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Congenital Anomalies of the Great Vessels

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Cardiac Surgery

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Abstract

The congenital anomalies of the great vessels are anomalies of the aorta, resulting in aortic hypoplasia/stenosis or causing compression of neighboring organs; anomalies of the pulmonary artery, resulting in pulmonary artery hypoplasia/stenosis or causing compression of neighboring organs; and abnormal congenital shortcuts involving major intrathoracic vessels, leading to a left to right shunt or a right to left shunt.

Abnormal course and connections of the intrathoracic veins are dealt with in Chap. 12: “Anomalous Pulmonary Venous Connections and Congenital Defects of the Atria, the Atrioventricular Septum, and the Atrioventricular Valves.”

Both persistent (or patent) ductus arteriosus Botalli and coarctation of the aorta are frequent anomalies with potential clinical importance ranging from premature babies to adults. Although presenting with very distinct clinical findings, the remaining 13 congenital anomalies of the great intrathoracic vessels in this chapter are rather infrequent to rare: interrupted aortic arch, midaortic syndrome, cervical aortic arch, persistent fifth aortic arch, double aortic arch, vascular rings, aberrant brachiocephalic trunk, Kommerell’s diverticulum, coarctatio pulmonalis, pulmonary artery sling, aortopulmonary window, pulmonary arteriovenous fistula, and pulmonary artery-left atrial fistula.

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Authors and Affiliations

  1. Division Cardiac and Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IL, USA

    Gerhard Ziemer MD, PhD

  2. Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Tuebingen, Germany

    Renate Kaulitz MD, PhD

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  1. Gerhard Ziemer MD, PhD
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Correspondence to Gerhard Ziemer MD, PhD .

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  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Gerhard Ziemer

  2. HTTG - Surgery, Medizinische Hochschule Hannover, Hannover, Germany

    Axel Haverich

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Ziemer, G., Kaulitz, R. (2017). Congenital Anomalies of the Great Vessels. In: Ziemer, G., Haverich, A. (eds) Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52672-9_21

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