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Interrupted Aortic Arch

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Staged surgical repair for infants with interrupted aortic arch.

Shye-Jao Wu, Ya-Fen Fan, Yu-Hern Tan, Ming-Ren Chen, Shen Sun, Chen-Yen Chien, Jiun-Yi Li, Shu-Chien Huang, Ing-Sh Chiu,

BACKGROUND:Interrupted aortic arch (IAA) is a rare congenital cardiac anomaly, which necessitates surgical treatment. There are several surgical strategies for corrective repair of IAA, such as one-stage repair, rapid two-stage repair and two-stage repair. Here, we reported our surgical result of staged-repair policy for the patients with IAA. METHOD:From November ... Read more >>

Asian J Surg (Asian journal of surgery)
[2020, :]

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Modified Yasui Operation Using Cryopreserved Femoral Vein Homograft.

Manan H Desai, Pranava Sinha, Richard A Jonas, Karthik Ramakrishnan,

The Yasui operation is indicated in interrupted aortic arch and a posterior mal-aligned ventricular septal defect with a narrow subaortic region. We present a modification of the Yasui procedure in which the aortic reconstruction was simplified using a non-valved cryopreserved femoral vein homograft to connect the pulmonary artery to the ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Arterial-level repair of transposition of great arteries without coronary artery transfer.

Ahmed A Elassal, Gaser A Abdelmohsen, Mohamed S Elhudairy, Osman O Al-Radi,

Hypoplastic ascending aorta and interrupted aortic arch (IAA) are rarely associated with dextro-transposition of the great arteries (D-TGA). Severe hypoplastic ascending aorta may preclude coronary artery transfer making arterial switch operation problematic. We report a case of D-TGA with a large subpulmonic ventricular septal defect, IAA, and hypoplastic ascending aorta ... Read more >>

J Card Surg (Journal of cardiac surgery)
[2020, :]

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Proximal Descending Thoracic Aortic Pseudoaneurysm in a 24-Year-Old Man after 2 Childhood Repairs of Interrupted Aortic Arch.

Saleh A Alnasser, Angela H Martin, Ourania A Preventza, Joseph S Coselli, Kim I de la Cruz,

Improved management of interrupted aortic arch has increased long-term survival rates. Longer life expectancies in neonates and children surgically treated for interrupted aortic arch may necessitate complex reinterventions when sequelae develop in adulthood. We report the case of a 24-year-old man who had undergone initial repair of interrupted aortic arch ... Read more >>

Tex Heart Inst J (Texas Heart Institute journal)
[2020, 47(1):27-29]

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Extremely high-risk multiple endovascular interventions in aortic dissection in a child with interrupted aortic arch.

Piotr Weryński, Jacek Kołcz, Wanda Król-Jawień, Paweł Skorek, Agnieszka Wójcik, Janusz H Skalski, Andrzej Rudziński,

Kardiol Pol (Kardiologia polska)
[2020, :]

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Long-term outcomes following repair of truncus arteriosus and interrupted aortic arch.

Phillip S Naimo, Tyson A Fricke, Melissa G Y Lee, Yves d'Udekem, Robert G Weintraub, Christian P Brizard, Igor E Konstantinov,

OBJECTIVES:We aim to evaluate the long-term outcomes following repair of truncus arteriosus with an interrupted aortic arch. METHODS:We reviewed all children (n = 24) who underwent repair of truncus arteriosus and an interrupted aortic arch between 1979 and 2018 in a single institution. The morphology of the interrupted aortic arch was type ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2020, 57(2):366-372]

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Valentine on a crab-Type A interrupted aortic arch with type 2 aortopulmonary window.

Sai Suraj Kotera, Arun Gopalakrishnan, Javid Raja, Sivasankaran Sivasubramonian, Sabarinath Menon,

A 10-day-old infant was evaluated for heart failure and differential cyanosis. Type A interrupted aortic arch with duct-dependent lower body circulation was identified. There was associated type 2 aortopulmonary window which led to a "Valentine on a crab" appearance on echocardiography. Pattern recognition in imaging is useful for early identification ... Read more >>

Echocardiography (Echocardiography (Mount Kisco, N.Y.))
[2020, 37(3):474-475]

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22q11.2 deletion syndrome and congenital heart disease.

Elizabeth Goldmuntz,

The 22q11.2 deletion syndrome has an estimated prevalence of 1 in 4-6,000 livebirths. The phenotype varies widely; the most common features include: facial dysmorphia, hypocalcemia, palate and speech disorders, feeding and gastrointestinal disorders, immunodeficiency, recurrent infections, neurodevelopmental and psychiatric disorders, and congenital heart disease. Approximately 60-80% of patients have a ... Read more >>

Am J Med Genet C Semin Med Genet (American journal of medical genetics. Part C, Seminars in medical genetics)
[2020, 184(1):64-72]

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Surgical repair for aortopulmonary window with interrupted aortic arch in late childhood.

Sachin Talwar, Niwin George, Saurabh K Gupta, Shiv K Choudhary,

Aortopulmonary window with interrupted aortic arch is rarely reported beyond infancy. Pre-operative assessment and surgical repair are challenging. We report successful surgical repair of aortopulmonary window with interrupted aortic arch in a 6-year-old girl with near-normal pulmonary artery pressure immediately following surgery. ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, :1-4]

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MHCA with SACP versus DHCA in Pediatric Aortic Arch Surgery: A Comparative Study.

Ling Xie, Yan Xu, Guijin Huang, Mao Ye, Xiao Hu, Shiyu Shu, Harness Lynn,

The safety and efficacy of selective antegrade cerebral perfusion (SACP) in children undergoing aortic arch surgery are unclear. In this retrospective analysis, we compared moderate hypothermic circulatory arrest (MHCA; n = 61) plus SACP vs deep hypothermic circulatory arrest (DHCA; n = 53) in children undergoing aortic arch surgery during a period from January ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):4439]

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Surgical repair in a patient with Berry syndrome.

Makoto Ando, Yuki Ichimori, Shigeru Sakamoto,

Berry syndrome is a trilogy involving an aorto-pulmonary window, right pulmonary artery from ascending aorta and an interrupted aortic arch. Surgical repair for this anomaly is associated with a high mortality rate and incidence of right pulmonary arterial stenosis. Herein, we present the case of a patient with Berry syndrome, ... Read more >>

Gen Thorac Cardiovasc Surg (General thoracic and cardiovascular surgery)
[2020, :]

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Beating heart thoracic aortic surgery under selective myocardial perfusion for patients with congenital aortic anomalies.

Tai Fuchigami, Masahiko Nishioka, Yutaka Tamashiro, Nobuhiro Nagata,

OBJECTIVE:We evaluated beating heart thoracic aortic surgery (BHTAS) using selective myocardial perfusion (SMP) in patients with aortic anomalies with complex surgical needs. METHODS:Between 2012 and 2018, 27 infants with aortic anomalies underwent BHTAS using SMP. RESULTS:Median body weight was 3.5 kg (range 2.6-5.2). In total, 15 cases of aortic coarctation, 7 ... Read more >>

Gen Thorac Cardiovasc Surg (General thoracic and cardiovascular surgery)
[2020, :]

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Counseling for Prenatal Congenital Heart Disease-Recommendations Based on Empirical Assessment of Counseling Success.

Alexander Kovacevic, Andreas Simmelbauer, Sebastian Starystach, Michael Elsässer, Andreas Müller, Stefan Bär, Matthias Gorenflo,

Objectives: Empirical assessment of parental needs and affecting factors for counseling success after prenatal diagnosis of congenital heart disease (CHD). Methods:Counseling success after fetal diagnosis of CHD was assessed by a validated standardized questionnaire. The dependent variable "Effective Counseling" was measured in five created analytical dimensions (1. "Transfer of Medical ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:26]

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Utility of Cervical Cannulation During Difficult Resternotomy in Congenital Heart Surgery.

Bahar Temur, Arda Davutoglu, Alper Dogruoz, Selim Aydin, Dilek Suzan, Barış Kırat, Ender Odemis, Ersin Erek,

BACKGROUND:Adhesions due to previous surgeries and some anatomical difficulties may make resternotomy dangerous in children. Femoral vessels are usually small and may not be suitable for cannulation. The aim of this report is to describe our experience with cervical cannulation during risky resternotomy in children. METHODS:Between January 2014 and January ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2020, 11(1):65-70]

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Right Ventricular Outflow Tract Reconstruction in Infant Truncus Arteriosus: A 37-year Experience.

Jeremy L Herrmann, Emilee E Larson, Christopher W Mastropietro, Mark D Rodefeld, Mark W Turrentine, Ryoko Nozaki, John W Brown,

BACKGROUND:Multiple conduits for right ventricular outflow tract reconstruction exist, although the ideal conduit that maximizes outcomes remains controversial. We evaluated long-term outcomes and compared conduits for right ventricular outflow tract reconstruction in children with truncus arteriosus. METHODS:Records of patients who underwent truncus arteriosus repair at our institution between 1981 and ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Truncus arteriosus and truncal valve regurgitation.

Efrén Martínez-Quintana, Francisco Portela-Torrón,

Transl Pediatr (Translational pediatrics)
[2019, 8(5):360-362]

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Swing-back and trap-door technique repair for interrupted aortic arch with right-sided descending aorta.

Shuichi Shiraishi, Ai Sugimoto, Masanori Tsuchida,

A right-sided descending aorta with a left aortic arch is a rare congenital anomaly in which the aortic arch crosses the midline from the left side of the trachea coursing to the descending aorta in the right thoracic cavity. The surgical repair of an interrupted aortic arch with a right-sided ... Read more >>

Interact Cardiovasc Thorac Surg (Interactive cardiovascular and thoracic surgery)
[2019, 29(5):818-819]

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Aortopulmonary Window With Pulmonary Atresia and Interrupted Aortic Arch: A Very Rare Triad.

Doaa A Shahbah, Nicole L Herrick, Howaida El-Said, John Lamberti, Raghav Murthy,

Aortopulmonary window (APW) is a rare lesion, accounting for 0.2% to 0.6% of all congenital heart diseases. We report a rare case of an infant with APW, interrupted aortic arch, and pulmonary atresia with intact interventricular septum and right ventricle-dependent coronary circulation. This report describes the anatomy of this lesion ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2019, 10(6):791-792]

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Interrupted Aortic Arch in a Patient with Patient-Prosthesis Mismatch after Aortic Valve Replacement.

Ziv Beckerman, LaRonica McPherson, Edward P Chen,

This case presents a patient who underwent aortic valve replacement and presented 13 years later with high gradients across the prosthesis, mitral insufficiency, and severe systemic hypertension. Her preoperative workup led to the diagnosis of an interrupted aortic arch Type A. Her surgical management included an initial procedure to repair ... Read more >>

Aorta (Stamford) (Aorta (Stamford, Conn.))
[2019, 7(5):140-143]

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Single-stage repair of interrupted aortic arch type B with ventricular septal defect.

Karl Reyes, Mohsen Ahmed, Zeyad Ellebaidy, Ahmed Amin,

In this video tutorial, we present our surgical technique for single-stage complete repair of an interrupted aortic arch with ventricular septal defect. The key operative steps, which include dual cannulation, the arch repair, and the intra-cardiac repair, are clearly demonstrated. ... Read more >>

Multimed Man Cardiothorac Surg (Multimedia manual of cardiothoracic surgery : MMCTS)
[2019, 2019:]

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Diagnosis and Surgical Repair for Coarctation of the Aorta With Intracardiac Defects: A Single Center Experience Based on 93 Infants.

Yuhao Wu, Jiashan Li, Chun Wu, Jin Zhu, Ling He, Chuan Feng, Yiting Yang, Xin Jin,

Introduction: This study aims to summarize the clinical characteristics of coarctation of the aorta (CoA) associated with intracardiac anomalies in infants. Methods: Medical records of 93 infants who were diagnosed with CoA and intracardiac anomalies from August 2009 to August 2018 were retrospectively reviewed. Results: All of the 93 infants ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:49]

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An Unusual Cause of Hypoxia: Ventricular Septal Defect, Pulmonary Artery Atresia, and Major Aortopulmonary Collaterals Diagnosed in the Adult Cardiac Catheterization Lab.

Katia Bravo-Jaimes, Brian Walton, Poyee Tung, Richard W Smalling,

The association of pulmonary atresia, ventricular septal defect (VSD) and major aortopulmonary collaterals (MAPCA) is an extreme form of tetralogy of Fallot (TOF). It carries a high mortality risk if not intervened on during infancy with only 20% of unoperated patients surviving into adulthood. We present the case of a ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2020, 2020:4726529]

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Congenital systemic venous return anomalies to the right atrium review.

João Diogo Oliveira, Isa Martins,

Congenital anomalies of the systemic venous return to the right atrium are rare and stem from variations in the embryogenesis of the venous system. They are usually asymptomatic, and such the major clinical significance of their recognition is to prevent misdiagnosis, in addition to some having technical implications on invasive ... Read more >>

Insights Imaging (Insights into imaging)
[2019, 10(1):115]

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Interrupted aortic arch with multiple vascular malformations.

Xiao-Rui Xiang, Zi-Xian Chen, Li Zhang, Jun-Qiang Lei, Shun-Lin Guo,

Chin. Med. J. (Chinese medical journal)
[2019, 132(19):2386-2387]

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320-slice CT angiography of an interrupted aortic arch patient relying on collaterals: An addition to classification criteria.

Peng Wang, Shao-Ping Wu, Rui Jiang, Fei-Zhou Du,

A 13-year-old female patient presented with chest pain had no history of heart disease or trauma. She was finally diagnosed with the interrupted aortic arch by 320-slice CT angiography, without intracardial malformations or patent ductus arteriosus. Her descending aortic blood was supplied by plentiful collateral circulation on the chest. According ... Read more >>

Radiol Case Rep (Radiology case reports)
[2019, 14(11):1382-1384]

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