Aortic arch reconstruction with pulmonary autograft patch aortoplasty

Roussin, Régine; Belli, Emrè; Lacour-Gayet, François; Godart, François; Rey, Christian; Bruniaux, J; Planché, C; Sérraf, Alain

doi:10.1067/mtc.2002.120733

Cited by 65 publications

(59 citation statements)

References 18 publications

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“…In such cases the VSD is best closed via a transpulmonary approach, and the stitches relative to the apical portion of the VSD patch may be positioned on the left side of the infundibular septum to promote anterior deflection of the displaced septum away from the left ventricular outflow tract: in such way relief of subaortic stenosis can be accomplished successfully without resection of the infundibular septum [Luciani et al, 1996]. Concerning aortic arch reconstruction, this is best achieved by direct anastomosis with homograft patch augmentation [McCrindle et al, 2005;Roussin et al, 2002]. This technique allows augmentation also of the hypoplastic ascending aorta usually associated with Type C and B anatomy and provides a tensionfree anastomosis.…”

Section: Interrupted Aortic Archmentioning

confidence: 99%

“…This technique allows augmentation also of the hypoplastic ascending aorta usually associated with Type C and B anatomy and provides a tensionfree anastomosis. This should avoid the rare but consistent complication of bronchial compression, usually related both to tension and relatively proximal location of the anastomosis [Roussin et al, 2002].…”

Section: Interrupted Aortic Archmentioning

confidence: 99%

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Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome

Carotti

Digilio

Piacentini

et al. 2008

Dev Disabil Res Revs

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Specific types and subtypes of cardiac defects have been described in children with 22q11.2 deletion syndrome as well as in other genetic syndromes. The conotruncal heart defects occurring in patients with 22q11.2 deletion syndrome include tetralogy of Fallot, pulmonary atresia with ventricular septal defect, truncus arteriosus, interrupted aortic arch, isolated anomalies of the aortic arch, and ventricular septal defect. These conotruncal heart defects are frequently associated in this syndrome with additional cardiovascular anomalies of the aortic arch, pulmonary arteries, infundibular septum, and semilunar valves complicating cardiac anatomy and surgical treatment. In this review we describe the surgical anatomy, the operative treatment, and the prognostic results of the cardiac defects associated with 22q11.2 deletion syndrome. According to the current literature, in patients with tetralogy of Fallot with/without pulmonary atresia and truncus arteriosus, in spite of the complex cardiac anatomy, the presence of 22q11.2 deletion syndrome does not worsen the surgical prognosis. On the contrary in children with pulmonary atresia with ventricular septal defect and probably in those with interrupted aortic arch the association with 22q11.2 deletion syndrome is probably a risk factor for the operative treatment. The complex cardiovascular anatomy in association with depressed immunological status, pulmonary vascular reactivity, neonatal hypocalcemia, bronchomalacia and broncospasm, laryngeal web, and tendency to airway bleeding must be considered at the time of diagnosis and surgical procedure. Specific diagnostic, surgical, and perioperative protocols should be applied in order to provide appropriate treatment and to reduce surgical mortality and morbidity.

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Section: Interrupted Aortic Archmentioning

confidence: 99%

Section: Interrupted Aortic Archmentioning

confidence: 99%

Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome

Carotti

Digilio

Piacentini

et al. 2008

Dev Disabil Res Revs

View full text Add to dashboard Cite

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“…Balloon angioplasty represents the method of choice in recurrent aortic arch stenosis [1,5,7,16,31,32,85]. However, recurrence rate even after balloon angioplasty is an area of concern [1,13,15,16,50,86] and the procedure is not free of complications [1,15,16]. Some patients can require several percutaneous interventions [15].…”

Section: Aortic Arch Stenosismentioning

confidence: 99%

“…Usually, it develops soon after the primary repair as a result of inadequate mobilisation of the aorta and construction of a direct aortic anastomosis low and under tension [5,7,[85][86][87][88]. It leads to shortening and pulling down of the arch on to the left main bronchus.…”

Section: Bronchial Compressionmentioning

confidence: 99%

Management strategies for interrupted aortic arch with associated anomalies

Mishra

2009

European Journal of Cardio-Thoracic Surgery

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Interrupted aortic arch (IAA) is characterised by a lack of luminal continuity between the ascending and descending thoracic aorta. It represents a critical ductus dependent congenital heart disease, which without surgery is associated with high mortality in the neonatal period. Management remains challenging, although in recent years overall mortality appears to be improving. Long-term morbidity and need for repeated interventions are areas of concern. It is difficult to make generalised recommendations based on this literature review as complex associated anomalies often require individualised management strategy.

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“…1,2 After surgical treatment of APW associated with IAA, reinterventions for aortic arch obstruction are the most frequent complication. 3 Use of a pulmonary autograft patch during aortic arch reconstruction was initially reported by Roussin et al 4 and Serraf et al, 5 and their midterm results were successful.…”

Section: Discussionmentioning

confidence: 97%

Pulmonary autograft patch aortoplasty for reconstruction of an interrupted aortic arch associated with an aortopulmonary window

Tateishi

Kawada

2009

Gen Thorac Cardiovasc Surg

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We present here an infant with an aortopulmonary window associated with an interrupted aortic arch. Single-stage repair with a pulmonary autograft patch for augmentation of the interrupted aortic arch repair was performed. Transpulmonary patch closure was used to repair the aortopulmonary window. A computed tomography scan at the 1-month follow-up demonstrated a reconstructed aortic arch without obstruction, kinking, or any sign of bronchial or branch pulmonary artery compression.

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Aortic arch reconstruction with pulmonary autograft patch aortoplasty

Cited by 65 publications

References 18 publications

Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome

Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome

Management strategies for interrupted aortic arch with associated anomalies

Pulmonary autograft patch aortoplasty for reconstruction of an interrupted aortic arch associated with an aortopulmonary window

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