, the additional positioning of a valve-bearing allograft conduit from the right ventricle to the pulmonary artery-has been more successful than a two-step approach with initial pulmonary artery banding.īailey L, Jacobson J, Doroshow R, Merrit W, Petry E (1980) Anatomic correction of interrupted aortic arch complex in neonates. One patient with interrupted aortic arch type C and another infant with associated truncus arteriosus were successfully corrected on day 9 and day 17 of life, respectively. The operative mortality in 22 patients with associated ventricular septal defect (VSD) and persistent ductus arteriosus (PDA) was reduced from 43% (in seven patients seen up until 1979) to 7% (in 15 patients seen since 1980). Accurate angiography with visualization of the interrupted aortic arch and delineation of associated cardiac malformations is of prime importance for the surgical management and prognosis.Īmong our 36 patients with interrupted aortic arch, 27 were operated on. The chances of survival for patients with interruption of the aortic arch depend mainly on early recognition and medical treatment before symptoms of cardiogenic shock appear, and specifically on early operative repair after the exact diagnosis has been established. ![]()
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