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

Abstract

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.

Aortic arch augmentation using a pulmonary artery autograft patch and a reversed left subclavian artery flap for an interrupted aortic arch type B complex

“…The pulmonary artery autograft patch has previously been reported in single-stage repair for an interrupted aortic arch complex. [3][4][5][6][7] The rate of recoarctation and bronchial compression after aortic arch reconstruction with a pulmonary artery autograft patch was significantly lower than that with a homograft or pericardial patch. 5 The reversed left subclavian artery flap is another surgical technique for aortic arch reconstruction in interrupted aortic arch repair.…”