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Interrupted Aortic Arch

Abstract

Survival in infants with this interrupted aortic arch depends on ductal patency for lower torso perfusion, so prostaglandin-E (PGE) infusion is always used during medical stabilization followed by immediate surgical repair. Repair of Type A interruption (interruption beyond the left subclavian artery) is performed through a left throacotomy. Associated anomalies [e.g., ventricular septal defect (VSD)] may be palliated with pulmonary artery banding through the same thoracotomy or repaired primarily working through a separate median sternotomy. Type B (interruption beyond left carotid artery) or Type C (interruption between innominate and left common carotid arteries) interruption and associated anomalies are repaired through a median sternotomy with cardiopulmonary bypass, deep hypothermia, and temporary low-flow cerebral perfusion.

Keywords

Subclavian Artery Patent Ductus Arteriosus Ventricular Septal Defect Ventricular Septal Defect Main Pulmonary Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2007

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