A New Operation for Repairing Aortic Arch Atresia in Infancy

Sirak, Howard D.; Ressallat, Mehdi M.; Hosier, Don M.; deLorimier, Alfred A.

doi:10.1161/01.cir.37.4s2.ii-43

Cited by 14 publications

(5 citation statements)

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“…14 Surgery for hypoplasia of the arch sometimes necessitates sacrifice of the left carotid artery. 15 In both patients presented here, this was avoided, thus reducing the opportunity for complications.…”

Section: Discussionmentioning

confidence: 98%

Insertion of a bypass graft from carotid artery to descending aorta in the management of aortic coarctation with severe hypoplasia of the aortic arch—a report of two cases

et al. 1993

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Repair of severe hypoplasia of the aortic arch with coarctation must be based on the individual anatomy of the lesion and, where necessary, one should take into consideration associated cardiac abnormalities. We report a surgical technique which was employed when standard procedures for reconstruction of the arch had failed to relieve the obstruction adequately. A conduit from the carotid artery to the descending aorta was used successfully in two patients to abolish residual stenosis.

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Section: Discussionmentioning

confidence: 98%

Insertion of a bypass graft from carotid artery to descending aorta in the management of aortic coarctation with severe hypoplasia of the aortic arch—a report of two cases

et al. 1993

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“…Sirak et al (1968) have suggested that, if direct anastomosis is not possible, rather than insert a prosthetic graft, both the left subclavian artery and the left carotid artery should be turned down to form a common orifice for anastomosis to the descending aorta. None of their patients developed cerebral complications.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent review Lie (1967) found reports of 88 cases and added two of his own. An additional 16 cases have since appeared in the English literature (Hairston, Webb, and Lee, 1967;Sirak, Resallet, Hosier, and De Lorimer, 1968;Rochette, Stanley, Ethier, and Davignon, 1968;Tawes et al, 1969;Sissman, 1968;Reidbord, 1964;Tyson, Harris, Nghiem, 1970). The condition differs from atresia of the aortic arch in that complete discontinuity exists between the aortic arch and the descending aorta.…”

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confidence: 99%

Interruption of the aortic arch

Kinsley

Utian

Fuller

et al. 1972

Thorax

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Interruption of the aortic arch is an uncommon malformation in which there is no direct continuity between the aortic arch and the descending aorta, the latter arising through a patent ductus arteriosus. Three types are described, depending upon the site of interruption in relation to the arch vessels. A large ventricular septal defect is present in 94% of cases. It is to be distinguished from aortic arch atresia, which should be regarded as a severe form of preductal coarctation in which the luminal continuity of the arch and descending aorta is absent. Three cases are described: the first demonstrates the natural outcome of the uncorrected anomaly with progression to Eisenmenger's syndrome; the second illustrates the feasibility of surgical treatment in the neonate; the third is an example of total correction of aortic arch interruption with the common associated anomalies. Diagnosis in infancy is difficult in view of the paucity of definite clinical criteria. Surgery in the infant should consist of reconstruction of the aortic arch together with pulmonary artery banding. In older children total correction can usually be performed electively in a two-stage procedure.Interruption of the aortic arch is an uncommon anomaly first described in the 18th century by Raphael Steidele (Roberts, Morrow, and Braunwald, 1962

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“…(49) Blake (32) Pilhbury (39) Zetterquist (4) Hairston (30) Asano (3) Asano (5) Taniya (6) Miki (7) Sirak (33,48) Sirak (48) Tawes (44) Sissman (31) Singh (9) Morgan (10) Tyson (46) Norton ( …”

Section: Operation Am 2231973mentioning

confidence: 99%

Unterbrechung des Aortenbogens mit Fallot'scher Tetralogie

Manouguian¹,

Bjørnstad²,

Rastan³

1975

Thorac cardiovasc Surg

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In a ten year old girl, a combination of interruption of the aortic arch (IAA) and tetralogy of Fallot was corrected simultaneously using cardiopulmonary bypass. The interruption was bypassed by implantation of the proximal end of the left subclavian artery into the ascending aorta. The simultaneous correction of both malformations was possible by a left anterolateral transsternal thoracotomy. The success of this operation was confirmed by cardiac cathetherization and angiography. As far as we know this the first report of a successful simultaneous correction of this unusual combination of cardiac malformations.

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A New Operation for Repairing Aortic Arch Atresia in Infancy

Cited by 14 publications

References 0 publications

Insertion of a bypass graft from carotid artery to descending aorta in the management of aortic coarctation with severe hypoplasia of the aortic arch—a report of two cases

Insertion of a bypass graft from carotid artery to descending aorta in the management of aortic coarctation with severe hypoplasia of the aortic arch—a report of two cases

Interruption of the aortic arch

Unterbrechung des Aortenbogens mit Fallot'scher Tetralogie

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