Repair of interrupted aortic arch with an augmented aortic anastomosis

A Modification of Extended Aortic Arch Anastomosis Augmented with Subclavian Flap Aortoplasty for Interrupted or Hypoplastic Aortic Arch

“…[1][2][3][4][5] Various surgical modifications have been employed to augment the arch anastomosis and minimize the risk of recurrent obstruction mostly using a viable arterial flap. [6][7][8][9][10][11] Excellent results of a combined technique of resection and end-to-end anastomosis with subclavian aortoplasty have been described in some reports, 10,11 although the technique can be applied only to aortic coarctation and cannot be a solution for transverse arch hypoplasia. There are no reports that describe a combined technique of EAAA with subclavian aortoplasty.…”

“…Various surgical modifications have been proposed to augment the arch anastomosis mostly using a viable arterial flap. [6][7][8][9][10][11] We describe our modified technique of extended aortic arch anastomosis (EAAA) augmented with subclavian flap aortoplasty.…”

Off Pump Repair of Aortic Arch Anomalies With Concomitant Intracardiac Defects Via Anterior Approach

“…Optimal surgical technique for aortic coarctation or interruption via anterior approach for the patients with associated intracardiac defect is still under debate 1,2 . Primary complete repair via median sternotomy is preferable to a staged approach in which two or more operations eventually achieve complete repair.…”

“…Optimal surgical technique for aortic coarctation or interruption via anterior approach for the patients with associated intracardiac defect is still under debate. 1,2 Primary complete repair via median sternotomy is preferable to a staged approach in which two or more operations eventually achieve complete repair. All onestage procedures through mid-line sternotomy require cardiopulmonary bypass (CPB) and also deep hypothermic total circulatory arrest (DHTCA) in most of the cases in order to provide adequate surgical exposure to achieve aortic reconstruction.…”

Ascending aortic slide for interrupted aortic arch repair: a new approach to maintain native tissue continuity

“…In either approach, or depending on the type of interruption, the aortic arch repair can be done by different techniques, such as subclavian flap technique (4), interposition of a graft (5), direct anastomosis (6), or sliding arch aortoplasty (7). Although the treatment of choice seems to appreciate a single stage repair with direct anastomosis (2,5,6), some controversy still exists on the preferable approach (1,4).…”